Rodriguez-Pascual Jesus, Ayuso-Sacido Angel, Belda-Iniesta Cristobal
Department of Clinical Oncology, HM-CIOCC, Grupo HM Hospitales, Madrid 28050, Spain.
Fundación de Investigación HM Hospitales (FiHM), Madrid 28015, Spain.
Cancer Drug Resist. 2019 Dec 19;2(4):980-993. doi: 10.20517/cdr.2019.61. eCollection 2019.
Recent advances in pharmacological immune modulation against tumor cells has dramatically changed the paradigm of cancer treatment. Checkpoint inhibitor therapy is a form of cancer immunotherapy already in clinical setting but also under active basic and clinical investigation. Nevertheless, some patients are primary unresponsive or develop ulterior resistance to these family of drugs. This review aims to update the basic molecular mechanism of resistance as well as the current strategies for checkpoint inhibitor selection in order to propose new approaches to individualize the use of these novel therapies.
针对肿瘤细胞的药理免疫调节方面的最新进展极大地改变了癌症治疗的模式。检查点抑制剂疗法是一种已应用于临床的癌症免疫疗法,同时也在积极进行基础和临床研究。然而,一些患者对这类药物原发性无反应或随后产生耐药性。本综述旨在更新耐药的基本分子机制以及检查点抑制剂选择的当前策略,以便提出新方法来个性化使用这些新型疗法。