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免疫疗法:一种有前途的癌症治疗方法。

Immunotherapy: an alternative promising therapeutic approach against cancers.

机构信息

National Institute of Immunology, New Delhi, 110067, India.

Division of Infectious Disease, Department of Medicine, Weill Cornell Medicine, New York, NY, 10065, USA.

出版信息

Mol Biol Rep. 2022 Oct;49(10):9903-9913. doi: 10.1007/s11033-022-07525-8. Epub 2022 Jun 27.

Abstract

The immune system interacts with cancer cells in multiple intricate ways that can shield the host against hyper-proliferation but can also contribute to malignancy. Understanding the protective roles of the immune system in its interaction with cancer cells can help device new and alternate therapeutic strategies. Many immunotherapeutic methodologies, including adaptive cancer therapy, cancer peptide vaccines, monoclonal antibodies, and immune checkpoint treatment, have transformed the traditional cancer treatment landscape. However, many questions remain unaddressed. The development of personalized combination therapy and neoantigen-based cancer vaccines would be the avant-garde approach to cancer treatment. Desirable chemotherapy should be durable, safe, and target-specific. Managing both tumor (intrinsic factors) and its microenvironment (extrinsic factors) are critical for successful immunotherapy. This review describes current approaches and their advancement related to monoclonal antibody-related clinical trials, new cytokine therapy, a checkpoint inhibitor, adoptive T cell therapy, cancer vaccine, and oncolytic virus.

摘要

免疫系统与癌细胞以多种复杂的方式相互作用,可以保护宿主免受过度增殖的影响,但也可能导致恶性肿瘤。了解免疫系统在与癌细胞相互作用中的保护作用,可以帮助设计新的、替代的治疗策略。许多免疫治疗方法,包括适应性癌症治疗、癌症肽疫苗、单克隆抗体和免疫检查点治疗,已经改变了传统的癌症治疗格局。然而,仍有许多问题尚未得到解决。个性化联合治疗和基于新抗原的癌症疫苗的发展将是癌症治疗的前沿方法。理想的化疗应该是持久的、安全的和靶向特定的。管理肿瘤(内在因素)及其微环境(外在因素)对于成功的免疫治疗至关重要。本文综述了与单克隆抗体相关的临床试验、新型细胞因子治疗、检查点抑制剂、过继性 T 细胞治疗、癌症疫苗和溶瘤病毒相关的当前方法及其进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bef/9244230/96122f88ced7/11033_2022_7525_Fig1_HTML.jpg

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