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免疫检查点和血管生成抑制剂治疗肝细胞癌:双管齐下。

Immune checkpoint and angiogenic inhibitors for the treatment of hepatocellular carcinoma: It takes two to tangle.

机构信息

Fondazione Italiana Fegato ONLUS, AREA Science Park Campus Basovizza, SS14 km 163.5, Trieste 34149, Italy; Eijkman Research Center for Molecular Biology, National Research and Innovation Agency of Indonesia (BRIN), B.J. Habibie Building, Jl. M.H. Thamrin No. 8, Jakarta Pusat 10340, Indonesia.

Fondazione Italiana Fegato ONLUS, AREA Science Park Campus Basovizza, SS14 km 163.5, Trieste 34149, Italy; Doctoral School in Molecular Biomedicine, University of Trieste, Piazzale Europa, 1, Trieste 34127, Italy.

出版信息

Ann Hepatol. 2022 Sep-Oct;27(5):100740. doi: 10.1016/j.aohep.2022.100740. Epub 2022 Jul 6.

Abstract

Immunotherapy represents an effective and promising option in various cancers, including in hepatocellular carcinoma (HCC). The immune checkpoint inhibitors (ICIs) have shown a remarkable breakthrough in the last decade, in addition to molecular targeted therapy of angiogenesis such as tyrosine kinases inhibitors. ICIs provide new regimen that can be applied in different stages of the disease. In parallel, HCC progression is related to the tumor microenvironment (TME), involving the cross-talk between various cellular and non-cellular components within the TME niche. It appears logical to synergistically target several HCC components to increase the efficacy of the treatment. In this paper, we summarize evidence that the combination therapy of ICIs and angiogenesis inhibitors would be a potentially better strategy for HCC treatment.

摘要

免疫疗法在各种癌症中是一种有效且有前景的选择,包括肝细胞癌(HCC)。在过去的十年中,免疫检查点抑制剂(ICI)除了血管生成的分子靶向治疗如酪氨酸激酶抑制剂外,还取得了显著的突破。ICI 提供了新的治疗方案,可以应用于疾病的不同阶段。同时,HCC 的进展与肿瘤微环境(TME)有关,涉及 TME 龛内各种细胞和非细胞成分之间的串扰。协同靶向 HCC 的几个成分以提高治疗效果似乎是合理的。本文总结了证据表明,ICI 和血管生成抑制剂的联合治疗可能是 HCC 治疗的一种更有前途的策略。

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