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晚期胃癌免疫治疗的最新进展及未来展望。

Recent Progress and Future Perspectives of Immunotherapy in Advanced Gastric Cancer.

机构信息

Department of Gastrointestinal Surgery, Changhai Hospital, Naval Medical University, Shanghai, China.

Key Laboratory of Natural Medicines of the Changbai Mountain, Ministry of Education, Yanbian University, Yanji, China.

出版信息

Front Immunol. 2022 Jul 1;13:948647. doi: 10.3389/fimmu.2022.948647. eCollection 2022.


DOI:10.3389/fimmu.2022.948647
PMID:35844558
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9284215/
Abstract

As one of the most common forms of solid tumours, gastric carcinoma has been revealed as the third leading cause of death worldwide. The symptom of gastric cancer is usually not obvious and thus difficult to detect at earlier stages. Therefore, gastric cancer is already in the advanced stage once detected in patients, which has a poor prognosis due to ineffective therapies and multiple resistance. Recent advance in understanding the microenvironment of cancer has significantly promoted the development of immunotherapy for advanced gastric cancer. Immunotherapy can induce immune responses in gastric cancer patients thus leads to the destruction of cancer cells. In comparison of traditional therapy, immunotherapy has demonstrated robust efficacy and tolerable toxicity. Therefore, this novel strategy for treatment of advanced gastric cancer has gain increasingly popularity. In this review, we summarize recent progress of immunotherapy in advanced gastric cancer, such as immune check point inhibitors, adoptive cell therapy, VEGF inhibitors, cancer vaccines and CAR-T cell therapy. We highlight immunotherapies involved in clinical applications and discuss the existing challenges of current immunotherapies and promising strategies to overcome these limitations.

摘要

作为最常见的实体肿瘤之一,胃癌已成为全球第三大致死原因。胃癌的症状通常不明显,因此早期很难发现。因此,一旦在患者中检测到胃癌,通常已经处于晚期,由于治疗效果不佳和多种耐药性,预后较差。近年来,对癌症微环境的认识的不断深入,极大地推动了晚期胃癌免疫治疗的发展。免疫疗法可以在胃癌患者中诱导免疫反应,从而导致癌细胞的破坏。与传统疗法相比,免疫疗法具有强大的疗效和可耐受的毒性。因此,这种治疗晚期胃癌的新策略越来越受到关注。在这篇综述中,我们总结了晚期胃癌免疫治疗的最新进展,如免疫检查点抑制剂、过继细胞疗法、VEGF 抑制剂、癌症疫苗和 CAR-T 细胞疗法。我们重点介绍了临床应用中涉及的免疫疗法,并讨论了当前免疫疗法存在的挑战和克服这些限制的有前途的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3c/9284215/d59da089872a/fimmu-13-948647-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3c/9284215/d59da089872a/fimmu-13-948647-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3c/9284215/d59da089872a/fimmu-13-948647-g001.jpg

相似文献

[1]
Recent Progress and Future Perspectives of Immunotherapy in Advanced Gastric Cancer.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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J Control Release. 2022-11

引用本文的文献

[1]
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[2]
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[3]
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Front Public Health. 2025-7-21

[4]
A Novel Hypoxia-Immune Signature for Gastric Cancer Prognosis and Immunotherapy: Insights from Bulk and Single-Cell RNA-Seq.

Curr Issues Mol Biol. 2025-7-16

[5]
Current Advances and Future Directions for Sensitizing Gastric Cancer to Immune Checkpoint Inhibitors.

Cancer Med. 2025-7

[6]
Current Advances and Challenges in CAR-T Therapy for Hematological and Solid Tumors.

Immunotargets Ther. 2025-6-27

[7]
GNGT1 is a potential prognostic and immunologic biomarker in gastric cancer.

Sci Rep. 2025-7-1

[8]
Comprehensive analysis of single-cell and bulk RNA sequencing data unveils antigen-presenting and processing fibroblasts and establishes a predictive model in gastric cancer.

Cancer Cell Int. 2025-6-21

[9]
Innovative Immunotherapy and Its Transformative Impact on Gastric Adenocarcinoma: A Comprehensive Review of the Disease's Origins, Epidemiology, Classification, Diagnosis, and Treatment Options.

ACS Pharmacol Transl Sci. 2025-4-18

[10]
Integrated single-cell and transcriptome sequencing data reveal the value of IL1RAP in gastric cancer microenvironment and prognosis.

Front Oncol. 2025-5-15

本文引用的文献

[1]
Immunotherapy in Gastric Cancer.

Curr Oncol. 2022-3-2

[2]
Potent suppression of neuroendocrine tumors and gastrointestinal cancers by CDH17CAR T cells without toxicity to normal tissues.

Nat Cancer. 2022-5

[3]
The New Era of Immunotherapy in Gastric Cancer.

Cancers (Basel). 2022-2-18

[4]
Antitumor responses in gastric cancer by targeting B7H3 via chimeric antigen receptor T cells.

Cancer Cell Int. 2022-1-31

[5]
Gastrin Vaccine Alone and in Combination With an Immune Checkpoint Antibody Inhibits Growth and Metastases of Gastric Cancer.

Front Oncol. 2021-12-1

[6]
The KEYNOTE-811 trial of dual PD-1 and HER2 blockade in HER2-positive gastric cancer.

Nature. 2021-12

[7]
Immunotherapy for gastric cancer: a 2021 update.

Immunotherapy. 2022-1

[8]
Development of mesothelin-specific CAR NK-92 cells for the treatment of gastric cancer.

Int J Biol Sci. 2021

[9]
Adoptive cell therapy for solid tumors: Chimeric antigen receptor T cells and beyond.

Curr Opin Pharmacol. 2021-8

[10]
The role and application of small extracellular vesicles in gastric cancer.

Mol Cancer. 2021-4-29

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