Department of Biotechnology, Maharishi Markandeshwar (Deemed to be University), Mullana-Ambala, 133 207, Haryana, India.
NGO Praeventio, Tartu, 50407, Estonia.
Curr Pharm Des. 2022;28(29):2363-2374. doi: 10.2174/1381612828666220727124639.
Malignant melanoma is one of the most worrisome malignancies due to its fast dissemination and early formation of metastases in multiple sites throughout the body. Despite the intensive efforts made in the last decades, the use of standard therapeutic strategies, including chemotherapy and radiotherapy, has not led to a substantial improvement in clinical outcomes, mainly because of the intrinsic resistance of melanomas to these treatment modalities. Therefore, in recent years, numerous studies have focused on the possibility of boosting the clinical responses of melanoma patients by using novel immunotherapeutic agents. In this review article, a comprehensive survey is presented about the approved immunotherapeutic drugs and their action mechanisms, besides describing the agents that are currently still in clinical trials. Moreover, the combination of immunotherapeutic drugs with conventional approaches, i.e., radiotherapy, chemotherapy, and targeted therapy, is another focal point of this review, providing valuable input for further elaboration of the best treatment regimens to prolong survival and improve the quality of life of melanoma patients.
恶性黑素瘤是最令人担忧的恶性肿瘤之一,因为它的传播速度很快,并且会在体内多个部位早期形成转移。尽管在过去几十年中进行了大量的努力,包括化疗和放疗在内的标准治疗策略的应用并没有导致临床结果的显著改善,这主要是因为黑素瘤对这些治疗方式存在内在的耐药性。因此,近年来,许多研究都集中在通过使用新型免疫治疗药物来提高黑色素瘤患者的临床反应上。在这篇综述文章中,全面介绍了已批准的免疫治疗药物及其作用机制,还描述了目前仍处于临床试验阶段的药物。此外,免疫治疗药物与传统方法(如放疗、化疗和靶向治疗)的联合应用是本文的另一个重点,为进一步制定最佳治疗方案以延长患者的生存时间和提高其生活质量提供了有价值的参考。