Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States.
Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, Bethesda, MD, United States.
Adv Cancer Res. 2022;156:415-449. doi: 10.1016/bs.acr.2022.01.013. Epub 2022 Feb 18.
Over the past several decades, primary liver cancer (PLC), mostly hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (iCCA), has become the focus of rising concern mainly due to the increasing rates of incidence and high global mortality. Immunotherapy, as an emerging treatment approach, represents an effective and promising option against PLC. However, the selection of immunotherapeutic targets while considering tumor heterogeneity and immunosuppressive tumor microenvironment is a major challenge. The purpose of this review is to summarize and present the emerging immunotherapeutic targets for HCC and iCCA and to evaluate their translation advances in currently ongoing clinical trials. To better provide a framework for the liver cancer target selection, this chapter will highlight cell surface antigens expressed in both tumor cells and immune cells. Particular focus will be on the development, biology and function of Glypican-3 (GPC3) and Mesothelin (MSLN) in the cancer progress of HCC and iCCA, respectively. By doing so, we will explore the prospects and applications of various immunotherapeutic strategies such as vaccines, monoclonal antibodies, immunotoxins, antibody-drug conjugates (ADCs) and chimeric antigen receptors (CARs) T cells that have been developed targeting GPC3 and MSLN.
在过去的几十年中,原发性肝癌(PLC),主要是肝细胞癌(HCC)和肝内胆管癌(iCCA),由于发病率的不断上升和全球死亡率居高不下,已成为人们关注的焦点。免疫疗法作为一种新兴的治疗方法,是一种针对 PLC 的有效且有前途的选择。然而,在考虑肿瘤异质性和免疫抑制性肿瘤微环境的情况下选择免疫治疗靶点是一个主要挑战。本综述的目的是总结和介绍 HCC 和 iCCA 的新兴免疫治疗靶点,并评估它们在目前正在进行的临床试验中的转化进展。为了更好地为肝癌靶点选择提供框架,本章将重点介绍在肿瘤细胞和免疫细胞中表达的细胞表面抗原。特别关注 Glypican-3(GPC3)和间皮素(MSLN)在 HCC 和 iCCA 癌症进展中的发展、生物学和功能。通过这样做,我们将探讨针对 GPC3 和 MSLN 开发的各种免疫治疗策略的前景和应用,例如疫苗、单克隆抗体、免疫毒素、抗体药物偶联物(ADC)和嵌合抗原受体(CAR)T 细胞。
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