Mishra Alok K, Ali Amjad, Dutta Shubham, Banday Shahid, Malonia Sunil K
Department of Molecular, Cell and Cancer Biology, UMass Chan Medical School, Worcester, MA 01605, USA.
MassBiologics, UMass Chan Medical School, Boston, MA 02126, USA.
Diseases. 2022 Sep 6;10(3):60. doi: 10.3390/diseases10030060.
Recent advances in cancer immunology have enabled the discovery of promising immunotherapies for various malignancies that have shifted the cancer treatment paradigm. The innovative research and clinical advancements of immunotherapy approaches have prolonged the survival of patients with relapsed or refractory metastatic cancers. Since the U.S. FDA approved the first immune checkpoint inhibitor in 2011, the field of cancer immunotherapy has grown exponentially. Multiple therapeutic approaches or agents to manipulate different aspects of the immune system are currently in development. These include cancer vaccines, adoptive cell therapies (such as CAR-T or NK cell therapy), monoclonal antibodies, cytokine therapies, oncolytic viruses, and inhibitors targeting immune checkpoints that have demonstrated promising clinical efficacy. Multiple immunotherapeutic approaches have been approved for specific cancer treatments, while others are currently in preclinical and clinical trial stages. Given the success of immunotherapy, there has been a tremendous thrust to improve the clinical efficacy of various agents and strategies implemented so far. Here, we present a comprehensive overview of the development and clinical implementation of various immunotherapy approaches currently being used to treat cancer. We also highlight the latest developments, emerging trends, limitations, and future promises of cancer immunotherapy.
癌症免疫学的最新进展使得人们发现了针对各种恶性肿瘤的有前景的免疫疗法,这些疗法改变了癌症治疗模式。免疫疗法的创新性研究和临床进展延长了复发或难治性转移性癌症患者的生存期。自2011年美国食品药品监督管理局(FDA)批准首个免疫检查点抑制剂以来,癌症免疫治疗领域呈指数级增长。目前正在研发多种操纵免疫系统不同方面的治疗方法或药物。这些包括癌症疫苗、过继性细胞疗法(如嵌合抗原受体T细胞疗法或自然杀伤细胞疗法)、单克隆抗体、细胞因子疗法、溶瘤病毒以及靶向免疫检查点的抑制剂,这些已显示出有前景的临床疗效。多种免疫治疗方法已被批准用于特定癌症治疗,而其他方法目前正处于临床前和临床试验阶段。鉴于免疫治疗的成功,人们一直大力推动提高目前所采用的各种药物和策略的临床疗效。在此,我们全面概述目前用于治疗癌症的各种免疫治疗方法的发展和临床应用情况。我们还强调了癌症免疫治疗的最新进展、新趋势、局限性和未来前景。