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免疫疗法及其免疫学方面:当前的治疗策略与药物

Immunotherapeutic and their immunological aspects: Current treatment strategies and agents.

作者信息

Jain Mayank, Mishra Archana, Singh Mukul K, Shyam Hari, Kumar Shailendra, Shankar Pratap, Singh Saumya

机构信息

Department of Thoracic Surgery, King George's Medical University, Lucknow, Uttar Pradesh, India.

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2022 Sep-Dec;13(3):322-329. doi: 10.4103/njms.njms_62_22. Epub 2022 Dec 10.

Abstract

Cancer is often caused by the immune system's inability to deal with malignant cells and allows them to progress and proliferate. Emerging cancerous cells constantly evade the immune system, and as a result, these cancerous cells acquire more mutations and exhibit the deadliest characteristics among malignant tumors. The importance of understanding tumor immunology, particularly the functions of tumor antigens and the immunosuppressive tumor microenvironment, is highlighted by the effectiveness of cancer immunotherapy therapies. Many innovative immunotherapy drugs that effectively battle cancer have been produced since the 1980s. At present, in cancer treatment, immunotherapy appears as a paradigm that targets immune checkpoints of tumor cells such as CTLA-4, PD-1, and monoclonal antibodies (MABs), although the treatment of cancer is classified into non-specific and specific types. Specific types define the antibody targeting cell receptors as a new cancer treatment modality. For a number of malignancies, checkpoint inhibitors, MABs, and their derivatives have become standard-of-care therapy. Other immunotherapy techniques, such as most cancer vaccines and cell-based therapies, are still in the experimental stage. Many new immunotherapy techniques and agents are being explored and evaluated in clinical trials, which is a good thing. Thus, this review discusses the role of checkpoint inhibitors and MABs in the treatment of tumor cells. Moreover, these findings help us to understand the mechanism of action of this class of therapeutics and provide support for the management of cancer treatment.

摘要

癌症通常是由于免疫系统无法应对恶性细胞,从而使其发展和增殖。新出现的癌细胞不断逃避免疫系统,因此,这些癌细胞会获得更多突变,并呈现出恶性肿瘤中最致命的特征。癌症免疫疗法的有效性凸显了理解肿瘤免疫学的重要性,尤其是肿瘤抗原的功能和免疫抑制性肿瘤微环境。自20世纪80年代以来,已经研发出许多有效对抗癌症的创新免疫疗法药物。目前,在癌症治疗中,免疫疗法表现为一种针对肿瘤细胞免疫检查点(如CTLA-4、PD-1)和单克隆抗体(MABs)的治疗模式,尽管癌症治疗分为非特异性和特异性类型。特异性类型将靶向细胞受体的抗体定义为一种新的癌症治疗方式。对于许多恶性肿瘤,检查点抑制剂、单克隆抗体及其衍生物已成为标准治疗方法。其他免疫疗法技术,如大多数癌症疫苗和基于细胞的疗法,仍处于实验阶段。许多新的免疫疗法技术和药物正在临床试验中进行探索和评估,这是一件好事。因此,本综述讨论了检查点抑制剂和单克隆抗体在肿瘤细胞治疗中的作用。此外,这些发现有助于我们理解这类疗法的作用机制,并为癌症治疗的管理提供支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa2e/9851344/c37c47752e0c/NJMS-13-322-g001.jpg

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