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肿瘤的冷冻消融和冷冻免疫治疗进展。

Progress in the cryoablation and cryoimmunotherapy for tumor.

机构信息

Department of Radiology, The First Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.

Department of Radiology, Chinese People's Armed Police (PAP) Force Hospital of Beijing, Beijing, China.

出版信息

Front Immunol. 2023 Jan 25;14:1094009. doi: 10.3389/fimmu.2023.1094009. eCollection 2023.


DOI:10.3389/fimmu.2023.1094009
PMID:36761748
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9907027/
Abstract

With the rapid advancement of imaging equipment and minimally invasive technology, cryoablation technology is being used more frequently in minimally invasive treatment of tumors, primarily for patients with early tumors who voluntarily consent to ablation as well as those with advanced tumors that cannot be surgically removed or cannot be tolerated. Cryoablation is more effective and secure for target lesions than other thermal ablation methods like microwave and radiofrequency ablation (RFA). The study also discovered that cryoablation, in addition to causing tumor tissue necrosis and apoptosis, can facilitate the release of tumor-derived autoantigens into the bloodstream and activate the host immune system to elicit beneficial anti-tumor immunological responses against primary. This may result in regression of the primary tumor and distant metastasis. The additional effect called " Accompanying effects ". It is the basis of combined ablation and immunotherapy for tumor. At present, there is a lot of research on the mechanism of immune response induced by cryoablation. Trying to solve the question: how positively induce immune response. In this review, we focus on: 1. the immune effects induced by cryoablation. 2. the effect and mechanism of tumor immunotherapy combined with cryoablation. 3.The clinical research of this combination therapy in the treatment of tumors.

摘要

随着影像设备和微创技术的快速发展,冷冻消融技术在肿瘤的微创治疗中得到了更频繁的应用,主要针对自愿接受消融治疗的早期肿瘤患者以及不能手术切除或不能耐受手术的晚期肿瘤患者。冷冻消融在治疗目标病灶方面比微波和射频消融(RFA)等其他热消融方法更有效和安全。研究还发现,冷冻消融除了导致肿瘤组织坏死和凋亡外,还可以促进肿瘤来源的自身抗原释放到血液中,并激活宿主免疫系统,引发针对原发性肿瘤的有益的抗肿瘤免疫反应。这可能导致原发性肿瘤和远处转移的消退。这种附加效应称为“伴随效应”。它是肿瘤联合消融和免疫治疗的基础。目前,对冷冻消融诱导免疫反应的机制有很多研究。试图解决如何积极诱导免疫反应的问题。在这篇综述中,我们重点关注:1. 冷冻消融诱导的免疫效应。2. 冷冻消融联合肿瘤免疫治疗的效果和机制。3. 这种联合治疗在肿瘤治疗中的临床研究。

相似文献

[1]
Progress in the cryoablation and cryoimmunotherapy for tumor.

Front Immunol. 2023

[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]
Endogenous Heat-Shock Protein Induction with or Without Radiofrequency Ablation or Cryoablation in Patients with Stage IV Melanoma.

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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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本文引用的文献

[1]
Targeting PI3Kγ/AKT Pathway Remodels LC3-Associated Phagocytosis Induced Immunosuppression After Radiofrequency Ablation.

Adv Sci (Weinh). 2022-3

[2]
Focal Cryoablation of Image-Localized Prostate Cancer.

J Endourol. 2021-9

[3]
Oncological and Functional Outcomes of Patients Undergoing Individualized Partial Gland Cryoablation of the Prostate: A Single-Institution Experience.

J Endourol. 2021-9

[4]
Irreversible electroporation induces CD8 T cell immune response against post-ablation hepatocellular carcinoma growth.

Cancer Lett. 2021-4-10

[5]
Neoantigen-specific CD4 T-cell response is critical for the therapeutic efficacy of cryo-thermal therapy.

J Immunother Cancer. 2020-9

[6]
Tumor ablation plus co-administration of CpG and saponin adjuvants affects IL-1 production and multifunctional T cell numbers in tumor draining lymph nodes.

J Immunother Cancer. 2020-5

[7]
Percutaneous Cryoablation: Safety and Efficacy for Pain Palliation of Metastases to Pleura and Chest Wall.

J Vasc Interv Radiol. 2019-12-30

[8]
RF Ablation Versus Cryoablation for Small Perivascular Hepatocellular Carcinoma: Propensity Score Analyses of Mid-Term Outcomes.

Cardiovasc Intervent Radiol. 2019-12-16

[9]
Renal cryoablation - does deep endophytic ablation affect the renal collecting system?

Scand J Urol. 2020-2

[10]
Cryoablation: physical and molecular basis with putative immunological consequences.

Int J Hyperthermia. 2019-11

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