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免疫检查点抑制剂在妊娠滋养细胞疾病病例中的应用。

Immune checkpoint inhibitor using in cases with gestational trophoblastic diseases.

作者信息

Paydas Semra

机构信息

Dept of Medical Oncology, Faculty of Medicine, Cukurova University, Adana, Turkey.

出版信息

Med Oncol. 2023 Feb 23;40(3):106. doi: 10.1007/s12032-022-01941-3.

Abstract

Gestational trophoblastic neoplasias (GTNs) are chemosensitive disorders with very high cure rates. However, individuals with chemoresistant diseases pass away as a result of their illness, necessitating the use of innovative medications. Immune checkpoint inhibitors (ICIs) are a critical component of the strategy for the management of drug-resistant GTD due to the high rate of PD-1 expression and the paternal genetic inheritance in GTNs. Immunotherapy is mentioned as a potential therapeutic approach for chemotherapy-resistant GTD in the most recent worldwide recommendations. However, multicenter worldwide collaborative studies are required to give additional evidence to detect and identify prognostic markers due to the rarity of GTDs and the dearth of data in the literature.

摘要

妊娠滋养细胞肿瘤(GTN)是对化疗敏感的疾病,治愈率非常高。然而,患有化疗耐药性疾病的个体最终会因病去世,因此需要使用创新药物。免疫检查点抑制剂(ICI)是耐药性妊娠滋养细胞疾病管理策略的关键组成部分,因为GTN中PD-1表达率高且存在父系遗传。在最新的全球建议中,免疫疗法被提及为化疗耐药性妊娠滋养细胞疾病的一种潜在治疗方法。然而,由于妊娠滋养细胞疾病罕见且文献数据匮乏,需要进行全球多中心合作研究以提供更多证据来检测和识别预后标志物。

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