Shi Fukang, Huang Xing, Hong Zhengtao, Lu Na, Huang Xin, Liu Lingyue, Liang Tingbo, Bai Xueli
Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, China; Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China.
Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, Zhejiang, China; Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang, China; Cancer Center, Zhejiang University, Hangzhou, 310058, Zhejiang, China.
Cancer Lett. 2023 May 28;562:216167. doi: 10.1016/j.canlet.2023.216167. Epub 2023 Apr 7.
Cancer immunotherapies have yielded promising outcomes in various malignant tumors by blocking specific immune checkpoint molecules, such as programmed cell death 1 and cytotoxic T lymphocyte antigen 4. However, only a few patients respond to immune checkpoint blockade therapy because of the poor immunogenicity of tumor cells and immune-suppressive tumor microenvironment. Accumulating evidence suggests that chemotherapeutic agents, including oxaliplatin and doxorubicin, not only mediate direct cytotoxicity in tumor cells but also induce immunogenic cancer cell death to stimulate a powerful anti-cancer immune response in the tumor microenvironment. In this review, we summarize the recent advances in cancer combination therapy based on immune checkpoint inhibitors plus immunogenic cell death inducers. Despite some clinical failures and challenges, immunogenic cell death inducers have displayed great potential when combined with immune checkpoint inhibitors for anti-cancer treatment in both preclinical studies and clinical trials.
癌症免疫疗法通过阻断特定的免疫检查点分子,如程序性细胞死亡蛋白1和细胞毒性T淋巴细胞相关抗原4,在各种恶性肿瘤中取得了令人鼓舞的成果。然而,由于肿瘤细胞免疫原性差和免疫抑制性肿瘤微环境,只有少数患者对免疫检查点阻断疗法有反应。越来越多的证据表明,包括奥沙利铂和阿霉素在内的化疗药物不仅能介导肿瘤细胞的直接细胞毒性,还能诱导免疫原性癌细胞死亡,从而在肿瘤微环境中刺激强大的抗癌免疫反应。在这篇综述中,我们总结了基于免疫检查点抑制剂加免疫原性细胞死亡诱导剂的癌症联合治疗的最新进展。尽管存在一些临床失败和挑战,但在临床前研究和临床试验中,免疫原性细胞死亡诱导剂与免疫检查点抑制剂联合用于抗癌治疗时都显示出了巨大的潜力。
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