Wang Tao, Wang Wen-Tao
Divsion of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Department of Biotherapy/Cancer Center and State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu 610041, China.
Sichuan Da Xue Xue Bao Yi Xue Ban. 2023 May;54(3):692-698. doi: 10.12182/20230560108.
Liver cancer is a serious global health problem and a common cause of cancer-related death. Hepatocellular carcinoma (HCC) is a common pathological type of liver cancer. The clinical symptoms of early HCC tend to be not obvious and 50% of HCC patients are already in the advanced stage by the time they are diagnosed. Systemic therapy is recommended for the treatment of advanced HCC. With the development of molecular targeted drugs (sorafenib and lenvatinib), some progress has been made in the systemic treatment of advanced HCC, but there is only modest benefit for the survival of HCC patients. In recent years, the emergence of immune checkpoint inhibitors has changed the overall outlook of HCC treatment, providing more possibilities for precise treatment of HCC and showing better treatment outcomes. In particular, the combination therapy of atezolizumab and bevacizumab significantly improved the survival outcomes in HCC patients. In addition, adoptive cell therapy, tumor vaccine, oncolytic viruses, and nonspecific immunotherapy have also emerged as strategies for immunotherapy. Herein, the status quo and development of HCC immunotherapy are reviewed.
肝癌是一个严重的全球健康问题,也是癌症相关死亡的常见原因。肝细胞癌(HCC)是肝癌的一种常见病理类型。早期HCC的临床症状往往不明显,50%的HCC患者在确诊时已处于晚期。晚期HCC的治疗推荐采用全身治疗。随着分子靶向药物(索拉非尼和仑伐替尼)的发展,晚期HCC的全身治疗取得了一些进展,但对HCC患者的生存获益有限。近年来,免疫检查点抑制剂的出现改变了HCC治疗的整体格局,为HCC的精准治疗提供了更多可能性,并显示出更好的治疗效果。特别是阿替利珠单抗和贝伐单抗的联合治疗显著改善了HCC患者的生存结局。此外,过继性细胞治疗、肿瘤疫苗、溶瘤病毒和非特异性免疫治疗也已成为免疫治疗的策略。在此,对HCC免疫治疗的现状和发展进行综述。