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肿瘤内递送免疫治疗和基因治疗:癌症治疗的新时代。

Intratumoral delivery of immune therapy and gene therapy: the next era for cancer therapy.

机构信息

OncoSec Medical Incorporated, San Diego, CA 92121, USA.

出版信息

Immunotherapy. 2023 Aug;15(11):853-865. doi: 10.2217/imt-2023-0018. Epub 2023 Jun 9.

Abstract

Cancer immunotherapy is a field that garners significant interest, fueled by the clinical success of immune checkpoint inhibitors. In contrast to conventional cancer therapies, immunotherapies leverage the host's immune system by enhancing innate and adaptive immunity to control cancer progression. Despite these exciting advances, only a subset of patients respond to these drugs, and immunotherapies frequently result in immune-related toxicity. One approach to overcome these challenges is intratumoral administration of treatment to minimize systemic toxicities and maximize therapeutic effects. Intratumoral cancer therapies have shown similar or superior antitumor efficacy in both treated and distant untreated tumors, with a widely improved benefit-risk ratio over conventional therapeutic approaches. Herein, we review the current landscape of intratumoral cancer gene immunotherapy.

摘要

癌症免疫疗法是一个备受关注的领域,其临床成功得益于免疫检查点抑制剂的应用。与传统的癌症治疗方法不同,免疫疗法通过增强先天和适应性免疫来控制癌症进展,利用宿主的免疫系统。尽管取得了这些令人兴奋的进展,但只有一部分患者对这些药物有反应,而且免疫疗法经常会导致免疫相关的毒性。克服这些挑战的一种方法是通过瘤内给药来最小化全身毒性并最大限度地提高治疗效果。瘤内癌症疗法在治疗和未治疗的远处肿瘤中均显示出相似或更高的抗肿瘤疗效,与传统治疗方法相比,其获益风险比得到了极大改善。本文综述了目前瘤内癌症基因免疫疗法的现状。

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