Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Immunol. 2023 Jun 2;14:1198972. doi: 10.3389/fimmu.2023.1198972. eCollection 2023.
Tumor immunotherapy, as the focus of scientific research and clinical tumor treatment in recent years, has received extensive attention. Due to its remarkable curative effect and fewer side effects than traditional treatments, it has significant clinical benefits for the treatment of various advanced cancers and can improve cancer patient survival in the long term. Currently, most patients cannot benefit from immunotherapy, and some patients may experience tumor recurrence and drug resistance even if they achieve remission overcome. Numerous studies have shown that the abnormal angiogenesis state of tumors can lead to immunosuppressive tumor microenvironment, which affects the efficacy of immunotherapy. Actually, to improve the efficacy of immunotherapy, the application of anti-angiogenesis drugs to normalize abnormal tumor vessel has been widely confirmed in basic and clinical research. This review not only discusses the risk factors, mechanisms, and effects of abnormal and normalized tumor angiogenesis state on the immune environment, but summarizes the latest progress of immunotherapy combined with anti-angiogenic therapy. We hope this review provides an applied reference for anti-angiogenesis drugs and synergistic immunotherapy therapy.
肿瘤免疫治疗作为近年来科学研究和临床肿瘤治疗的焦点,受到了广泛关注。由于其疗效显著,副作用比传统治疗少,对于治疗各种晚期癌症具有显著的临床获益,并能长期提高癌症患者的生存。目前,大多数患者无法从免疫治疗中获益,一些患者即使缓解克服,也可能经历肿瘤复发和耐药。大量研究表明,肿瘤的异常血管生成状态可导致免疫抑制性肿瘤微环境,影响免疫治疗的疗效。实际上,为了提高免疫治疗的疗效,抗血管生成药物已被广泛应用于基础和临床研究,以将异常肿瘤血管正常化。本综述不仅讨论了异常和正常化肿瘤血管生成状态对免疫环境的风险因素、机制和影响,还总结了免疫治疗联合抗血管生成治疗的最新进展。我们希望本综述为抗血管生成药物和协同免疫治疗提供应用参考。