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白细胞介素 7/白细胞介素 7 受体及其重组衍生物在神经胶质瘤治疗中的价值:一项叙述性综述。

The Therapeutic Values of IL-7/IL-7R and the Recombinant Derivatives in Glioma: A Narrative Review.

机构信息

Tabriz University of Medical Sciences, Tabriz, Iran.

Recombinant Proteins Department, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran.

出版信息

J Interferon Cytokine Res. 2023 Aug;43(8):319-334. doi: 10.1089/jir.2023.0050.

Abstract

Interleukin-7 (IL-7) is essential for maintaining the immune system's defense functions by regulating the development and homeostasis of lymphocytes. Findings have shown the high efficacy of IL-7/IL-7 receptor (IL-7R)-based immunotherapy on various malignancies, with confirmation in both animal models and humans. In recent years, the progression-free survival and overall survival of patients suffering from gliomas significantly increased by introducing C7R-expressing chimeric antigen receptor (CAR)-T cells and long-acting IL-7 agonists such as NT-I7 (rhIL-7-hyFc, Efineptakin alfa). However, the effect of IL-7-based immunotherapies on the resistance of tumor cells to chemotherapy (when used simultaneously with chemotherapy agents) is still ambiguous and requires further studies. This article first reviews the pathophysiological roles of IL-7/IL-7R in tumors, focusing on gliomas. Subsequently, it discusses the therapeutic values of IL-7/IL-7R and the recombinant derivatives in gliomas.

摘要

白细胞介素-7(IL-7)通过调节淋巴细胞的发育和稳态,对维持免疫系统的防御功能至关重要。研究结果表明,基于 IL-7/IL-7 受体(IL-7R)的免疫疗法在各种恶性肿瘤中的疗效很高,在动物模型和人类中都得到了证实。近年来,通过引入表达 C7R 的嵌合抗原受体(CAR)-T 细胞和长效 IL-7 激动剂(如 NT-I7(rhIL-7-hyFc,Efineptakin alfa)),接受治疗的脑胶质瘤患者的无进展生存期和总生存期显著延长。然而,IL-7 为基础的免疫疗法对肿瘤细胞对化疗的耐药性(当与化疗药物同时使用时)的影响仍不明确,需要进一步研究。本文首先综述了 IL-7/IL-7R 在肿瘤中的病理生理学作用,重点关注脑胶质瘤。随后,讨论了 IL-7/IL-7R 及其在脑胶质瘤中的重组衍生物的治疗价值。

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