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妇科癌症中的耐药性与免疫疗法

Drug resistance and immunotherapy in gynecologic cancers.

作者信息

Vemula Sarojamma, Bonala Sabeerabi, Vadde Neha Krishna, Natu Jay Z, Basha Raasil, Vadde Ramakrishna, Ahmad Sarfraz

机构信息

Government Medical College, Anantapur, Andhra Pradesh, India.

Biostandups, Hyderabad, Telangana, India.

出版信息

Life Sci. 2023 Nov 1;332:122104. doi: 10.1016/j.lfs.2023.122104. Epub 2023 Sep 18.

Abstract

Gynecologic malignancies (GMs) are relatively less focused cancers by oncologists and researchers. The five-year survival rate of patients with GMs remained almost the same during the last decade. The development of drug resistance GMs makes it even more challenging to tackle due to tumor heterogeneity, genomic instability, viral/non-viral antigens, and etiological tumor origin. A precision medicine approach, including gene therapies, is under testing to restore tumor responsiveness to therapeutics and immunotherapy. With more data being uncovered, immunotherapy is emerging as a viable alternative for achieving promising results. This review highlights the drug resistance mechanisms and immunotherapeutic approaches to managing GMs better. The approval of immune therapeutic drugs in recent years shifted this notion. It provided hope for researchers, clinicians, and patients with GMs to experience the anti-cancer benefits of these therapies.

摘要

妇科恶性肿瘤(GMs)相对较少受到肿瘤学家和研究人员的关注。在过去十年中,GMs患者的五年生存率几乎保持不变。由于肿瘤异质性、基因组不稳定性、病毒/非病毒抗原以及肿瘤的病因起源,耐药性GMs的发展使得治疗更具挑战性。包括基因疗法在内的精准医学方法正在进行测试,以恢复肿瘤对治疗和免疫疗法的反应性。随着更多数据的发现,免疫疗法正成为一种有望取得良好效果的可行替代方案。本综述重点介绍了更好地管理GMs的耐药机制和免疫治疗方法。近年来免疫治疗药物的获批改变了这一观念。它为研究人员、临床医生以及GMs患者带来了希望,使他们能够体验到这些疗法的抗癌益处。

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