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PD-1 和 PD-L1 在子宫内膜癌中的表达:分子和临床意义。

Expression of PD-1 and PD-L1 in Endometrial Cancer: Molecular and Clinical Significance.

机构信息

Gynaecologic-Oncology Unit, Department of Obstetrics and Gynaecology, Hospital Canselor Tuanku Muhriz, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.

出版信息

Int J Mol Sci. 2023 Oct 16;24(20):15233. doi: 10.3390/ijms242015233.

Abstract

The landscape of diagnosing and treating endometrial cancer is undergoing a profound transformation due to the integration of molecular analysis and innovative therapeutic approaches. For several decades, the cornerstone treatments for endometrial cancer have included surgical resection, cytotoxic chemotherapy, hormonal therapy, and radiation therapy. However, in recent years, the concept of personalised medicine has gained momentum, reshaping the way clinicians approach cancer treatment. Tailoring treatments based on specific biomarkers has evolved into a standard practice in both initial and recurrent therapy protocols. This review aims to provide an in-depth exploration of the current state of molecular analysis and treatment strategies in the context of endometrial cancer, focusing on the immunological aspect of the PD-1/PD-L1 axis. Furthermore, it seeks to shed light on emerging and innovative approaches that hold promise for the future modulation of endometrial cancer treatments. In essence, as researchers delve into the complex molecular landscape of endometrial cancer and harness the understanding of the PD-1/PD-L1 axis, we are paving the way for more targeted, effective, and personalised therapies that have the potential to significantly improve the outcomes and quality of life for patients with this challenging disease.

摘要

由于分子分析和创新治疗方法的融合,诊断和治疗子宫内膜癌的格局正在发生深刻的变化。几十年来,子宫内膜癌的主要治疗方法包括手术切除、细胞毒性化疗、激素治疗和放射治疗。然而,近年来,个性化医疗的概念已经兴起,改变了临床医生治疗癌症的方式。基于特定生物标志物的治疗已成为初始和复发性治疗方案的标准实践。本综述旨在深入探讨子宫内膜癌中分子分析和治疗策略的现状,重点关注 PD-1/PD-L1 轴的免疫学方面。此外,它还探讨了新兴的创新方法,这些方法为未来调节子宫内膜癌的治疗提供了希望。从本质上讲,随着研究人员深入研究子宫内膜癌的复杂分子图谱,并利用对 PD-1/PD-L1 轴的理解,我们正在为更有针对性、更有效和更个性化的治疗方法铺平道路,这些方法有可能显著改善患有这种具有挑战性疾病的患者的治疗效果和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a46/10607163/de29595ee257/ijms-24-15233-g001.jpg

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