Department of Biology, Faculty of Science, Ferdowsi University of Mashhad, Mashhad, Iran.
Department of Medical Laboratory Sciences, Varastegan Institute for Medical Sciences, Mashhad, Iran; Department of Clinical Biochemistry, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; Surgical Oncology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Int Immunopharmacol. 2024 Jan 5;126:111055. doi: 10.1016/j.intimp.2023.111055. Epub 2023 Nov 22.
There are increasing incidences and mortality rates for colorectal cancer in the world. It is common for chemotherapy and radiation given to patients with colorectal cancer to cause toxicities that limit their effectiveness and cause cancer cells to become resistant to these treatments. Additional targeted treatments are needed to improve patient's quality of life and outcomes. Immunotherapy has rapidly emerged as an incredibly exciting and promising avenue for cancer treatment in recent years. This innovative approach provides novel options for tackling solid tumors, effectively establishing itself as a new cornerstone in cancer treatment. Specifically, in the realm of colorectal cancer (CRC), there is great promise in developing new drugs that target immune checkpoints, offering a hopeful and potentially transformative solution. While immunotherapy of CRC has made significant advances, there are still obstacles and limitations. CRC patients have a poor response to treatment because of the immune-suppressing function of their tumor microenvironment (TME). In addition to blocking inhibitory immune checkpoints, checkpoint-blocking antibodies may also boost immune responses against tumors. The review summarizes recent advances in immune checkpoint inhibitors (ICIs) for CRC, including CTLA-4, PD-1, PD-L1, LAG-3, and TIM-3.
世界范围内结直肠癌的发病率和死亡率不断上升。对结直肠癌患者进行化疗和放疗通常会导致毒性,从而限制其疗效,并使癌细胞对这些治疗产生耐药性。需要额外的靶向治疗来改善患者的生活质量和治疗效果。免疫疗法近年来迅速成为癌症治疗令人兴奋和充满希望的新途径。这种创新方法为治疗实体瘤提供了新颖的选择,有效地成为癌症治疗的新基石。具体来说,在结直肠癌(CRC)领域,开发针对免疫检查点的新药具有很大的前景,为患者带来了充满希望且具有变革潜力的治疗选择。虽然 CRC 的免疫疗法已经取得了重大进展,但仍存在障碍和限制。CRC 患者对治疗的反应较差,这是由于其肿瘤微环境(TME)的免疫抑制功能所致。除了阻断抑制性免疫检查点外,检查点阻断抗体还可以增强针对肿瘤的免疫反应。该综述总结了 CRC 免疫检查点抑制剂(ICI)的最新进展,包括 CTLA-4、PD-1、PD-L1、LAG-3 和 TIM-3。