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攻克免疫迷宫:解除癌症免疫治疗耐药性的前沿策略

Navigating the Immune Maze: Pioneering Strategies for Unshackling Cancer Immunotherapy Resistance.

作者信息

Yao Liqin, Wang Qingqing, Ma Wenxue

机构信息

Key Laboratory for Translational Medicine, The First Affiliated Hospital, Huzhou University, Huzhou 313000, China.

Institute of Immunology, Zhejiang University School of Medicine, Hangzhou 310058, China.

出版信息

Cancers (Basel). 2023 Dec 15;15(24):5857. doi: 10.3390/cancers15245857.

Abstract

Cancer immunotherapy has ushered in a transformative era in oncology, offering unprecedented promise and opportunities. Despite its remarkable breakthroughs, the field continues to grapple with the persistent challenge of treatment resistance. This resistance not only undermines the widespread efficacy of these pioneering treatments, but also underscores the pressing need for further research. Our exploration into the intricate realm of cancer immunotherapy resistance reveals various mechanisms at play, from primary and secondary resistance to the significant impact of genetic and epigenetic factors, as well as the crucial role of the tumor microenvironment (TME). Furthermore, we stress the importance of devising innovative strategies to counteract this resistance, such as employing combination therapies, tailoring immune checkpoints, and implementing real-time monitoring. By championing these state-of-the-art methods, we anticipate a paradigm that blends personalized healthcare with improved treatment options and is firmly committed to patient welfare. Through a comprehensive and multifaceted approach, we strive to tackle the challenges of resistance, aspiring to elevate cancer immunotherapy as a beacon of hope for patients around the world.

摘要

癌症免疫疗法开创了肿瘤学的变革时代,带来了前所未有的希望和机遇。尽管取得了显著突破,但该领域仍在持续应对治疗耐药性这一长期挑战。这种耐药性不仅削弱了这些开创性治疗方法的广泛疗效,也凸显了进一步研究的迫切需求。我们对癌症免疫疗法耐药性这一复杂领域的探索揭示了多种起作用的机制,从原发性和继发性耐药到遗传和表观遗传因素的重大影响,以及肿瘤微环境(TME)的关键作用。此外,我们强调设计创新策略来对抗这种耐药性的重要性,例如采用联合疗法、定制免疫检查点以及实施实时监测。通过倡导这些先进方法,我们期待一种将个性化医疗与改进的治疗选择相结合并坚定致力于患者福祉的模式。通过全面和多方面的方法,我们努力应对耐药性挑战,立志将癌症免疫疗法提升为全球患者希望的灯塔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/057c/10742031/7ac53be955b4/cancers-15-05857-g001.jpg

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