Faculty of Pharmaceutical Sciences, Ahmadu Bello University, Zaria, Nigeria.
Division of Experimental Medicine, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Eur J Med Res. 2024 Jan 5;29(1):25. doi: 10.1186/s40001-023-01625-2.
Using the particular nature of melanoma mutanomes to develop medicines that activate the immune system against specific mutations is a game changer in immunotherapy individualisation. It offers a viable solution to the recent rise in resistance to accessible immunotherapy alternatives, with some patients demonstrating innate resistance to these drugs despite past sensitisation to these agents. However, various obstacles stand in the way of this method, most notably the practicality of sequencing each patient's mutanome, selecting immunotherapy targets, and manufacturing specific medications on a large scale. With the robustness and advancement in research techniques, artificial intelligence (AI) is a potential tool that can help refine the mutanome-based immunotherapy for melanoma. Mutanome-based techniques are being employed in the development of immune-stimulating vaccines, improving current options such as adoptive cell treatment, and simplifying immunotherapy responses. Although the use of AI in these approaches is limited by data paucity, cost implications, flaws in AI inference capabilities, and the incapacity of AI to apply data to a broad population, its potential for improving immunotherapy is limitless. Thus, in-depth research on how AI might help the individualisation of immunotherapy utilising knowledge of mutanomes is critical, and this should be at the forefront of melanoma management.
利用黑色素瘤突变组的特殊性质,开发能够激活免疫系统对抗特定突变的药物,这是免疫个体化治疗的一个重大突破。它为最近对抗免疫治疗选择的耐药性上升提供了一个可行的解决方案,尽管一些患者对这些药物具有先天耐药性,但他们之前对这些药物有过敏感反应。然而,这种方法存在许多障碍,最显著的是对每个患者的突变组进行测序、选择免疫治疗靶点以及大规模制造特定药物的实际可行性。随着研究技术的稳健性和进步,人工智能(AI)是一种潜在的工具,可以帮助完善基于突变组的黑色素瘤免疫疗法。基于突变组的技术正在被应用于免疫刺激疫苗的开发中,改善了现有的选择,如过继细胞治疗,并简化了免疫治疗反应。尽管 AI 在这些方法中的应用受到数据缺乏、成本影响、AI 推断能力的缺陷以及 AI 将数据应用于广泛人群的能力不足的限制,但它在改善免疫疗法方面的潜力是无限的。因此,深入研究 AI 如何利用突变组知识帮助免疫疗法个体化是至关重要的,这应该是黑色素瘤管理的前沿领域。