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肾细胞癌免疫治疗的既定和新兴生物标志物。

Established and emerging biomarkers of immunotherapy in renal cell carcinoma.

机构信息

Mercer University, Macon, GA 31207, USA.

Emory University School of Medicine, Atlanta, GA 30322, USA.

出版信息

Immunotherapy. 2024 Apr;16(6):405-426. doi: 10.2217/imt-2023-0267. Epub 2024 Jan 24.

Abstract

Immunotherapies, such as immune checkpoint inhibitors, have heralded impressive progress for patient care in renal cell carcinoma (RCC). Despite this success, some patients' disease fails to respond, and other patients experience significant side effects. Thus, development of biomarkers is needed to ensure that patients can be selected to maximize benefit from immunotherapies. Improving clinicians' ability to predict which patients will respond to immunotherapy and which are most at risk of adverse events - namely through clinical biomarkers - is indispensable for patient safety and therapeutic efficacy. Accordingly, an evolving suite of therapeutic biomarkers continues to be investigated. This review discusses biomarkers for immunotherapy in RCC, highlighting current practices and emerging innovations, aiming to contribute to improved outcomes for patients with RCC.

摘要

免疫疗法,如免疫检查点抑制剂,为肾细胞癌(RCC)患者的治疗带来了显著的进展。尽管取得了这一成功,但一些患者的疾病没有得到缓解,而另一些患者则出现了严重的副作用。因此,需要开发生物标志物,以确保患者能够被选择,从而从免疫治疗中获得最大的益处。提高临床医生预测哪些患者对免疫治疗有反应,以及哪些患者最容易发生不良事件的能力——即通过临床生物标志物——对于患者的安全和治疗效果是不可或缺的。因此,不断有一系列治疗性生物标志物被研究。本文综述了 RCC 免疫治疗的生物标志物,重点介绍了当前的实践和新兴的创新,旨在为 RCC 患者的治疗结果带来改善。

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