Jiang Siyue, Wang Wenhua, Yang Yongxiu
The third People's Hospital of Suining, Suining, Sichuan, China.
First Clinical Medical College of Lanzhou University, Lanzhou, Gansu, China.
Pathol Res Pract. 2024 Mar;255:155202. doi: 10.1016/j.prp.2024.155202. Epub 2024 Feb 7.
Gynecological cancer represents a significant global health challenge, and conventional treatment modalities have demonstrated limited efficacy. However, recent investigations into immune checkpoint pathways have unveiled promising opportunities for enhancing the prognosis of patients with cancer. Among these pathways, TIGIT has surfaced as a compelling candidate owing to its capacity to augment the immune function of NK and T cells through blockade, thereby yielding improved anti-tumor effects and prolonged patient survival. Global clinical trials exploring TIGIT blockade therapy have yielded promising preliminary findings. Nevertheless, further research is imperative to comprehensively grasp the potential of TIGIT-based immunotherapy in optimizing therapeutic outcomes for gynecological cancers. This review primarily delineates the regulatory network and immunosuppressive mechanism of TIGIT, expounds upon its expression and therapeutic potential in three major gynecological cancers, and synthesizes the clinical trials of TIGIT-based cancer immunotherapy. Such insights aim to furnish novel perspectives and serve as reference points for subsequent research and clinical application targeting TIGIT in gynecological cancers.
妇科癌症是一项重大的全球健康挑战,传统治疗方式疗效有限。然而,最近对免疫检查点通路的研究揭示了改善癌症患者预后的潜在机会。在这些通路中,TIGIT因其能够通过阻断增强自然杀伤细胞(NK)和T细胞的免疫功能,从而产生更好的抗肿瘤效果并延长患者生存期,成为引人注目的候选靶点。探索TIGIT阻断疗法的全球临床试验已取得了有前景的初步结果。尽管如此,仍需进一步研究以全面了解基于TIGIT的免疫疗法在优化妇科癌症治疗效果方面的潜力。本综述主要阐述了TIGIT的调控网络和免疫抑制机制,论述了其在三大妇科癌症中的表达及治疗潜力,并综合了基于TIGIT的癌症免疫疗法的临床试验情况。这些见解旨在提供新的视角,并为后续针对妇科癌症中TIGIT的研究和临床应用提供参考依据。