文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

放疗联合局部免疫刺激剂治疗软组织肉瘤。

Radiotherapy Combined with Intralesional Immunostimulatory Agents for Soft Tissue Sarcomas.

机构信息

Department of Radiation Oncology, Duke University, Durham, NC.

Department of Radiation Oncology, UC Davis Comprehensive Cancer Center, UC Davis Health, Davis, CA.

出版信息

Semin Radiat Oncol. 2024 Apr;34(2):243-257. doi: 10.1016/j.semradonc.2024.01.001.


DOI:10.1016/j.semradonc.2024.01.001
PMID:38508788
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11216412/
Abstract

Immunotherapy has shifted the treatment paradigm for many types of cancer. Unfortunately, the most commonly used immunotherapies, such as immune checkpoint inhibitors (ICI), have yielded limited benefit for most types of soft tissue sarcoma (STS). Radiotherapy (RT) is a mainstay of sarcoma therapy and can induce immune modulatory effects. Combining immunotherapy and RT in STS may be a promising strategy to improve sarcoma response to RT and increase the efficacy of immunotherapy. Most combination strategies have employed immunotherapies, such as ICI, that derepress immune suppressive networks. These have yielded only modest results, possibly due to the limited immune stimulatory effects of RT. Combining RT with immune stimulatory agents has yielded promising preclinical and clinical results but can be limited by the toxic nature of systemic administration of immune stimulants. Using intralesional immune stimulants may generate stronger RT immune modulation and less systemic toxicity, which may be a feasible strategy in accessible tumors such as STS. In this review, we summarize the immune modulatory effects of RT, the mechanism of action of various immune stimulants, including toll-like receptor agonists, and data for combinatorial strategies utilizing these agents.

摘要

免疫疗法已经改变了许多类型癌症的治疗模式。不幸的是,最常用的免疫疗法,如免疫检查点抑制剂(ICI),对大多数软组织肉瘤(STS)的疗效有限。放射治疗(RT)是肉瘤治疗的主要手段,可诱导免疫调节作用。将免疫疗法和 RT 联合应用于 STS 可能是一种有前途的策略,可以提高肉瘤对 RT 的反应,并提高免疫疗法的疗效。大多数联合策略都采用了免疫疗法,如 ICI,这些免疫疗法可以解除免疫抑制网络的抑制作用。但这些策略只取得了适度的效果,可能是由于 RT 的免疫刺激作用有限。将 RT 与免疫刺激剂联合使用已经产生了有希望的临床前和临床结果,但可能受到全身给予免疫刺激剂的毒性的限制。使用瘤内免疫刺激剂可能会产生更强的 RT 免疫调节作用和更少的全身毒性,这在 STS 等可触及的肿瘤中可能是一种可行的策略。在这篇综述中,我们总结了 RT 的免疫调节作用、各种免疫刺激剂的作用机制,包括 Toll 样受体激动剂,以及利用这些药物的联合策略的数据。

相似文献

[1]
Radiotherapy Combined with Intralesional Immunostimulatory Agents for Soft Tissue Sarcomas.

Semin Radiat Oncol. 2024-4

[2]
Immune checkpoint inhibitors in treatment of soft-tissue sarcoma: A systematic review and meta-analysis.

Eur J Cancer. 2021-7

[3]
Targeted and immuno-based therapies in sarcoma: mechanisms and advances in clinical trials.

Biochim Biophys Acta Rev Cancer. 2021-12

[4]
Improving Immunotherapy Efficacy in Soft-Tissue Sarcomas: A Biomarker Driven and Histotype Tailored Review.

Front Immunol. 2021

[5]
The Role of Immunotherapy in the Management of Soft Tissue Sarcomas: Current Landscape and Future Outlook.

J Natl Compr Canc Netw. 2022-7

[6]
Efficacy of immune checkpoint inhibitors in the treatment of soft tissue sarcoma: A systematic review and meta-analysis of clinical trials.

Int Immunopharmacol. 2025-2-20

[7]
Sarcomas: Immune biomarker expression and checkpoint inhibitor trials.

Cancer Treat Rev. 2020-10-20

[8]
Immunotherapy in soft-tissue sarcoma.

Curr Oncol. 2020-2

[9]
Tumor DNA methylation profiles correlate with response to anti-PD-1 immune checkpoint inhibitor monotherapy in sarcoma patients.

J Immunother Cancer. 2021-3

[10]
Immunotherapy in Sarcoma: Current Data and Promising Strategies.

Am Soc Clin Oncol Educ Book. 2024-6

引用本文的文献

[1]
Digitonin-Loaded Nanoscale Metal-Organic Framework for Mitochondria-Targeted Radiotherapy-Radiodynamic Therapy and Disulfidptosis.

Adv Mater. 2024-9-10

本文引用的文献

[1]
Toll-Like Receptor 4 Agonist Injection With Concurrent Radiotherapy in Patients With Metastatic Soft Tissue Sarcoma: A Phase 1 Nonrandomized Controlled Trial.

JAMA Oncol. 2023-12-1

[2]
Relationship between the tumor microenvironment and the efficacy of the combination of radiotherapy and immunotherapy.

Int Rev Cell Mol Biol. 2023

[3]
Advances in Radiotherapy Immune Modulation: From Bench-to-Bedside and Back Again.

Surg Oncol Clin N Am. 2023-7

[4]
Intralesional interleukin-2 augmentation therapy in treatment-refractory melanoma.

Dermatol Ther. 2022-11

[5]
Innate and Adaptive Responses of Intratumoral Immunotherapy with Endosomal Toll-Like Receptor Agonists.

Biomedicines. 2022-7-4

[6]
Intratumoral immunotherapy using a TLR2/3 agonist, L-pampo, induces robust antitumor immune responses and enhances immune checkpoint blockade.

J Immunother Cancer. 2022-6

[7]
Soft Tissue Sarcoma of Extremities: Descriptive Epidemiological Analysis According to National Population-based Study.

Arch Bone Jt Surg. 2022-1

[8]
Use of CAR T-cell for acute lymphoblastic leukemia (ALL) treatment: a review study.

Cancer Gene Ther. 2022-8

[9]
Overcoming PD-1 Blockade Resistance with CpG-A Toll-Like Receptor 9 Agonist Vidutolimod in Patients with Metastatic Melanoma.

Cancer Discov. 2021-12-1

[10]
A TLR4 agonist improves immune checkpoint blockade treatment by increasing the ratio of effector to regulatory cells within the tumor microenvironment.

Sci Rep. 2021-7-28

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索