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超越单药治疗:PARP 抑制剂与免疫检查点抑制剂联合治疗实体瘤的时代已经到来。

Beyond monotherapy: An era ushering in combinations of PARP inhibitors with immune checkpoint inhibitors for solid tumors.

机构信息

Department of Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.

Department of Gynecology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.

出版信息

Biomed Pharmacother. 2024 Jun;175:116733. doi: 10.1016/j.biopha.2024.116733. Epub 2024 May 15.

DOI:10.1016/j.biopha.2024.116733
PMID:38754267
Abstract

The introduction of PARP inhibitors (PARPis) and immune checkpoint inhibitors (ICIs) has marked a significant shift in the treatment landscape for solid tumors. Emerging preclinical evidence and initial clinical trials have indicated that the synergistic application of PARPis and ICIs may enhance treatment efficacy and potentially improve long-term patient outcomes. Nonetheless, how to identify specific tumor types and molecular subgroups most likely to benefit from this combination remains an area of ongoing research. This review thoroughly examines current studies on the co-administration of PARPis and ICIs across various solid tumors. It explores the underlying mechanisms of action, evaluates clinical efficacy, identifies potential responder populations, and delineates common adverse events alongside strategic management approaches. The aim is to offer a detailed understanding of this combination therapy, potentially guiding future therapeutic strategies for solid tumors.

摘要

PARP 抑制剂 (PARPi) 和免疫检查点抑制剂 (ICI) 的引入标志着实体瘤治疗领域的重大转变。新出现的临床前证据和初步临床试验表明,PARPi 和 ICI 的协同应用可能增强治疗效果,并有可能改善长期患者结局。然而,如何确定最有可能从这种联合治疗中获益的特定肿瘤类型和分子亚组仍是正在研究的领域。这篇综述全面审查了目前在各种实体瘤中联合应用 PARPi 和 ICI 的研究。它探讨了作用的潜在机制,评估了临床疗效,确定了潜在的应答人群,并描述了常见的不良反应以及策略性管理方法。目的是深入了解这种联合治疗,为实体瘤的未来治疗策略提供指导。

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