Mitra Ankita, Kumar Anoop, Amdare Nitin P, Pathak Rajiv
Laura and Isaac Perlmutter Cancer Center, New York University Langone Medical Center, New York, NY 10016, USA.
Molecular Diagnostic Laboratory, National Institute of Biologicals, Noida 201309, Uttar Pradesh, India.
Biology (Basel). 2024 Apr 28;13(5):307. doi: 10.3390/biology13050307.
Cancer immune evasion represents a leading hallmark of cancer, posing a significant obstacle to the development of successful anticancer therapies. However, the landscape of cancer treatment has significantly evolved, transitioning into the era of immunotherapy from conventional methods such as surgical resection, radiotherapy, chemotherapy, and targeted drug therapy. Immunotherapy has emerged as a pivotal component in cancer treatment, harnessing the body's immune system to combat cancer and offering improved prognostic outcomes for numerous patients. The remarkable success of immunotherapy has spurred significant efforts to enhance the clinical efficacy of existing agents and strategies. Several immunotherapeutic approaches have received approval for targeted cancer treatments, while others are currently in preclinical and clinical trials. This review explores recent progress in unraveling the mechanisms of cancer immune evasion and evaluates the clinical effectiveness of diverse immunotherapy strategies, including cancer vaccines, adoptive cell therapy, and antibody-based treatments. It encompasses both established treatments and those currently under investigation, providing a comprehensive overview of efforts to combat cancer through immunological approaches. Additionally, the article emphasizes the current developments, limitations, and challenges in cancer immunotherapy. Furthermore, by integrating analyses of cancer immunotherapy resistance mechanisms and exploring combination strategies and personalized approaches, it offers valuable insights crucial for the development of novel anticancer immunotherapeutic strategies.
癌症免疫逃逸是癌症的一个主要特征,对成功开发抗癌疗法构成了重大障碍。然而,癌症治疗格局已发生显著演变,从手术切除、放疗、化疗和靶向药物治疗等传统方法过渡到了免疫治疗时代。免疫疗法已成为癌症治疗的关键组成部分,利用人体免疫系统对抗癌症,并为众多患者带来了更好的预后结果。免疫疗法的显著成功促使人们做出巨大努力来提高现有药物和策略的临床疗效。几种免疫治疗方法已获批用于靶向癌症治疗,而其他方法目前正处于临床前和临床试验阶段。本综述探讨了在揭示癌症免疫逃逸机制方面的最新进展,并评估了包括癌症疫苗、过继性细胞疗法和基于抗体的治疗在内的多种免疫治疗策略的临床有效性。它涵盖了既定疗法和目前正在研究的疗法,全面概述了通过免疫方法对抗癌症的努力。此外,本文强调了癌症免疫治疗的当前进展、局限性和挑战。此外,通过整合对癌症免疫治疗耐药机制的分析并探索联合策略和个性化方法,它为开发新型抗癌免疫治疗策略提供了至关重要的宝贵见解。