Grigolo Sophie, Filgueira Luis
Anatomy, University of Fribourg, 1700 Fribourg, Switzerland.
Cancers (Basel). 2024 May 31;16(11):2092. doi: 10.3390/cancers16112092.
Clear-cell Renal-Cell Carcinoma (ccRCC) is the most common type of renal-cell carcinoma (RCC). In many cases, RCC patients manifest the first symptoms during the advanced stage of the disease. For this reason, immunotherapy appears to be one of the dominant treatments to achieve a resolution. In this review, we focus on the presentation of the main immune checkpoint proteins that act as negative regulators of immune responses, such as PD-1, CTLA-4, LAG-3, TIGIT, and TIM-3, and their respective inhibitors. Interleukin-2, another potential component of the treatment of ccRCC patients, has also been covered. The synergy between several immunotherapies is one of the main aspects that unites the conclusions of research in recent years. To date, the combination of several immunotherapies enhances the efficacy of a monotherapy, which often manifests important limitations. Immunotherapy aimed at restoring the anti-cancer immune response in ccRCC, involved in the recognition and elimination of cancer cells, may also be a valid solution for many other types of immunogenic tumors that are diagnosed in the final stages.
透明细胞肾细胞癌(ccRCC)是肾细胞癌(RCC)最常见的类型。在许多情况下,RCC患者在疾病晚期才出现首发症状。因此,免疫疗法似乎是实现治愈的主要治疗方法之一。在本综述中,我们重点介绍了作为免疫反应负调节因子的主要免疫检查点蛋白,如PD-1、CTLA-4、LAG-3、TIGIT和TIM-3,以及它们各自的抑制剂。白细胞介素-2作为ccRCC患者治疗的另一种潜在成分也在文中进行了阐述。几种免疫疗法之间的协同作用是近年来研究结论的主要统一方面之一。迄今为止,几种免疫疗法的联合使用提高了单一疗法的疗效,而单一疗法往往存在重要局限性。旨在恢复ccRCC中抗癌免疫反应(参与识别和消除癌细胞)的免疫疗法,对于许多在晚期被诊断出的其他类型免疫原性肿瘤而言,也可能是一种有效的解决方案。