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联合消融与免疫疗法在非小细胞肺癌和肝癌中的应用:现状与未来展望

Application of combined ablation and immunotherapy in NSCLC and liver cancer: Current status and future prospects.

作者信息

Zhang Jing-Shun, Sun Yuan-Dong, Li Yuan-Min, Han Jian-Jun

机构信息

Department of Thoracic Surgery, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong, China.

Department of Interventional Radiology, Shandong Cancer Hospital and Institute Affiliated Shandong First Medical University and Shandong Academy of Medical Sciences, Ji'nan, Shandong, China.

出版信息

Heliyon. 2024 Aug 14;10(16):e36388. doi: 10.1016/j.heliyon.2024.e36388. eCollection 2024 Aug 30.

DOI:10.1016/j.heliyon.2024.e36388
PMID:39253229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11382172/
Abstract

This review examines combining tumor ablation therapy with immunotherapy for respiratory and digestive system tumors, particularly NSCLC and liver cancer. Despite advancements in traditional methods, they face limitations in advanced-stage tumors. Ablation techniques like RFA, MWA, and cryoablation offer minimally invasive options, while immune checkpoint inhibitors enhance the immune system's tumor-fighting ability. This review highlights their synergistic effects, clinical outcomes, and future research directions, including optimizing protocols, exploring new combinations, uncovering molecular mechanisms, advancing precision medicine, and improving accessibility. Combined therapy is expected to improve efficacy and patient outcomes significantly.

摘要

本综述探讨了将肿瘤消融疗法与免疫疗法联合用于呼吸系统和消化系统肿瘤,特别是非小细胞肺癌和肝癌。尽管传统方法取得了进展,但它们在晚期肿瘤方面存在局限性。射频消融(RFA)、微波消融(MWA)和冷冻消融等消融技术提供了微创选择,而免疫检查点抑制剂则增强了免疫系统对抗肿瘤的能力。本综述强调了它们的协同效应、临床结果和未来研究方向,包括优化方案、探索新的联合方式、揭示分子机制、推进精准医学以及提高可及性。联合治疗有望显著提高疗效和患者预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51cb/11382172/854a09d7ec41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51cb/11382172/854a09d7ec41/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51cb/11382172/854a09d7ec41/gr1.jpg

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Heliyon. 2024 Aug 14;10(16):e36388. doi: 10.1016/j.heliyon.2024.e36388. eCollection 2024 Aug 30.
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本文引用的文献

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High-intensity focused ultrasound ablation combined with immunotherapy for treating liver metastases: A prospective non-randomized trial.高强度聚焦超声消融联合免疫治疗治疗肝转移瘤:一项前瞻性非随机试验。
PLoS One. 2024 Jul 5;19(7):e0306595. doi: 10.1371/journal.pone.0306595. eCollection 2024.
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Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
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Thermal Ablation Combined with Immune Checkpoint Blockers: A 10-Year Monocentric Experience.热消融联合免疫检查点阻断剂:十年单中心经验
Cancers (Basel). 2024 Feb 21;16(5):855. doi: 10.3390/cancers16050855.
4
Combination of interventional oncology local therapies and immunotherapy for the treatment of hepatocellular carcinoma.介入肿瘤局部治疗与免疫治疗联合用于肝细胞癌的治疗。
J Liver Cancer. 2022 Sep;22(2):93-102. doi: 10.17998/jlc.2022.03.28. Epub 2022 Apr 22.
5
Integrated proteogenomic characterization reveals an imbalanced hepatocellular carcinoma microenvironment after incomplete radiofrequency ablation.整合蛋白质基因组学特征分析揭示不完全射频消融后肝癌微环境失衡。
J Exp Clin Cancer Res. 2023 May 25;42(1):133. doi: 10.1186/s13046-023-02716-y.
6
Cryoablation inhibits the recurrence and progression of bladder cancer by enhancing tumour-specific immunity.冷冻消融通过增强肿瘤特异性免疫来抑制膀胱癌的复发和进展。
Clin Transl Med. 2023 May;13(5):e1255. doi: 10.1002/ctm2.1255.
7
Treatment strategies based on different oligoprogressive patterns after immunotherapy failure in metastatic NSCLC.转移性非小细胞肺癌免疫治疗失败后基于不同寡进展模式的治疗策略
Ther Adv Med Oncol. 2023 Mar 4;15:17588359231156387. doi: 10.1177/17588359231156387. eCollection 2023.
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Anti-PD-L1 antibody enhances curative effect of cryoablation antibody-dependent cell-mediated cytotoxicity mediating PD-L1CD11b cells elimination in hepatocellular carcinoma.抗PD-L1抗体增强冷冻消融的疗效,抗体依赖性细胞介导的细胞毒性介导PD-L1+CD11b细胞在肝细胞癌中的清除。
Acta Pharm Sin B. 2023 Feb;13(2):632-647. doi: 10.1016/j.apsb.2022.08.006. Epub 2022 Aug 18.
9
Dynamic tumor-tracking stereotactic body radiotherapy with real-time monitoring of liver tumors using a gimbal-mounted linac: A multi-institutional phase II study.使用万向架安装直线加速器对肝脏肿瘤进行实时监测的动态肿瘤追踪立体定向体部放射治疗:一项多机构II期研究。
Clin Transl Radiat Oncol. 2023 Feb 10;39:100591. doi: 10.1016/j.ctro.2023.100591. eCollection 2023 Mar.
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GLIS1 intervention enhances anti-PD1 therapy for hepatocellular carcinoma by targeting SGK1-STAT3-PD1 pathway.GLIS1 干预通过靶向 SGK1-STAT3-PD1 通路增强抗 PD-1 治疗肝细胞癌。
J Immunother Cancer. 2023 Feb;11(2). doi: 10.1136/jitc-2022-005126.