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变革癌症治疗:免疫疗法的最新进展

Revolutionizing Cancer Treatment: Recent Advances in Immunotherapy.

作者信息

Ghemrawi Rose, Abuamer Lama, Kremesh Sedra, Hussien Ghadeer, Ahmed Rahaf, Mousa Walaa, Khoder Ghalia, Khair Mostafa

机构信息

College of Pharmacy, Al Ain University, Abu Dhabi P.O. Box 112612, United Arab Emirates.

AAU Health and Biomedical Research Center, Al Ain University, Abu Dhabi P.O. Box 112612, United Arab Emirates.

出版信息

Biomedicines. 2024 Sep 23;12(9):2158. doi: 10.3390/biomedicines12092158.

Abstract

Cancer immunotherapy has emerged as a transformative approach in oncology, utilizing the body's immune system to specifically target and destroy malignant cells. This review explores the scope and impact of various immunotherapeutic strategies, including monoclonal antibodies, chimeric antigen receptor (CAR)-T cell therapy, checkpoint inhibitors, cytokine therapy, and therapeutic vaccines. Monoclonal antibodies, such as Rituximab and Trastuzumab, have revolutionized treatment paradigms for lymphoma and breast cancer by offering targeted interventions that reduce off-target effects. CAR-T cell therapy presents a potentially curative option for refractory hematologic malignancies, although challenges remain in effectively treating solid tumors. Checkpoint inhibitors have redefined the management of cancers like melanoma and lung cancer; however, managing immune-related adverse events and ensuring durable responses are critical areas of focus. Cytokine therapy continues to play a vital role in modulating the immune response, with advancements in cytokine engineering improving specificity and reducing systemic toxicity. Therapeutic vaccines, particularly mRNA-based vaccines, represent a frontier in personalized cancer treatment, aiming to generate robust, long-lasting immune responses against tumor-specific antigens. Despite these advancements, the field faces significant challenges, including immune resistance, tumor heterogeneity, and the immunosuppressive tumor microenvironment. Future research should address these obstacles through emerging technologies, such as next-generation antibodies, Clustered Regularly Interspaced Short Palindromic Repeat (CRISPR)-based gene editing, and AI-driven drug discovery. By integrating these novel approaches, cancer immunotherapy holds the promise of offering more durable, less toxic, and highly personalized treatment options, ultimately improving patient outcomes and survival rates.

摘要

癌症免疫疗法已成为肿瘤学中一种变革性的方法,利用人体免疫系统特异性地靶向和摧毁恶性细胞。本综述探讨了各种免疫治疗策略的范围和影响,包括单克隆抗体、嵌合抗原受体(CAR)-T细胞疗法、检查点抑制剂、细胞因子疗法和治疗性疫苗。单克隆抗体,如利妥昔单抗和曲妥珠单抗,通过提供减少脱靶效应的靶向干预措施,彻底改变了淋巴瘤和乳腺癌的治疗模式。CAR-T细胞疗法为难治性血液系统恶性肿瘤提供了一种潜在的治愈选择,尽管在有效治疗实体瘤方面仍存在挑战。检查点抑制剂重新定义了黑色素瘤和肺癌等癌症的治疗;然而,管理免疫相关不良事件并确保持久反应是关键的关注领域。细胞因子疗法在调节免疫反应方面继续发挥重要作用,随着细胞因子工程的进展,提高了特异性并降低了全身毒性。治疗性疫苗,特别是基于mRNA的疫苗,代表了个性化癌症治疗的前沿,旨在产生针对肿瘤特异性抗原的强大、持久的免疫反应。尽管取得了这些进展,但该领域仍面临重大挑战,包括免疫抗性、肿瘤异质性和免疫抑制性肿瘤微环境。未来的研究应通过新兴技术,如下一代抗体、基于成簇规律间隔短回文重复序列(CRISPR)的基因编辑和人工智能驱动的药物发现,来解决这些障碍。通过整合这些新方法,癌症免疫疗法有望提供更持久、毒性更小且高度个性化的治疗选择,最终改善患者的治疗效果和生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee59/11429153/523e68bc01de/biomedicines-12-02158-g001.jpg

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