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纳米技术助力卵巢癌免疫治疗。

Nanotechnology for boosting ovarian cancer immunotherapy.

机构信息

Department of Microbiology, Biochemistry and Immunology, Cancer Health Equity Institute, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA, 30310, USA.

Cancer Biology Research and Training, Department of Biological Sciences, Alabama State University, Montgomery, AL, 36014, USA.

出版信息

J Ovarian Res. 2024 Oct 14;17(1):202. doi: 10.1186/s13048-024-01507-z.

Abstract

Ovarian cancer, often referred to as the "silent killer," is notoriously difficult to detect in its early stages, leading to a poor prognosis for many patients. Diagnosis is often delayed until the cancer has advanced, primarily due to its ambiguous and frequently occurring clinical symptoms. Ovarian cancer leads to more deaths than any other cancer of the female reproductive system. The main reasons for the high mortality rates include delayed diagnosis and resistance to treatment. As a result, there is an urgent need for improved diagnostic and treatment options for ovarian cancer. The standard treatments typically involve debulking surgery along with platinum-based chemotherapies. Among patients with advanced-stage cancer who initially respond to current therapies, 50-75% experience a recurrence. Recently, immunotherapy-based approaches to enhance the body's immune response to combat tumor growth have shown promise. Immune checkpoint inhibitors have shown promising results in treating other types of tumors. However, in ovarian cancer, only a few of these inhibitors have been effective because the tumor's environment suppresses the immune system and creates barriers for treatment. This hampers the effectiveness of existing immunotherapies. Nonetheless, advanced immunotherapy techniques and delivery systems based on nanotechnology hold promise for overcoming these challenges.

摘要

卵巢癌,通常被称为“沉默杀手”,在早期阶段很难被发现,导致许多患者预后不良。诊断通常会延迟到癌症进展后,主要是因为其模糊且经常出现的临床症状。卵巢癌导致的死亡人数超过女性生殖系统任何其他癌症。高死亡率的主要原因包括诊断延迟和治疗耐药。因此,迫切需要改善卵巢癌的诊断和治疗选择。标准治疗通常包括肿瘤细胞减灭术和铂类化疗。在最初对现有疗法有反应的晚期癌症患者中,50-75%会复发。最近,基于免疫疗法的方法已被用于增强机体对肿瘤生长的免疫反应,显示出一定的前景。免疫检查点抑制剂在治疗其他类型的肿瘤方面已经显示出了良好的效果。然而,在卵巢癌中,只有少数几种抑制剂有效,因为肿瘤环境会抑制免疫系统并为治疗制造障碍。这会降低现有免疫疗法的效果。尽管如此,基于纳米技术的先进免疫治疗技术和输送系统有望克服这些挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d2c/11475952/1fb9f25de2b0/13048_2024_1507_Fig1_HTML.jpg

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