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评估免疫检查点抑制剂在肾细胞癌中的临床应答的生物标志物(综述)。

Biomarkers for evaluating the clinical response to immune checkpoint inhibitors in renal cell carcinoma (Review).

机构信息

Immunology Service, University Hospital 'José Eleuterio González', Autonomous University of Nuevo León, Monterrey, Nuevo León 64460, México.

Urology Service, University Hospital 'José Eleuterio González', Autonomous University of Nuevo León, Monterrey, Nuevo León 64460, México.

出版信息

Oncol Rep. 2024 Dec;52(6). doi: 10.3892/or.2024.8823. Epub 2024 Oct 18.

Abstract

Renal cell carcinoma (RCC) is a highly aggressive neoplastic disease of the renal parenchyma that is characterized by an intrinsic resistance to cytotoxic chemotherapy; for this reason, curative treatment is only achieved through surgical intervention in its early stages. The successful treatment of advanced or metastatic RCC will require the combined use of novel targeted therapies such as tyrosine kinase inhibitors, vascular endothelial growth factor blockers and immune checkpoint blockade therapies. Unfortunately, not all patients are candidates for such treatments, and at present, it is not possible to predict a patient's therapeutic response or likelihood to develop treatment‑associated complications. The present review described the literature focusing on the use of biomarkers for predicting patients' responses to therapies that induce immune checkpoint blockade in RCC.

摘要

肾细胞癌(RCC)是一种高度侵袭性的肾实质肿瘤,其特征是对细胞毒化疗具有内在耐药性;因此,早期阶段只能通过手术干预进行治愈性治疗。晚期或转移性 RCC 的成功治疗将需要联合使用新型靶向治疗药物,如酪氨酸激酶抑制剂、血管内皮生长因子阻滞剂和免疫检查点阻断疗法。不幸的是,并非所有患者都适合此类治疗,目前尚无法预测患者对诱导免疫检查点阻断的治疗的反应或发生治疗相关并发症的可能性。本综述描述了文献中侧重于使用生物标志物预测接受免疫检查点阻断治疗的 RCC 患者对治疗反应的内容。

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