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中枢神经系统转移瘤中放射免疫疗法及远隔效应的全面修订:重新审视前沿领域

A Comprehensive Revision of Radiation Immunotherapy and the Abscopal Effect in Central Nervous System Metastases: Reassessing the Frontier.

作者信息

Moscardini-Martelli Júlia, Rodríguez-Camacho Alejandro, Torres-Ríos Jorge Alejandro, Meraz-Soto Juan Marcos, Flores-Vázquez José Guillermo, Hernández-Sánchez Laura Crystell, Lozano-Ruiz Francisco Javier, Maldonado-Magos Federico, Cid-Sánchez Dharely, Flores-Balcázar Christian Haydeé, Celis-López Miguel Ángel, Gutiérrez-Aceves Guillermo Axayacatl, Flores-Vázquez Fabiola, Moreno-Jiménez Sergio

机构信息

Radioneurosurgery Unit, National Institute of Neurology and Neurosurgery Manuel Velasco Suárez, Mexico City 14269, Mexico.

Radiotherapy Service, National Cancer Institute, Mexico City 14080, Mexico.

出版信息

Curr Issues Mol Biol. 2024 Oct 2;46(10):11075-11085. doi: 10.3390/cimb46100658.

DOI:10.3390/cimb46100658
PMID:39451538
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11506806/
Abstract

Seventy years ago, Robin Mole introduced the concept of the abscopal effect to describe a rare phenomenon. This occurs when local radiation triggers an immune-mediated reduction in tumors outside the treated area but within the same organism. Observing this effect has been linked to improved overall and progression-free survival in patients who experience it. While the abscopal effect was once considered rare, it is now being observed more frequently due to the combination of radiation with immunotherapy. As a result, more researchers are exploring this study area, which shows promise for excellent results. This review focuses explicitly on the immunological implications of activating the abscopal effect through ionizing radiation in the central nervous system and explores the potentially involved immunological pathways.

摘要

七十年前,罗宾·莫尔引入了远隔效应的概念来描述一种罕见现象。当局部放疗引发同一机体中治疗区域外肿瘤的免疫介导性缩小,这种现象就会发生。观察到这种效应与出现该效应的患者总生存期和无进展生存期的改善相关。虽然远隔效应曾被认为很罕见,但由于放疗与免疫疗法的联合应用,现在其被观察到的频率更高了。因此,越来越多的研究人员正在探索这一研究领域,该领域显示出取得优异成果的前景。这篇综述明确聚焦于通过中枢神经系统的电离辐射激活远隔效应的免疫学意义,并探讨潜在涉及的免疫途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/11506806/940127cafa85/cimb-46-00658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/11506806/940127cafa85/cimb-46-00658-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702e/11506806/940127cafa85/cimb-46-00658-g001.jpg

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Cureus. 2022 Sep 26;14(9):e29620. doi: 10.7759/cureus.29620. eCollection 2022 Sep.
2
The abscopal effect: systematic review in patients with brain and spine metastases.远隔效应:对脑和脊柱转移瘤患者的系统评价
Neurooncol Adv. 2022 Aug 19;4(1):vdac132. doi: 10.1093/noajnl/vdac132. eCollection 2022 Jan-Dec.
3
Treatment of Brain Metastases: The Synergy of Radiotherapy and Immune Checkpoint Inhibitors.脑转移瘤的治疗:放射治疗与免疫检查点抑制剂的协同作用
Biomedicines. 2022 Sep 7;10(9):2211. doi: 10.3390/biomedicines10092211.
4
Abscopal effect leading to complete disappearance of extensive meningiomatosis after gamma knife radiosurgery: Case report.伽玛刀放射治疗后出现远隔效应致广泛脑膜瘤病完全消失:病例报告
Front Surg. 2022 Jul 14;9:908645. doi: 10.3389/fsurg.2022.908645. eCollection 2022.
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A Patient-Level Data Meta-analysis of the Abscopal Effect.远隔效应的患者水平数据荟萃分析。
Adv Radiat Oncol. 2022 Mar 3;7(3):100909. doi: 10.1016/j.adro.2022.100909. eCollection 2022 May-Jun.
6
CBTRUS Statistical Report: Primary Brain and Other Central Nervous System Tumors Diagnosed in the United States in 2014-2018.美国 2014-2018 年诊断的原发性脑和其他中枢神经系统肿瘤 CBTRUS 统计报告。
Neuro Oncol. 2021 Oct 5;23(12 Suppl 2):iii1-iii105. doi: 10.1093/neuonc/noab200.
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Sacituzumab Govitecan in Metastatic Triple-Negative Breast Cancer.Sacituzumab Govitecan 治疗转移性三阴性乳腺癌。
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Lancet Oncol. 2020 May;21(5):655-663. doi: 10.1016/S1470-2045(20)30111-X. Epub 2020 Apr 3.
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