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肝细胞癌免疫治疗:反应预测因素、问题与挑战。

Hepatocellular Carcinoma Immunotherapy: Predictors of Response, Issues, and Challenges.

机构信息

S.S.D. C.O.r.O. Bed Management Presa in Carico, TDM, IRCCS Istituto Tumori "Giovanni Paolo II", Viale Orazio Flacco 65, 70124 Bari, Italy.

Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Via Giuseppe Massarenti, 9, 40138 Bologna, Italy.

出版信息

Int J Mol Sci. 2024 Oct 15;25(20):11091. doi: 10.3390/ijms252011091.

Abstract

Immune checkpoint inhibitors (ICIs), such as durvalumab, tremelimumab, and atezolizumab, have emerged as a significant therapeutic option for the treatment of hepatocellular carcinoma (HCC). In fact, the efficacy of ICIs as single agents or as part of combination therapies has been demonstrated in practice-changing phase III clinical trials. However, ICIs confront several difficulties, including the lack of predictive biomarkers, primary and secondary drug resistance, and treatment-related side effects. Herein, we provide an overview of current issues and future challenges in this setting.

摘要

免疫检查点抑制剂(ICIs),如度伐利尤单抗、曲美木单抗和阿替利珠单抗,已成为治疗肝细胞癌(HCC)的重要治疗选择。事实上,ICIs 作为单一药物或联合治疗的一部分的疗效已在改变实践的 III 期临床试验中得到证实。然而,ICIs 面临着几个困难,包括缺乏预测生物标志物、原发性和继发性耐药以及与治疗相关的副作用。在此,我们对这一领域的当前问题和未来挑战进行了概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f63/11507510/2595c0838b0e/ijms-25-11091-g001.jpg

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