Department of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Lung Cancer Institute, Jinan, 250014, China.
Institute of Precision Medicine, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, 510080, China.
Mol Cancer. 2024 Nov 12;23(1):252. doi: 10.1186/s12943-024-02166-w.
PD-1/PD-L1 blockade therapies have displayed extraordinary clinical efficacy for melanoma, renal, bladder and lung cancer; however, only a minority of colorectal cancer (CRC) patients benefit from these treatments. The efficacy of PD-1/PD-L1 blockade in CRC is limited by the complexities of tumor microenvironment. PD-1/PD-L1 blockade immunotherapy is based on T cell-centered view of tumor immunity. However, the onset and maintenance of T cell responses and the development of long-lasting memory T cells depend on innate immune responses. Acknowledging the pivotal role of innate immunity in anti-tumor immune response, this review encapsulates the employment of combinational therapies those involve PD-1/PD-L1 blockade alongside the activation of innate immunity and explores the underlying cellular mechanisms, aiming to harnessing innate immune responses to induce long-lasting tumor control for CRC patients who received PD-1/PD-L1 blockade therapy.
PD-1/PD-L1 阻断疗法在黑色素瘤、肾、膀胱和肺癌方面显示出了非凡的临床疗效;然而,只有少数结直肠癌(CRC)患者从中受益。CRC 中 PD-1/PD-L1 阻断的疗效受到肿瘤微环境复杂性的限制。PD-1/PD-L1 阻断免疫疗法基于以 T 细胞为中心的肿瘤免疫观点。然而,T 细胞反应的启动和维持以及长效记忆 T 细胞的发展取决于先天免疫反应。鉴于先天免疫在抗肿瘤免疫反应中的关键作用,本综述总结了联合疗法的应用,这些疗法涉及 PD-1/PD-L1 阻断以及先天免疫的激活,并探讨了潜在的细胞机制,旨在利用先天免疫反应为接受 PD-1/PD-L1 阻断治疗的 CRC 患者诱导持久的肿瘤控制。