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自噬-免疫检查点相互调节带来的癌症免疫治疗挑战

Cancer immunotherapeutic challenges from autophagy-immune checkpoint reciprocal regulation.

作者信息

Zhang Gang, Chen Yinfeng, Huang Xing, Liang Tingbo

机构信息

Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China; Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang, China; Zhejiang Clinical Research Center of Hepatobiliary and Pancreatic Diseases, Hangzhou 310003, Zhejiang, China; The Innovation Center for the Study of Pancreatic Diseases of Zhejiang Province, Hangzhou 310009, Zhejiang, China; Cancer Center, Zhejiang University, Hangzhou 310058, Zhejiang, China.

Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China; Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, Zhejiang, China; Zhejiang Clinical Research Center of Hepatobiliary and Pancreatic Diseases, Hangzhou 310003, Zhejiang, China; The Innovation Center for the Study of Pancreatic Diseases of Zhejiang Province, Hangzhou 310009, Zhejiang, China; Cancer Center, Zhejiang University, Hangzhou 310058, Zhejiang, China.

出版信息

Trends Cancer. 2025 Feb;11(2):169-184. doi: 10.1016/j.trecan.2024.11.001. Epub 2024 Dec 19.


DOI:10.1016/j.trecan.2024.11.001
PMID:39706727
Abstract

Multiple strategies have been clinically employed as combination partners to enhance the therapeutic efficacy of immune checkpoint inhibitors (ICIs). Although these combinations have demonstrated improved effectiveness in some instances, each presents its own limitations. Autophagy-targeting therapy offers several advantages when combined with ICIs, including enhanced tumor immunogenicity, reduced side effects, and broader applicability to diverse patient populations. However, emerging evidence reveals complex reciprocal regulation between autophagy and immune checkpoints which may complicate combination treatments targeting these two systems. This review focuses on the reciprocal interplay between autophagy and immune checkpoints, and provides valuable guidelines for the determination and adjustment of therapeutic regimens in the future.

摘要

临床上已采用多种策略作为联合治疗伙伴,以提高免疫检查点抑制剂(ICI)的治疗效果。尽管这些联合治疗在某些情况下已显示出更高的疗效,但每种联合治疗都有其自身的局限性。自噬靶向治疗与ICI联合使用时具有多种优势,包括增强肿瘤免疫原性、减少副作用以及对不同患者群体具有更广泛的适用性。然而,新出现的证据揭示了自噬与免疫检查点之间复杂的相互调节关系,这可能会使针对这两个系统的联合治疗变得复杂。本综述重点关注自噬与免疫检查点之间的相互作用,并为未来治疗方案的确定和调整提供有价值的指导。

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引用本文的文献

[1]
Application of Immune Checkpoint Inhibitors in Cancer.

MedComm (2020). 2025-8-10

[2]
Autophagy: Shedding Light on the Mechanisms and Multifaceted Roles in Cancers.

Biomolecules. 2025-6-22

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