Ikeda Hiroaki
Department of Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4, Sakamoto, Nagasaki 852-8523, Japan.
Leading Medical Research Core Unit, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4, Sakamoto, Nagasaki 852-8523, Japan.
Int Immunol. 2025 Apr 7;37(5):253-260. doi: 10.1093/intimm/dxaf002.
Since the first approval of an immune checkpoint inhibitor, we have witnessed the clinical success of cancer immunotherapy. Adoptive T-cell therapy with chimeric antigen receptor T (CAR-T) cells has shown remarkable efficacy in hematological malignancies. Concurrently with these successes, the cancer immunoediting concept that refined the cancer immunosurveillance concept underpinned the scientific mechanism and reason for past failures, as well as recent breakthroughs in cancer immunotherapy. Now, we face the next step of issues to be solved in this field, such as tumor heterogeneity, the tumor microenvironment, the metabolism of tumors and the immune system, and personalized approaches for patients, aiming to expand the population benefitted by the therapies.
自从首个免疫检查点抑制剂获批以来,我们见证了癌症免疫治疗的临床成功。嵌合抗原受体T(CAR-T)细胞过继性T细胞疗法在血液系统恶性肿瘤中显示出显著疗效。在取得这些成功的同时,完善了癌症免疫监视概念的癌症免疫编辑概念为过去治疗失败的科学机制及原因,以及癌症免疫治疗的近期突破奠定了基础。现在,我们面临该领域有待解决的下一步问题,如肿瘤异质性、肿瘤微环境、肿瘤与免疫系统的代谢,以及针对患者的个性化方法,旨在扩大受益于这些疗法的人群。