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用于癌症治疗的免疫检查点阻断:当前进展与展望。

Immune checkpoint blockade for cancer therapy: current progress and perspectives.

作者信息

Ye Hongying, Liao Weijie, Pan Jiongli, Shi Yin, Wang Qingqing

机构信息

Institute of Immunology, Zhejiang University School of Medicine, Hangzhou 310058, China.

The Key Laboratory for Immunity and Inflammatory Diseases of Zhejiang Province, Hangzhou 310058, China.

出版信息

J Zhejiang Univ Sci B. 2025 Mar 13;26(3):203-226. doi: 10.1631/jzus.B2300492.

DOI:10.1631/jzus.B2300492
PMID:40082201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11906392/
Abstract

Dysfunction of anti-tumor immune responses is crucial for cancer progression. Immune checkpoint blockade (ICB), which can potentiate T cell responses, is an effective strategy for the normalization of host anti-tumor immunity. In recent years, immune checkpoints, expressed on both tumor cells and immune cells, have been identified; some of them have exhibited potential druggability and have been approved by the US Food and Drug Administration (FDA) for clinical treatment. However, limited responses and immune-related adverse events (irAEs) cannot be ignored. This review outlines the development and applications of ICBs, potential strategies for overcoming resistance, and future directions for ICB-based cancer immunotherapy.

摘要

抗肿瘤免疫反应功能障碍对癌症进展至关重要。免疫检查点阻断(ICB)可增强T细胞反应,是使宿主抗肿瘤免疫正常化的有效策略。近年来,已在肿瘤细胞和免疫细胞上均有表达的免疫检查点被发现;其中一些已显示出潜在的可成药性,并已获得美国食品药品监督管理局(FDA)批准用于临床治疗。然而,有限的反应和免疫相关不良事件(irAEs)不容忽视。本综述概述了ICB的发展与应用、克服耐药性的潜在策略以及基于ICB的癌症免疫治疗的未来方向。

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本文引用的文献

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Cost-benefit analysis of immune checkpoint inhibitors: Is the price worth their value?免疫检查点抑制剂的成本效益分析:其价格是否物有所值?
Oral Oncol. 2023 Nov;146:106560. doi: 10.1016/j.oraloncology.2023.106560. Epub 2023 Aug 24.
2
Efficacy and safety of first-line immune checkpoint inhibitors combined with chemotherapy for extensive-stage small cell lung cancer: A network meta-analysis.一线免疫检查点抑制剂联合化疗治疗广泛期小细胞肺癌的疗效和安全性:一项网状Meta分析。
Lung Cancer. 2023 Apr;178:47-56. doi: 10.1016/j.lungcan.2023.02.003. Epub 2023 Feb 4.
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The emerging field of oncolytic virus-based cancer immunotherapy.溶瘤病毒为基础的癌症免疫疗法的新兴领域。
Trends Cancer. 2023 Feb;9(2):122-139. doi: 10.1016/j.trecan.2022.10.003. Epub 2022 Nov 17.
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Adaptive immune resistance at the tumour site: mechanisms and therapeutic opportunities.肿瘤部位的适应性免疫抵抗:机制与治疗机会。
Nat Rev Drug Discov. 2022 Jul;21(7):529-540. doi: 10.1038/s41573-022-00493-5. Epub 2022 Jun 14.
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Higher proportions of CD39+ tumor-resident cytotoxic T cells predict recurrence-free survival in patients with stage III melanoma treated with adjuvant immunotherapy.在接受辅助免疫治疗的 III 期黑色素瘤患者中,CD39+肿瘤驻留细胞毒性 T 细胞比例较高与无复发生存相关。
J Immunother Cancer. 2022 Jun;10(6). doi: 10.1136/jitc-2022-004771.
6
Phase II Randomized Study of Ramucirumab and Pembrolizumab Versus Standard of Care in Advanced Non-Small-Cell Lung Cancer Previously Treated With Immunotherapy-Lung-MAP S1800A.雷莫芦单抗联合帕博利珠单抗对比免疫治疗-肺癌-MAP S1800A 后治疗的晚期非小细胞肺癌的标准治疗的 II 期随机研究
J Clin Oncol. 2022 Jul 20;40(21):2295-2306. doi: 10.1200/JCO.22.00912. Epub 2022 Jun 3.
7
Spatial interplay patterns of cancer nuclei and tumor-infiltrating lymphocytes (TILs) predict clinical benefit for immune checkpoint inhibitors.癌细胞核与肿瘤浸润淋巴细胞(TILs)的空间相互作用模式可预测免疫检查点抑制剂的临床疗效。
Sci Adv. 2022 Jun 3;8(22):eabn3966. doi: 10.1126/sciadv.abn3966. Epub 2022 Jun 1.
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