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结肠癌有前景的免疫治疗方法。

Promising immunotherapeutic treatments for colon cancer.

作者信息

Gutiu Arturo G, Zhao Lei, Marrah Austin J, Maher Austin J, Voss Brady B, Mayberry Trenton G, Cowan Braydon C, Wakefield Mark R, Fang Yujiang

机构信息

Department of Microbiology, Immunology & Pathology, Des Moines University, West Des Moines, IA, 50266, USA.

Department of Respiratory Medicine, The 2nd People's Hospital of Hefei and Hefei Hospital Affiliated to Anhui Medical University, Hefei, China.

出版信息

Med Oncol. 2025 Apr 23;42(5):175. doi: 10.1007/s12032-025-02724-2.

Abstract

Colon cancer continues to predominate as one of the most common causes of morbidity and mortality worldwide due to its subtle symptomology and multifactorial etiology. Currently, the standard treatment approach involves surgical resection for localized tumors and adjuvant chemotherapy (AC) for cancers that have spread or invaded locally. Unfortunately, this treatment strategy may not be effective for advanced, metastatic stages of the disease or in instances of recurrence. However, advancements in immunotherapy have demonstrated promising results in the field of medical oncology, which could redefine the way patients and clinicians view the disease. These treatments have shown benefit and have the potential to be superior to the current interventions available for afflicted patients. The application of immunotherapy in conjunction with traditional treatments may improve the outcomes of patients suffering from colon cancer and decrease the burden this disease has on patients. Furthermore, more effective treatments in the form of conjunction immunological, surgical, and chemotherapeutic techniques may shorten treatment courses and lead to better long-term effects. This review paper investigates immunotherapeutic interventions for colon cancer, which include immune checkpoint inhibitors, oncolytic virotherapy, cancer vaccines, cytokine therapy, and CAR-T. Such a study might provide more information for clinicians to treat patients with colon cancer in the advanced stages or in recurrence.

摘要

由于其隐匿的症状学和多因素病因,结肠癌仍然是全球发病率和死亡率的最常见原因之一。目前,标准的治疗方法包括对局部肿瘤进行手术切除,以及对已经扩散或局部侵犯的癌症进行辅助化疗(AC)。不幸的是,这种治疗策略对于疾病的晚期、转移阶段或复发情况可能无效。然而,免疫疗法的进展在医学肿瘤学领域已显示出有前景的结果,这可能会重新定义患者和临床医生看待该疾病的方式。这些治疗已显示出益处,并且有可能优于目前为患病患者提供的现有干预措施。免疫疗法与传统治疗联合应用可能会改善结肠癌患者的治疗结果,并减轻该疾病对患者的负担。此外,结合免疫、手术和化疗技术的更有效治疗可能会缩短疗程并带来更好的长期效果。这篇综述文章研究了结肠癌的免疫治疗干预措施,包括免疫检查点抑制剂、溶瘤病毒疗法、癌症疫苗、细胞因子疗法和嵌合抗原受体T细胞(CAR-T)。这样的研究可能会为临床医生治疗晚期或复发结肠癌患者提供更多信息。

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