文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

非肝细胞癌的肝移植:免疫检查点抑制剂的作用

Liver Transplantation for Non-hepatocellular Carcinoma: The Role of Immune Checkpoint Inhibitors.

作者信息

Bahrami Pegah, Al Zein Mohammad, Eid Ali H, Sahebkar Amirhossein

机构信息

Applied Biomedical Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.

出版信息

J Clin Exp Hepatol. 2025 Sep-Oct;15(5):102558. doi: 10.1016/j.jceh.2025.102558. Epub 2025 Mar 27.


DOI:10.1016/j.jceh.2025.102558
PMID:40303874
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12036051/
Abstract

Colorectal cancer (CRC), gastroenteropancreatic neuroendocrine neoplasm (GEP-NEN), and cholangiocarcinoma (CCA) exhibit high rates of morbidity and mortality once metastasized to the liver. Liver transplantation (LT) is a viable therapeutic approach for these cancers in highly selected patients; however, their invasive nature at late stages causes many patients to be delisted from transplantation or to require further downstaging. Immunotherapy with immune checkpoint modulators has revolutionized cancer research. Immune checkpoint inhibitors (ICI) leverage the chronic inflammatory state and the overexpression of cytotoxic T lymphocyte antigen 4 (CTLA-4) and programmed cell death protein 1 (PD-1)/programmed cell death-ligand 1 (PD-L1) by malignant cells and regulatory T cells, to block immune checkpoints and counteract tumor's ability to evade the immune system. However, the interaction between allograft PD-L1 and PD-1 on infiltrating T cells functions as a means of graft tolerance in cases of LT. Therefore, the application of ICIs might block this protective effect and induce graft rejection, a phenomenon particularly observed in PD-1/PD-L1 inhibiting ICIs. The risk of post-LT graft rejection can be mitigated by applying advanced biomarkers and specifying certain mutations that enhance patient selection criteria for pre-LT ICI use. Furthermore, the determination of optimal intervals of ICI administration pre- and post-LT, identification of ICI indications in malignancies occurring after LT, and investigation of biomarkers for early rejection detection, pave the way for more promising LT outcomes in patients with CRC, GEP-NEN, or CCA. Therefore, this review aims to illustrate a comprehensive overview of the role of ICI therapy in the management of non-hepatocellular carcinoma transplant oncology cancers by demonstrating the potential for its application in both pre-and post-LT states, and pathways to reduce or timely detect ICI-associated graft rejection.

摘要

结直肠癌(CRC)、胃肠胰神经内分泌肿瘤(GEP-NEN)和胆管癌(CCA)一旦转移至肝脏,其发病率和死亡率都很高。对于经过严格筛选的患者,肝移植(LT)是治疗这些癌症的一种可行方法;然而,这些癌症在晚期具有侵袭性,导致许多患者被排除在移植名单之外或需要进一步降期。免疫检查点调节剂免疫疗法彻底改变了癌症研究。免疫检查点抑制剂(ICI)利用慢性炎症状态以及恶性细胞和调节性T细胞对细胞毒性T淋巴细胞抗原4(CTLA-4)和程序性细胞死亡蛋白1(PD-1)/程序性细胞死亡配体1(PD-L1)的过度表达,来阻断免疫检查点并抵消肿瘤逃避免疫系统的能力。然而,在肝移植病例中,同种异体移植物PD-L1与浸润性T细胞上的PD-1之间的相互作用是移植物耐受的一种方式。因此,ICI的应用可能会阻断这种保护作用并诱导移植物排斥,这一现象在抑制PD-1/PD-L1的ICI中尤为明显。通过应用先进的生物标志物并明确某些突变来加强肝移植前ICI使用的患者选择标准,可以减轻肝移植后移植物排斥的风险。此外,确定肝移植前后ICI给药的最佳间隔时间、确定肝移植后发生的恶性肿瘤中ICI的适应症,以及研究早期排斥检测的生物标志物,为CRC、GEP-NEN或CCA患者获得更有前景的肝移植结果铺平了道路。因此,本综述旨在通过展示ICI疗法在肝移植前后状态下的应用潜力以及减少或及时检测ICI相关移植物排斥的途径,全面概述ICI疗法在非肝细胞癌移植肿瘤学癌症管理中的作用。

相似文献

[1]
Liver Transplantation for Non-hepatocellular Carcinoma: The Role of Immune Checkpoint Inhibitors.

J Clin Exp Hepatol. 2025

[2]
Oncolytic reovirus enhances the effect of CEA immunotherapy when combined with PD1-PDL1 inhibitor in a colorectal cancer model.

Immunotherapy. 2025-4

[3]
Immune checkpoint inhibitors plus platinum-based chemotherapy compared to platinum-based chemotherapy with or without bevacizumab for first-line treatment of older people with advanced non-small cell lung cancer.

Cochrane Database Syst Rev. 2024-8-13

[4]
Immune checkpoint inhibitor therapy for malignant tumors in liver transplantation recipients: A systematic review of the literature.

Transplant Rev (Orlando). 2022-12

[5]
Systemic treatments for metastatic cutaneous melanoma.

Cochrane Database Syst Rev. 2018-2-6

[6]
Comprehensive Review: Unveiling the Pro-Oncogenic Roles of IL-1ß and PD-1/PD-L1 in NSCLC Development and Targeting Their Pathways for Clinical Management.

Int J Mol Sci. 2023-7-17

[7]
Advancing Adjuvant Immunotherapy in Hepatocellular Carcinoma: A Comprehensive Review.

Immunotargets Ther. 2025-6-25

[8]
Sex and gender as predictors for allograft and patient-relevant outcomes after kidney transplantation.

Cochrane Database Syst Rev. 2024-12-19

[9]
Management of urinary stones by experts in stone disease (ESD 2025).

Arch Ital Urol Androl. 2025-6-30

[10]
Comparison of Efficacy and Safety of Single and Double Immune Checkpoint Inhibitor-Based First-Line Treatments for Advanced Driver-Gene Wild-Type Non-Small Cell Lung Cancer: A Systematic Review and Network Meta-Analysis.

Front Immunol. 2021

本文引用的文献

[1]
Phase Ib/II study of Pembrolizumab with Lanreotide depot for advanced, progressive Gastroenteropancreatic neuroendocrine tumors (PLANET).

J Neuroendocrinol. 2025-4

[2]
The use of immunotherapy pre-liver transplant.

J Hepatol. 2025-4

[3]
Liver resection and transplantation in the era of checkpoint inhibitors.

JHEP Rep. 2024-8-6

[4]
Epidemiology, treatment and outcomes of gastroenteropancreatic neuroendocrine neoplasms.

Sci Rep. 2024-12-17

[5]
Colorectal cancer: Recent advances in management and treatment.

World J Clin Oncol. 2024-9-24

[6]
Epidemiology of gastrointestinal cancers: a systematic analysis from the Global Burden of Disease Study 2021.

Gut. 2024-12-10

[7]
Impact of pre-transplant immune checkpoint inhibitor use on post-transplant outcomes in HCC: A systematic review and individual patient data meta-analysis.

J Hepatol. 2025-1

[8]
Cholangiocarcinoma: The Current Status of Surgical Options including Liver Transplantation.

Cancers (Basel). 2024-5-21

[9]
Recent updates in the therapeutic uses of Pembrolizumab: a brief narrative review.

Clin Transl Oncol. 2024-10

[10]
Clinical and biomarker analyses of hepatic arterial infusion chemotherapy plus lenvatinib and PD-1 inhibitor for patients with advanced intrahepatic cholangiocarcinoma.

Front Immunol. 2024

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索