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西妥昔单抗联合免疫疗法治疗微卫星稳定/错配修复缺陷型结直肠癌:当前证据与挑战

Combining Cetuximab and Immunotherapy for Treating MSS/pMMR Colorectal Cancer: Current Evidence and Challenges.

作者信息

Pei Bo, Peng Shixuan, Chen Weiwei, Lai Lin, Zhou Fuxiang

机构信息

Department of Oncology, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi Clinical College of Wuhan University, Enshi, China.

Department of Oncology, Zhongnan Hospital of Wuhan University, Hubei Provincial Clinical Research Center for Cancer, Hubei Key Laboratory of Tumor Biological Behaviors, Wuhan, China.

出版信息

Technol Cancer Res Treat. 2025 Jan-Dec;24:15330338251334209. doi: 10.1177/15330338251334209. Epub 2025 May 6.


DOI:10.1177/15330338251334209
PMID:40329596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12062641/
Abstract

Colorectal cancer (CRC) remains a formidable global health challenge, with the majority of patients exhibiting microsatellite stable (MSS) and proficient mismatch repair (pMMR) tumors that are largely unresponsive to immune checkpoint inhibitors (ICIs). The management of MSS/pMMR CRC remains a clinical challenge due to the intrinsic resistance to ICIs. The innovative strategy of combining cetuximab, an EGFR-targeting monoclonal antibody with immunomodulatory properties, offers a promising strategy to enhance the immunotherapeutic response in MSS/pMMR CRC. This combination therapy is rooted in the complementary therapeutic mechanisms of cetuximab and ICIs, which may synergistically improve overall response rates and durability of response. Although some preclinical and clinical data have suggested additional promising results, there are still some challenges and questions that need to be addressed. Further large-scale, randomized, phase III clinical trials are required to confirm the efficacy and safety of this combination therapy. The ongoing clinical trials evaluating the safety and efficacy of cetuximab-ICI combinations are eagerly anticipated to pave the way for a new era in personalized immunotherapy for MSS/pMMR CRC.

摘要

结直肠癌(CRC)仍然是一项严峻的全球健康挑战,大多数患者表现为微卫星稳定(MSS)和错配修复功能正常(pMMR)的肿瘤,这些肿瘤对免疫检查点抑制剂(ICI)大多无反应。由于对ICI存在内在抗性,MSS/pMMR CRC的治疗仍然是一项临床挑战。将具有免疫调节特性的抗表皮生长因子受体(EGFR)单克隆抗体西妥昔单抗联合使用的创新策略,为增强MSS/pMMR CRC的免疫治疗反应提供了一种有前景的策略。这种联合疗法基于西妥昔单抗和ICI的互补治疗机制,可能协同提高总体反应率和反应的持久性。尽管一些临床前和临床数据显示了其他有前景的结果,但仍有一些挑战和问题需要解决。需要进一步开展大规模、随机、III期临床试验,以确认这种联合疗法的疗效和安全性。评估西妥昔单抗与ICI联合使用的安全性和疗效的正在进行的临床试验,有望为MSS/pMMR CRC的个性化免疫治疗新时代铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff7/12062641/a72b401ba72f/10.1177_15330338251334209-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff7/12062641/96b1781198d2/10.1177_15330338251334209-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff7/12062641/a72b401ba72f/10.1177_15330338251334209-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff7/12062641/96b1781198d2/10.1177_15330338251334209-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aff7/12062641/a72b401ba72f/10.1177_15330338251334209-fig2.jpg

相似文献

[1]
Combining Cetuximab and Immunotherapy for Treating MSS/pMMR Colorectal Cancer: Current Evidence and Challenges.

Technol Cancer Res Treat. 2025

[2]
[Application of immune combination therapy in MSS/pMMR-type colorectal cancer: current status and future perspectives].

Zhonghua Zhong Liu Za Zhi. 2024-8-23

[3]
Combining gut microbiota modulation and immunotherapy: A promising approach for treating microsatellite stable colorectal cancer.

Crit Rev Oncol Hematol. 2025-4

[4]
Improving the efficiency of immune checkpoint inhibitors for metastatic pMMR/MSS colorectal cancer: Options and strategies.

Crit Rev Oncol Hematol. 2024-8

[5]
BRAF + EGFR +/- MEK inhibitors after immune checkpoint inhibitors in BRAF V600E mutated and deficient mismatch repair or microsatellite instability high metastatic colorectal cancer.

Eur J Cancer. 2024-10

[6]
Application of immune checkpoint inhibitors in colorectal cancer.

Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021-8-28

[7]
The next bastion to be conquered in immunotherapy: microsatellite stable colorectal cancer.

Front Immunol. 2023

[8]
Regorafenib in combination with immune checkpoint inhibitors for mismatch repair proficient (pMMR)/microsatellite stable (MSS) colorectal cancer.

Cancer Treat Rev. 2022-11

[9]
Immune Checkpoint Inhibitors in pMMR/MSS Colorectal Cancer.

J Gastrointest Cancer. 2023-12

[10]
Immunotherapy efficacy on mismatch repair-deficient colorectal cancer: From bench to bedside.

Biochim Biophys Acta Rev Cancer. 2020-12

引用本文的文献

[1]
Adoptive T-Cell Therapy in Sarcomas.

Curr Oncol Rep. 2025-8-14

本文引用的文献

[1]
Encorafenib, cetuximab and chemotherapy in BRAF-mutant colorectal cancer: a randomized phase 3 trial.

Nat Med. 2025-3

[2]
Molecular profiling of BRAF-V600E-mutant metastatic colorectal cancer in the phase 3 BEACON CRC trial.

Nat Med. 2024-11

[3]
Honokiol enhances the sensitivity of cetuximab in KRAS mutant colorectal cancer through destroying SNX3-retromer complex.

Theranostics. 2024

[4]
Tislelizumab plus cetuximab and irinotecan in refractory microsatellite stable and RAS wild-type metastatic colorectal cancer: a single-arm phase 2 study.

Nat Commun. 2024-8-23

[5]
Epidermal Growth Factor Receptor Targeting in Colorectal Carcinoma: Antibodies and Patient-Derived Organoids as a Smart Model to Study Therapy Resistance.

Int J Mol Sci. 2024-6-28

[6]
Colorectal cancer.

Lancet. 2024-7-20

[7]
Advancements in combining targeted therapy and immunotherapy for colorectal cancer.

Trends Cancer. 2024-7

[8]
PD-1/PD-L1 inhibitors for early and middle stage microsatellite high-instability and stable colorectal cancer: a review.

Int J Colorectal Dis. 2024-5-29

[9]
Cetuximab as a Key Partner in Personalized Targeted Therapy for Metastatic Colorectal Cancer.

Cancers (Basel). 2024-1-18

[10]
Cancer statistics, 2024.

CA Cancer J Clin. 2024

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