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克服对免疫检查点抑制剂耐药性的联合治疗策略。

Combinational therapeutic strategies to overcome resistance to immune checkpoint inhibitors.

作者信息

Alsaafeen Besan H, Ali Bassam R, Elkord Eyad

机构信息

Department of Genetics and Genomics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates.

ASPIRE Precision Medicine Research Institute Abu Dhabi, United Arab Emirates University, Al Ain, United Arab Emirates.

出版信息

Front Immunol. 2025 Apr 24;16:1546717. doi: 10.3389/fimmu.2025.1546717. eCollection 2025.


DOI:10.3389/fimmu.2025.1546717
PMID:40342408
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12058545/
Abstract

Over the past few years, immune checkpoint inhibitors resulted in magnificent and durable successes in treating cancer; however, only a minority of patients respond favorably to the treatment due to a broad-spectrum of tumor-intrinsic and tumor-extrinsic factors. With the recent insights gained into the mechanisms of resistance, combination treatment strategies to overcome the resistance and enhance the therapeutic potential of immune checkpoint inhibitors are emerging and showing promising results in both pre-clinical and clinical settings. This has been derived through multiple interconnected mechanisms such as enhancing tumor immunogenicity, improving neoantigen processing and presentation in addition to augmenting T cell infiltration and cytotoxic potentials. In the clinical settings, several avenues of combination treatments involving immune checkpoint inhibitors were associated with considerable improvement in the therapeutic outcome in terms of patient's survival and tumor growth control. This, in turn, increased the spectrum of cancer patients benefiting from the unprecedented and durable effects of immune checkpoint inhibitors leading to their adoption as a first-line treatment for certain cancers. Moreover, the significance of precision medicine in cancer immunotherapy and the unmet demand to develop more personalized predictive biomarkers and treatment strategies are also highlighted in this review.

摘要

在过去几年中,免疫检查点抑制剂在癌症治疗方面取得了巨大且持久的成功;然而,由于广泛的肿瘤内在和外在因素,只有少数患者对该治疗有良好反应。随着最近对耐药机制的深入了解,克服耐药性并增强免疫检查点抑制剂治疗潜力的联合治疗策略正在兴起,并在临床前和临床环境中都显示出有前景的结果。这是通过多种相互关联的机制实现的,例如增强肿瘤免疫原性、改善新抗原加工和呈递,以及增加T细胞浸润和细胞毒性潜能。在临床环境中,涉及免疫检查点抑制剂的几种联合治疗途径在患者生存和肿瘤生长控制方面的治疗结果有了显著改善。这反过来又扩大了受益于免疫检查点抑制剂前所未有的持久效果的癌症患者范围,导致其被用作某些癌症的一线治疗方法。此外,本综述还强调了精准医学在癌症免疫治疗中的重要性,以及开发更个性化的预测生物标志物和治疗策略的未满足需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c9d/12058545/8030eca49a77/fimmu-16-1546717-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c9d/12058545/8030eca49a77/fimmu-16-1546717-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c9d/12058545/8030eca49a77/fimmu-16-1546717-g001.jpg

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引用本文的文献

[1]
Immune Checkpoint Molecules in Hodgkin Lymphoma and Other Hematological Malignancies.

Cancers (Basel). 2025-7-10

本文引用的文献

[1]
Resistance mechanisms to immune checkpoint inhibitors: updated insights.

Mol Cancer. 2025-1-15

[2]
Combination anti-PD-1 and anti-CTLA-4 therapy generates waves of clonal responses that include progenitor-exhausted CD8 T cells.

Cancer Cell. 2024-9-9

[3]
Safety and feasibility of anti-CD19 CAR T cells expressing inducible IL-7 and CCL19 in patients with relapsed or refractory large B-cell lymphoma.

Cell Discov. 2024-1-9

[4]
Non-coding RNAs in cancer immunotherapy: Predictive biomarkers and targets.

Clin Transl Med. 2023-9

[5]
Biomarkers for immune checkpoint inhibition in sarcomas - are we close to clinical implementation?

Biomark Res. 2023-8-23

[6]
Single-Cell Transcriptomics for Unlocking Personalized Cancer Immunotherapy: Toward Targeting the Origin of Tumor Development Immunogenicity.

Cancers (Basel). 2023-7-14

[7]
Immune Checkpoint Inhibitors Combined with Targeted Therapy: The Recent Advances and Future Potentials.

Cancers (Basel). 2023-5-22

[8]
Chemo-Immunotherapy: A New Trend in Cancer Treatment.

Cancers (Basel). 2023-5-25

[9]
Biomarkers for Response to Anti-PD-1/Anti-PD-L1 Immune Checkpoint Inhibitors: A Large Meta-Analysis.

Oncology (Williston Park). 2023-5-9

[10]
Efficacy and safety of immune checkpoint inhibitors with or without radiotherapy in metastatic non-small cell lung cancer: A systematic review and meta-analysis.

Front Pharmacol. 2023-1-24

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