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癌症研究前沿:对世界级权威人士的访谈——对路易斯·迪亚兹教授的独家访谈

Interview with the World Class Authorities Frontiers of Cancer Research: An exclusive interview with Professor Luis Diaz.

作者信息

Takeda Haruna, Mimori Koshi, Oshima Masanobu, Shirabe Ken, Kitagawa Yuko

机构信息

The Laboratory of Molecular Genetics National Cancer Center Research Institute Tokyo Japan.

Department of Surgery Kyushu University Beppu Hospital Beppu Japan.

出版信息

Ann Gastroenterol Surg. 2025 Mar 3;9(3):401-407. doi: 10.1002/ags3.70003. eCollection 2025 May.

Abstract

This manuscript provides an in-depth interview with Prof. Luis Diaz, Head of Oncology at Memorial Sloan Kettering Cancer Center and Editor-in-Chief of . A globally recognized leader in oncology, Prof. Diaz discusses the transformative impact of precision oncology, particularly the role of mismatch repair deficiency (dMMR) and microsatellite instability-high (MSI-H) biomarkers in immunotherapy. He highlights the groundbreaking success of PD-1 blockade therapies, such as dostarlimab, which have achieved unprecedented complete response rates in dMMR/MSI-H rectal cancer, emphasizing its tumor-agnostic potential. Prof. Diaz reflects on the evolution of cancer diagnostics, notably circulating tumor DNA (ctDNA) for minimal residual disease (MRD) detection, and its implications for treatment personalization and early detection. He also addresses the challenges and prospects of cancer prevention, advocating for innovative approaches such as immunoprevention and vaccines targeting tumor-specific pathways, like the HPV vaccine for cervical cancer. The interview underscores the importance of fundamental research in advancing cancer care and the necessity of interdisciplinary collaboration to address unresolved questions in tumor biology. By sharing his vision and pioneering achievements, Prof. Diaz inspires the next generation of clinicians and researchers to pursue bold innovations, ultimately aiming to enhance patient outcomes and revolutionize the future of oncology. This dialogue serves as a significant resource for understanding current trends and future directions in cancer research and treatment.

摘要

本手稿提供了对纪念斯隆凯特琳癌症中心肿瘤学主任兼《》主编路易斯·迪亚兹教授的深入访谈。作为全球公认的肿瘤学领导者,迪亚兹教授讨论了精准肿瘤学的变革性影响,特别是错配修复缺陷(dMMR)和微卫星高度不稳定(MSI-H)生物标志物在免疫治疗中的作用。他强调了PD-1阻断疗法(如多斯塔利单抗)取得的开创性成功,该疗法在dMMR/MSI-H直肠癌中实现了前所未有的完全缓解率,强调了其不依赖肿瘤类型的潜力。迪亚兹教授回顾了癌症诊断的发展,特别是用于检测微小残留病(MRD)的循环肿瘤DNA(ctDNA),及其对治疗个性化和早期检测的影响。他还探讨了癌症预防的挑战和前景,倡导采用免疫预防和针对肿瘤特异性途径的疫苗等创新方法,如用于宫颈癌的HPV疫苗。这次访谈强调了基础研究在推进癌症治疗方面的重要性,以及跨学科合作解决肿瘤生物学中未解决问题的必要性。通过分享他的愿景和开创性成就,迪亚兹教授激励下一代临床医生和研究人员追求大胆创新,最终目标是改善患者预后并彻底改变肿瘤学的未来。这次对话是理解癌症研究和治疗当前趋势及未来方向的重要资源。

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