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克服癌症免疫治疗中的耐药机制——新方法与联合治疗

Overcoming resistance mechanisms in cancer immunotherapy-novel approaches and combinations.

作者信息

Shaik Rahaman, Yashaswi Billa, Anjali Meravath, Syeda Sana, Khan Huda

机构信息

Department of Pharmacology, School of Pharmaceutical Education & Research, Jamia Hamdard, New Delhi, 110062, India.

Department of Pharmacology, St. Pauls College of Pharmacy, Turkayamjal, Hyderabad, 501510, Telangana, India.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2025 Jun 11. doi: 10.1007/s00210-025-03963-w.

Abstract

Drug resistance in cancer cells is a significant challenge for modern oncology, demanding the development of novel therapeutic techniques. This review examines new approaches to reducing drug resistance in cancer cells, with an emphasis on developing therapeutic options. Complex molecular findings into medication resistance in this article discuss genetic mutations, efflux pumps, altered signaling pathways, and micro environmental impacts. Targeted medicines, combination therapy, immunotherapies, and precision medicine methods are discussed as promising options. Combining standard cytotoxic medicines with molecularly targeted inhibitors results in synergistic effects. The routes used to avoid resistance are investigated. This article examines how immunotherapeutic approaches like immune checkpoint inhibitors and adoptive cell therapies can improve anti-tumor immune responses and overcome immune evasion mechanisms. Biomarker-driven techniques are crucial for predicting and monitoring therapy responses, leading to improved therapeutic results. This review examines the impact of medication resistance on cancer therapy paradigms and their potential future direction. Integrating developing therapeutic options can address problems and improve patient outcomes.

摘要

癌细胞中的耐药性是现代肿瘤学面临的一项重大挑战,需要开发新的治疗技术。本综述探讨了降低癌细胞耐药性的新方法,重点是开发治疗方案。本文对药物耐药性的复杂分子研究结果讨论了基因突变、外排泵、信号通路改变和微环境影响。靶向药物、联合治疗、免疫疗法和精准医学方法被作为有前景的选择进行了讨论。将标准细胞毒性药物与分子靶向抑制剂联合使用可产生协同效应。研究了用于避免耐药性的途径。本文探讨了免疫检查点抑制剂和过继性细胞疗法等免疫治疗方法如何改善抗肿瘤免疫反应并克服免疫逃逸机制。生物标志物驱动的技术对于预测和监测治疗反应至关重要,从而带来更好的治疗效果。本综述探讨了药物耐药性对癌症治疗模式的影响及其潜在的未来方向。整合不断发展的治疗选择可以解决问题并改善患者预后。

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