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癌症免疫治疗的进展与挑战:机制、临床应用及未来方向

Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions.

作者信息

Vatsavai Neeharika, Kaur Bhinder Sumeet, Shaik Rahaman, Mahira Shaheen, Kapoor Shruti, Ali Md Shadab, Verma Deepak, Singh Jay, Badavenkatappa Gari Sreelakshmi, Upadhyay Prabhat, Meshkovska Yeva, Godugu Chandraiah, Thatikonda Sowjanya, Pooladanda Venkatesh

机构信息

Department of Pharmacy, Birla Institute of Technology and Science (BITS) Pilani, Hyderabad Campus, Hyderabad, Telangana, India.

Department of Pharmaceutical Sciences and Drug Research, Punjabi University, Patiala, India.

出版信息

Front Pharmacol. 2025 Jun 13;16:1602529. doi: 10.3389/fphar.2025.1602529. eCollection 2025.


DOI:10.3389/fphar.2025.1602529
PMID:40584631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12202542/
Abstract

Cancer is a major threat to public health today, particularly due to the emergence of drug resistance and disease re-emergence post-traditional treatment. Regulatory T cells (Tregs) support cancer progression through their immunosuppressive mechanisms expressing co-inhibitory molecules like programmed cell death-1 (PD-1), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), T cell immunoglobin-3 (TIM-3), and T-cell immunoglobin and ITIM domain (TIGIT), that suppress T-cell activation and allow tumor cells to grow uncontrollably. Emerging cancer immunotherapeutic strategies targeting these checkpoints inhibit tumor-immune escape and impede cancer progression. This review highlights the mechanistic effects of these drugs and enumerates various critical combinatorial strategies that can be utilized for effective cancer treatment.

摘要

癌症是当今公共卫生面临的重大威胁,尤其是由于耐药性的出现以及传统治疗后疾病的复发。调节性T细胞(Tregs)通过其免疫抑制机制支持癌症进展,这些机制表达程序性细胞死亡蛋白1(PD-1)、细胞毒性T淋巴细胞相关抗原4(CTLA-4)、T细胞免疫球蛋白3(TIM-3)和T细胞免疫球蛋白及免疫受体酪氨酸抑制基序结构域(TIGIT)等共抑制分子,这些分子抑制T细胞活化,使肿瘤细胞能够不受控制地生长。针对这些检查点的新兴癌症免疫治疗策略可抑制肿瘤免疫逃逸并阻碍癌症进展。本综述强调了这些药物的作用机制,并列举了可用于有效癌症治疗的各种关键联合策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/b35fef330cb4/fphar-16-1602529-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/07d2766f504e/fphar-16-1602529-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/ffd79daf159b/fphar-16-1602529-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/b35fef330cb4/fphar-16-1602529-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/07d2766f504e/fphar-16-1602529-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/ffd79daf159b/fphar-16-1602529-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/560c/12202542/b35fef330cb4/fphar-16-1602529-g003.jpg

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Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions.

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本文引用的文献

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

Mol Cancer. 2025-1-15

[2]
Overcoming efficiency limitations of CAR-T cell therapy in antigen-heterogeneous solid tumors.

Expert Opin Biol Ther. 2024-9

[3]
Enhancing Dendritic Cell Cancer Vaccination: The Synergy of Immune Checkpoint Inhibitors in Combined Therapies.

Int J Mol Sci. 2024-7-9

[4]
Elucidating CTLA-4's role in tumor immunity: a comprehensive overview of targeted antibody therapies and clinical developments.

Mol Divers. 2024-7-10

[5]
Challenges and innovations in CAR-T cell therapy: a comprehensive analysis.

Front Oncol. 2024-6-11

[6]
Advances in therapeutic cancer vaccines: Harnessing immune adjuvants for enhanced efficacy and future perspectives.

Comput Struct Biotechnol J. 2024-4-21

[7]
Second-line therapies for steroid-refractory immune-related adverse events in patients treated with immune checkpoint inhibitors.

Eur J Cancer. 2024-5

[8]
Current challenges and therapeutic advances of CAR-T cell therapy for solid tumors.

Cancer Cell Int. 2024-4-15

[9]
Promising immunotherapy targets: TIM3, LAG3, and TIGIT joined the party.

Mol Ther Oncol. 2024-2-12

[10]
VISTA checkpoint inhibition by pH-selective antibody SNS-101 with optimized safety and pharmacokinetic profiles enhances PD-1 response.

Nat Commun. 2024-4-4

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