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新辅助PD-1阻断:早期错配修复缺陷实体瘤患者的新治疗选择。

Neoadjuvant PD-1 blockade: a new treatment option for patients with early-stage mismatch repair deficient solid tumors.

作者信息

Anderson Kristin G, Ribas Antoni

机构信息

Microbiology, Immunology and Cancer Biology, University of Virginia, Charlottesville, Virginia, USA

University of California Los Angeles, Los Angeles, California, USA.

出版信息

J Immunother Cancer. 2025 Aug 25;13(8):e013061. doi: 10.1136/jitc-2025-013061.

DOI:10.1136/jitc-2025-013061
PMID:40854816
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12382506/
Abstract

DNA mismatch repair deficiency has been identified as a biomarker that strongly correlates with tumor response to anti-programmed cell death protein-1 (PD-1) checkpoint blockade therapy in the metastatic setting. In a promising Phase 2 study published in the , Cercek demonstrate that PD-1 checkpoint blockade also has potential in the neoadjuvant setting and may eliminate the need for surgical intervention. These results offer great hope to patients with a variety of solid malignancies because those who experience complete clinical responses may be able to safely choose non-operative management to preserve organ function and minimize side effects associated with surgery.

摘要

DNA错配修复缺陷已被确定为一种生物标志物,在转移性环境中,它与肿瘤对抗程序性细胞死亡蛋白1(PD-1)检查点阻断疗法的反应密切相关。在发表于《 》的一项很有前景的2期研究中,塞尔捷克证明PD-1检查点阻断在新辅助治疗中也具有潜力,并且可能无需手术干预。这些结果给患有各种实体恶性肿瘤的患者带来了巨大希望,因为那些经历完全临床缓解的患者或许能够安全地选择非手术治疗,以保留器官功能并将与手术相关的副作用降至最低。

相似文献

1
Neoadjuvant PD-1 blockade: a new treatment option for patients with early-stage mismatch repair deficient solid tumors.新辅助PD-1阻断:早期错配修复缺陷实体瘤患者的新治疗选择。
J Immunother Cancer. 2025 Aug 25;13(8):e013061. doi: 10.1136/jitc-2025-013061.
2
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本文引用的文献

1
Nonoperative Management of Mismatch Repair-Deficient Tumors.错配修复缺陷肿瘤的非手术治疗
N Engl J Med. 2025 Jun 19;392(23):2297-2308. doi: 10.1056/NEJMoa2404512. Epub 2025 Apr 27.
2
Society for Immunotherapy of Cancer (SITC) consensus statement on essential biomarkers for immunotherapy clinical protocols.癌症免疫治疗学会(SITC)关于免疫治疗临床方案关键生物标志物的共识声明。
J Immunother Cancer. 2025 Mar 7;13(3):e010928. doi: 10.1136/jitc-2024-010928.
3
Leveraging immune resistance archetypes in solid cancer to inform next-generation anticancer therapies.
利用实体瘤中的免疫抵抗原型为下一代抗癌疗法提供信息。
J Immunother Cancer. 2023 Jun;11(6). doi: 10.1136/jitc-2022-006533.
4
Immune checkpoint therapy-current perspectives and future directions.免疫检查点治疗——现状与未来方向。
Cell. 2023 Apr 13;186(8):1652-1669. doi: 10.1016/j.cell.2023.03.006.
5
A scoping review and meta-analysis on the prevalence of pan-tumour biomarkers (dMMR, MSI, high TMB) in different solid tumours.一项关于不同实体瘤中泛肿瘤生物标志物(错配修复缺陷、微卫星高度不稳定、肿瘤突变负荷高)患病率的范围综述和荟萃分析。
Sci Rep. 2022 Nov 28;12(1):20495. doi: 10.1038/s41598-022-23319-1.
6
Mismatch repair deficiency/microsatellite instability-high as a predictor for anti-PD-1/PD-L1 immunotherapy efficacy.错配修复缺陷/微卫星不稳定高作为抗 PD-1/PD-L1 免疫治疗疗效的预测指标。
J Hematol Oncol. 2019 May 31;12(1):54. doi: 10.1186/s13045-019-0738-1.
7
Cancer immunotherapy using checkpoint blockade.使用免疫检查点阻断的癌症免疫疗法。
Science. 2018 Mar 23;359(6382):1350-1355. doi: 10.1126/science.aar4060. Epub 2018 Mar 22.
8
First FDA Approval Agnostic of Cancer Site - When a Biomarker Defines the Indication.美国食品药品监督管理局首次批准与癌症部位无关——当生物标志物确定适应症时。
N Engl J Med. 2017 Oct 12;377(15):1409-1412. doi: 10.1056/NEJMp1709968.
9
Obstacles Posed by the Tumor Microenvironment to T cell Activity: A Case for Synergistic Therapies.肿瘤微环境对T细胞活性构成的障碍:协同治疗的实例
Cancer Cell. 2017 Mar 13;31(3):311-325. doi: 10.1016/j.ccell.2017.02.008.
10
PD-1 Blockade in Tumors with Mismatch-Repair Deficiency.错配修复缺陷肿瘤中的程序性死亡受体-1阻断
N Engl J Med. 2015 Jun 25;372(26):2509-20. doi: 10.1056/NEJMoa1500596. Epub 2015 May 30.