Zaheer Sufian, Sureka Niti
Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Korean J Clin Oncol. 2025 Aug;21(2):47-80. doi: 10.14216/kjco.24322. Epub 2025 Aug 31.
Cancer immunotherapy represents a transformative strategy in modern oncology, utilizing the body's immune system to recognize and eliminate malignant cells with precision. Unlike traditional therapies, which often directly target the tumor, immunotherapy enhances the immune system's inherent ability to differentiate between healthy and cancerous cells. The advent of immune checkpoint inhibitors (ICIs), particularly those targeting the PD-1/PD-L1 and CTLA-4 pathways, has marked a significant breakthrough in this field. However, the therapeutic landscape is still challenged by issues such as the development of resistance mechanisms, heterogeneity in patient responses, and the limited efficacy of current ICIs across all tumor types. Given these challenges, there is a critical need to identify and validate new immune targets that can synergize with existing therapies or function independently to overcome resistance and improve patient outcomes. This review provides a comprehensive overview of the latest research efforts focused on uncovering novel immune targets. By expanding the repertoire of immune targets, these discoveries aim to enhance the effectiveness of cancer immunotherapy, offering hope for more personalized and resilient treatment options. The integration of these novel targets into clinical practice could not only extend the benefits of immunotherapy to a broader spectrum of cancers but also mitigate some of the current limitations, paving the way for more durable and effective therapeutic strategies in the fight against cancer.
癌症免疫疗法是现代肿瘤学中的一种变革性策略,它利用人体免疫系统精确识别和消除恶性细胞。与通常直接针对肿瘤的传统疗法不同,免疫疗法增强了免疫系统区分健康细胞和癌细胞的固有能力。免疫检查点抑制剂(ICI)的出现,尤其是那些针对PD-1/PD-L1和CTLA-4通路的抑制剂,标志着该领域取得了重大突破。然而,治疗前景仍面临诸多挑战,如耐药机制的产生、患者反应的异质性以及当前ICI对所有肿瘤类型的疗效有限等问题。鉴于这些挑战,迫切需要识别和验证新的免疫靶点,这些靶点可与现有疗法协同作用或独立发挥作用,以克服耐药性并改善患者预后。本综述全面概述了专注于发现新型免疫靶点的最新研究成果。通过扩大免疫靶点的范围,这些发现旨在提高癌症免疫疗法的有效性,为更个性化和更有效的治疗选择带来希望。将这些新型靶点整合到临床实践中,不仅可以将免疫疗法的益处扩展到更广泛的癌症类型,还可以减轻当前的一些局限性,为对抗癌症的更持久、更有效的治疗策略铺平道路。