结直肠癌肝转移免疫治疗研究进展

Research progress in immunotherapy for colorectal cancer liver metastases

  • 摘要: 肝转移是评估结直肠癌(colorectal cancer,CRC)患者治疗效果和生存预后的关键影响因素。近年来,免疫疗法通过强化宿主的抗肿瘤免疫反应,已经在多种实体瘤的治疗中展现出良好的潜力,成为转移性或复发性实体瘤治疗的主流选择。基于免疫检查点抑制剂的免疫疗法在CRC治疗中显示出了安全性和有效性的积极进展,尤其是在错配修复缺陷(deficient mismatch repair,dMMR)型CRC中表现突出。然而,对于肝转移患者而言,其生存预后的改善尚不明显。本文回顾了免疫治疗在CRC肝转移治疗中的应用策略和疗效,并对其未来的发展方向进行探讨和展望。

     

    Abstract: Liver metastasis is a key factor impacting the treatment outcomes and survival prognoses of patients with colorectal cancer (CRC). In recent years, immunotherapy has demonstrated revolutionary potential in the treatment of a wide range of solid tumors by strengthening the host's antitumor immune response and has become a mainstream option for the treatment of metastatic or recurrent solid tumors. Immune checkpoint inhibitor-based immunotherapy, in particular, has shown promising advances in safety and efficacy in CRC treatment, especially for deficient mismatch repair (dMMR) CRC. Despite these advances, patients with liver metastases have not seen any improvements in their survival prognoses. In this article, we comprehensively review immunotherapeutic strategies for treating liver metastases from CRC, discuss the efficacy of each strategy, and provide an in-depth discussion of prospective future directions.

     

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