免疫检查点综合治疗策略的研究进展

Comprehensive therapeutic strategies regarding immune checkpoint

  • 摘要: 免疫治疗的快速发展打破了手术、放化疗以及靶向治疗构成的肿瘤常规治疗模式。与传统肿瘤治疗相比,免疫治疗的疗效更持久,不良反应更小。免疫检查点抑制剂作为免疫治疗的重要组成部分,在临床前及临床试验中已被证实具有广阔的应用前景。然而截至目前,这一疗法所带来的临床获益仅局限于部分肿瘤类型的少部分患者,因此需要合理的综合治疗策略克服这种局限。基因靶向治疗、放疗、化疗、肿瘤疫苗等都可以通过不同机制对免疫系统产生影响,为综合治疗提供了理论依据。本文就免疫检查点治疗及其与其他肿瘤治疗方式联合的综合治疗策略做一综述。

     

    Abstract: The rapid development of immunotherapy has exceeded that of standard treatment modes, which include surgery, radiotherapy, chemotherapy, and targeted therapy. Immunotherapy is more durable and less toxic than traditional cancer therapies. Moreover, immune checkpoint therapy is an important component of immunotherapy and has been evaluated in preclinical and clinical trials and proven to exhibit broad prospects. However, its clinical benefits are limited to a small subset of patients with a subset of tumor types. Therefore, reasonable comprehensive therapeutic strategies are needed to overcome this limitation. Gene targeted therapy, radiotherapy, chemotherapy, and tumor vaccine affect the immune system through different mechanisms, and these could provide theoretical bases for comprehensive treatments. In this review, immune checkpoint therapy and its potential comprehensive therapies with other cancer treatments are introduced.

     

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