免疫检查点抑制剂治疗结直肠癌生物标志物的研究进展

Research progress of biomarkers in immune checkpoint inhibitors therapy in colorectal cancer

  • 摘要: 免疫检查点抑制剂(immune checkpoint inhibitors,ICI)在多种晚期实体瘤治疗中取得了较好的临床疗效,其中包括结直肠癌。但是大多数的肿瘤患者对ICI的客观反应率(objective response rate,ORR)不理想,易发生治疗耐药性,甚至出现超进展现象。寻找预测免疫治疗疗效的生物标志物,筛选出合适的人群至关重要。目前有多种生物标志物在预测ICI治疗结直肠癌疗效显示出指导价值,但最优的标志物仍未确定,需要进一步的大规模前瞻性研究证实潜在标志物的价值。本文将对免疫检查点抑制剂治疗结直肠癌的正性和负性生物标志物的研究进展进行综述。

     

    Abstract: Immune checkpoint inhibitors (ICI) show surprising clinical responses in various malignancies, including colorectal cancer. However, considerable number of cancer patients displayed an unsatisfactory objective response rate (ORR) to the immune checkpoint inhibitors. Treatment resistance is a common feature and hyperprogression was noticed in some patients. It is important to discover biomarkers which can predict the efficacy of immunotherapy and help in screening the suitable patients. Biomarkers have shown value in predicting the efficacy of immune checkpoint inhibitors in colorectal cancer treatment, however, the optimal biomarkers still remain undiscovered. Large-scale prospective studies are required to confirm the value of the potential biomarkers in future. This article reviews the reported predictive biomarkers with positive and negative response to immune checkpoint inhibitors in colorectal cancer.

     

/

返回文章
返回