赵艳红, 宋璞, 高天文. PD-1 PD-L1 抗体在黑素瘤临床治疗中的进展[J]. 中国肿瘤临床, 2016, 43(13): 589-592. DOI: 10.3969/j.issn.1000-8179.2016.13.413
引用本文: 赵艳红, 宋璞, 高天文. PD-1 PD-L1 抗体在黑素瘤临床治疗中的进展[J]. 中国肿瘤临床, 2016, 43(13): 589-592. DOI: 10.3969/j.issn.1000-8179.2016.13.413
Yanhong ZHAO, Pu SONG, Tianwen GAO. Application of the PD-1 antibody in melanoma therapy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2016, 43(13): 589-592. DOI: 10.3969/j.issn.1000-8179.2016.13.413
Citation: Yanhong ZHAO, Pu SONG, Tianwen GAO. Application of the PD-1 antibody in melanoma therapy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2016, 43(13): 589-592. DOI: 10.3969/j.issn.1000-8179.2016.13.413

PD-1 PD-L1 抗体在黑素瘤临床治疗中的进展

Application of the PD-1 antibody in melanoma therapy

  • 摘要: 黑素瘤是一种起源于皮肤、黏膜及眼色素膜黑素细胞的高度恶性肿瘤。皮肤黑素瘤的发病率与死亡率逐年增加,然而传统疗法敏感性低且不良反应明显,疗效欠佳。近几年来,随着细胞毒性T 淋巴细胞相关抗原4(cytotoxic T lymphocyte-associated antigen-4,CTLA- 4)和BRAF 抑制剂的出现,尽管晚期黑素瘤患者的总生存期得以延长,但其获益人群有限且耐药率高。2014年,程序性凋亡细胞因子1/ 程序性凋亡细胞因子配体1(programmed cell death- 1/programme ddeath 1-ligand ,PD- 1/PD-L 1)单抗获得批准用于治疗晚期黑素瘤,不仅为晚期黑素瘤患者带来显著的生存期获益,还为经其它疗法治疗失败的晚期黑素瘤患者带来福音。本文就PD- 1 单抗派若拉姆、尼鲁姆、pidilizumab 及PD-L1 单抗(MPDL3280A 、BMS-936559、MEDI4735)治疗黑素瘤的现状及未来进行回顾与展望。

     

    Abstract: A melanoma is a highly malignant tumor that originates from melanocytes in the skin, mucosa, or tunica pigmentosa. The incidence and mortality rate of cutaneous melanoma are increasing annually. However, the efficacy of traditional therapy is extremely limited because of its low sensitivity and high toxicity. The application of the anti-CTLA- 4 antibody and the BRAF inhibitor dramatically improves the overall survival of patients with advanced melanoma. However, their limited benefit ratio and high drug resistance curtail the use of anti-CTLA- 4. Since the US Food and Drug Administration approved the use of the anti-PD- 1 and anti-PD-L 1 antibodies for ad -vanced melanoma in 2014, a significant survival benefit has been observed in patients with advanced melanoma. This review aims to highlight the applications of the anti-PD- 1 antibody (pembrolizumab, nivolumab, and pidilizumab) and the anti-PD-L1 antibody (MP -DL3280A, BMS-936559, and MEDI 4736) in the clinical treatment of melanoma by succinctly summarizing the results of recent reports.

     

/

返回文章
返回