刘潇衍, 陈闽江, 王孟昭. 肿瘤化疗联合免疫治疗从理论基础到临床实践[J]. 中国肿瘤临床, 2017, 44(9): 452-458. DOI: 10.3969/j.issn.1000-8179.2017.09.177
引用本文: 刘潇衍, 陈闽江, 王孟昭. 肿瘤化疗联合免疫治疗从理论基础到临床实践[J]. 中国肿瘤临床, 2017, 44(9): 452-458. DOI: 10.3969/j.issn.1000-8179.2017.09.177
LIU Xiaoyan, CHEN Minjiang, WANG Mengzhao. Combining chemotherapy with immunotherapy: from bench to bedside[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2017, 44(9): 452-458. DOI: 10.3969/j.issn.1000-8179.2017.09.177
Citation: LIU Xiaoyan, CHEN Minjiang, WANG Mengzhao. Combining chemotherapy with immunotherapy: from bench to bedside[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2017, 44(9): 452-458. DOI: 10.3969/j.issn.1000-8179.2017.09.177

肿瘤化疗联合免疫治疗从理论基础到临床实践

Combining chemotherapy with immunotherapy: from bench to bedside

  • 摘要: 在过去的几十年里,化疗是肿瘤内科治疗的基石。尽管化疗疗效显著,但维持病情稳定时间不持久。随着对肿瘤免疫学研究的不断深入,近年来肿瘤免疫治疗再次成为热点。与化疗相比,免疫治疗疗效相对缓和,但更为持久。越来越多的研究表明化疗除了对肿瘤细胞的直接杀伤作用,亦可以增加肿瘤细胞的免疫原性,抑制负性免疫信号,改变肿瘤免疫微环境,从而发挥免疫增强作用,为化疗和免疫治疗的联合应用奠定了理论基础。本文根据已知的肿瘤免疫反应机理和近期发现的化疗免疫调节机制,阐述化疗联合免疫治疗的理论基础,并进一步探讨现有的关于联合治疗的基础和临床研究,从而为后续研究指明方向。

     

    Abstract: Chemotherapy has been the cornerstone of cancer treatment for decades. However, albeit remarkable, the response to chemotherapy is generally short-lived. With deepened understanding of cancer immunology, resurgence was recently witnessed in the field of cancer immunotherapy. Unlike chemotherapy, immunotherapy induces a relatively mild but stable response. Accumulating evidence reveals that apart from chemotherapy's direct cytotoxic activity, chemotherapy exerts immune-potentiating effects by increasing the immunogenicity of tumor cells or by disrupting the tumor-induced immunosuppression and altering the immune microenvironment. The latter mechanism serves as the basis for the combined use of chemotherapy and immunotherapy. In this review, we examine the rationale for combinatorial therapy in accordance with the current understanding on tumor immunity and newly discovered immune-based chemotherapeutic mechanisms. We further discuss the available preclinical and clinical studies on the combination of chemotherapy and immunotherapy for cancer treatment. We aim to provide a framework for further research.

     

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