钟懋晰, 朱宇熹. 食管癌免疫检查点抑制剂单药及联合治疗的研究进展[J]. 中国肿瘤临床, 2020, 47(20): 1070-1075. DOI: 10.3969/j.issn.1000-8179.2020.20.750
引用本文: 钟懋晰, 朱宇熹. 食管癌免疫检查点抑制剂单药及联合治疗的研究进展[J]. 中国肿瘤临床, 2020, 47(20): 1070-1075. DOI: 10.3969/j.issn.1000-8179.2020.20.750
Zhong Maoxi, Zhu Yuxi. Progress in monotherapy and combined therapy with immune checkpoint inhibitors for esophageal cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(20): 1070-1075. DOI: 10.3969/j.issn.1000-8179.2020.20.750
Citation: Zhong Maoxi, Zhu Yuxi. Progress in monotherapy and combined therapy with immune checkpoint inhibitors for esophageal cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(20): 1070-1075. DOI: 10.3969/j.issn.1000-8179.2020.20.750

食管癌免疫检查点抑制剂单药及联合治疗的研究进展

Progress in monotherapy and combined therapy with immune checkpoint inhibitors for esophageal cancer

  • 摘要: 食管癌的发病率高,死亡率高,严重威胁人类健康。食管癌的组织学类型与地域的分布有关,中国以鳞癌为主,不同病理类型的治疗方法和预后有一定的区别,但总体疗效不佳。近年来,靶向程序性细胞死亡因子-1(programmed death-1,PD-1)及其配体(programmed death-ligand 1,PD-L1)为代表的免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)对食管癌显示出良好的抗肿瘤活性,对难治性食管癌患者疗效较好。部分ICIs药物已被指南推荐为后线治疗选择。同时,多项临床试验正在探索ICIs联合其他方法的一线治疗模式。因此,拟针对ICIs治疗食管癌的相关进展进行综述。

     

    Abstract: Esophageal cancer (EC) has high morbidity and mortality, which seriously threatens human health. The histological subtypes of EC are closely related to region and race. Squamous EC is the most common histological type in China. Although the treatment and prognosis differ according to pathological type, the overall survival of EC patients is not satisfactory. In recent years, immune checkpoint inhibitors (ICIs), represented by agents targeting programmed cell death-1 (PD-1) and programmed death-ligand 1(PD-L1), have yielded encouraging results in patients with refractory EC. ICI has shown good anti-tumor activity against advanced EC, and some ICIs have already been recommended for posterior line therapy in guidelines. At the same time, clinical trials have tried to investigate whether ICIs could be used as first-line treatment with or without other treatments. Herein, we review the progress in ICIs treatment for EC.

     

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