Current Status of Immunotherapy in Management of Small Bowel Neuroendocrine Tumors.

IF 4.7 2区 医学 Q1 ONCOLOGY
Current Oncology Reports Pub Date : 2024-11-01 Epub Date: 2024-10-28 DOI:10.1007/s11912-024-01610-w
Brittany C Fields, Reed I Ayabe, Y David Seo, Jessica E Maxwell, Daniel M Halperin
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引用次数: 0

Abstract

Purpose of review: This study aims to present the current landscape of immunotherapy in the management of small bowel neuroendocrine tumors and identify ongoing and future targets for improved response.

Recent findings: Somatostatin analogs and mTOR inhibitors remain cornerstones of non-surgical treatment, and applications of PRRT in SBNET are promising. Several efforts to replicate the success of immunotherapies in other solid tumors have been attempted in SBNET, with limited responses observed with current immune targets, such as PD-1/PD-L1 and CTLA-4. Epigenetic analyses have suggested a potential role for methylation and histone acetylation in SBNET tumorigenesis that warrant greater exploration. While the incidence of SBNET continues to increase, the number of effective therapies is few. Further elucidation of targetable components of the SBNET immune microenvironment with greater modulatory effects is necessary to improve outcomes in this growing patient population.

免疫疗法治疗小肠神经内分泌肿瘤的现状。
综述的目的:本研究旨在介绍免疫疗法在小肠神经内分泌肿瘤治疗中的现状,并确定当前和未来改善反应的目标:最近的发现:体生长激素类似物和 mTOR 抑制剂仍是非手术治疗的基石,PRRT 在 SBNET 中的应用前景广阔。目前,PD-1/PD-L1 和 CTLA-4 等免疫靶点的反应有限。表观遗传学分析表明,甲基化和组蛋白乙酰化在 SBNET 肿瘤发生中的潜在作用值得进一步探讨。虽然 SBNET 的发病率持续上升,但有效的治疗方法却寥寥无几。有必要进一步阐明 SBNET 免疫微环境中具有更大调节作用的靶向成分,以改善这一日益增长的患者群体的治疗效果。
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来源期刊
CiteScore
8.50
自引率
0.00%
发文量
187
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published clinical findings in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by cancer. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as cancer prevention, leukemia, melanoma, neuro-oncology, and palliative medicine. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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