A twenty year perspective on melanoma therapy

IF 3.9 3区 医学 Q2 CELL BIOLOGY
Keith T. Flaherty
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Abstract

Melanoma had long been considered to be particularly addressable with immunotherapy, but that reputation was built on modestly effective cytokine-based immunotherapy. CTLA-4 antibody therapy reinforced this legacy, but PD-1 antibodies transformed the melanoma treatment landscape and lead the way for immunotherapy to become standard treatment for more than half of the advanced cancer population. BRAF mutations were discovered in 8% of all cancer and nearly 50% of melanomas. Successful development of BRAF inhibitors and BRAF/MEK combination therapy in melanoma preceded regulatory approval across all cancer types. No cancer type saw outcomes improved by the same margin as melanoma in the decade of the 2010s.

Abstract Image

黑色素瘤治疗二十年展望。
长期以来,黑色素瘤一直被认为是免疫疗法特别可治疗的,但这种声誉是建立在适度有效的基于细胞因子的免疫疗法之上的。CTLA-4抗体治疗强化了这一传统,但PD-1抗体改变了黑色素瘤治疗的格局,并引领免疫疗法成为超过一半的晚期癌症人群的标准治疗。在8%的癌症和近50%的黑色素瘤中发现了BRAF突变。在所有癌症类型的监管批准之前,BRAF抑制剂和BRAF/MEK联合治疗黑色素瘤的成功开发。在2010年代的十年中,没有一种癌症类型的结果改善幅度与黑色素瘤相同。
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来源期刊
Pigment Cell & Melanoma Research
Pigment Cell & Melanoma Research 医学-皮肤病学
CiteScore
8.90
自引率
2.30%
发文量
54
审稿时长
6-12 weeks
期刊介绍: Pigment Cell & Melanoma Researchpublishes manuscripts on all aspects of pigment cells including development, cell and molecular biology, genetics, diseases of pigment cells including melanoma. Papers that provide insights into the causes and progression of melanoma including the process of metastasis and invasion, proliferation, senescence, apoptosis or gene regulation are especially welcome, as are papers that use the melanocyte system to answer questions of general biological relevance. Papers that are purely descriptive or make only minor advances to our knowledge of pigment cells or melanoma in particular are not suitable for this journal. Keywords Pigment Cell & Melanoma Research, cell biology, melatonin, biochemistry, chemistry, comparative biology, dermatology, developmental biology, genetics, hormones, intracellular signalling, melanoma, molecular biology, ocular and extracutaneous melanin, pharmacology, photobiology, physics, pigmentary disorders
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