Gabriela Patricia Guijarro Reinoso, Nathaly Paola Castro Moscoso, Paula Doménica Astudillo Goyo, Bryan Steven Pasquel Rodríguez, Jefferson Vicente Urvina Muñoz
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引用次数: 0
摘要
癌症免疫疗法利用患者的免疫系统来对抗癌细胞,几乎没有副作用,因此成为实体癌和血液肿瘤的可行治疗方案。本文回顾了癌症免疫疗法领域的当前发展以及潜在方向,重点关注免疫检查点抑制剂(ICI)、嵌合抗原受体(CAR)T细胞治疗和癌症疫苗。我们使用 PubMed、Scopus 和 Google Scholar 对 2018 年至 2023 年期间的文献进行了全面分析。研究结果表明,免疫检查点抑制剂在治疗各种癌症方面效果显著,尤其是与抗PD-1和抗CTLA-4抗体联合使用时,可提高生存率并产生持久疗效。在血液系统恶性肿瘤方面,CAR T 细胞疗法(尤其是第二代疗法)取得了令人鼓舞的成果,对复发或耐药患者产生了显著的疗效。针对肿瘤特异性抗原的癌症疫苗在增强 T 细胞反应方面已显示出希望,尽管存在自体反应性免疫反应和肿瘤异质性等障碍。尽管取得了这些进展,但仍存在一些缺点,如与免疫相关的不良反应、不一致的反应率以及后勤方面的挑战。根据未来的观点,为了克服这些障碍并提高治疗成功率,有必要采用新的联合疗法、生物标志物驱动策略和创新的给药方法。
ADVANCES IN CANCER IMMUNOTHERAPY: A COMPREHENSIVE REVIEW OF CURRENT AND FUTURE APPROACHES IN THE TREATMENT OF SOLID AND HEMATOLOGIC TUMORS.
Cancer immunotherapy uses the patient's immune system to fight cancerous cells with little to no side effects, making it a viable treatment option for solid and hematologic cancers. Reviewing current developments as well as potential directions for the field of cancer immunotherapy, this paper focuses on immune checkpoint inhibitors (ICI), chimeric antigen receptor (CAR) T-cell treatment, and cancer vaccines. A thorough analysis of the literature using publications from 2018 to 2023 was carried out using PubMed, Scopus, and Google Scholar. The findings demonstrate the immune checkpoint inhibitors' outstanding effectiveness in treating a variety of cancers, especially when combined with anti-PD-1 and anti-CTLA-4 antibodies, which result in improved survival rates and long-lasting effects. In hematologic malignancies, CAR T-cell therapy—particularly second-generation designs—has shown encouraging results, producing notable responses in patients with relapsed or resistant illness. Cancer vaccines that target tumor-specific antigens have shown promise in enhancing T-cell responses, despite obstacles such autoreactive immune responses and tumor heterogeneity. Notwithstanding these developments, there are still several drawbacks, such as immune-related adverse effects, inconsistent response rates, and logistical challenges. According to future views, in order to overcome these obstacles and improve treatment success, new combination treatments, biomarker-driven strategies, and creative delivery methods are necessary.