首页|胃癌免疫治疗的研究进展

胃癌免疫治疗的研究进展

扫码查看
胃癌是全球最常见的恶性肿瘤之一,由于其早期症状轻微、筛查率低的特点,多数病人发现时已是局部晚期或晚期,预后较差.近年来,免疫治疗在胃癌领域取得了显著进展,特别是对肿瘤不可切除和复发转移的病人效果显著,为病人提供了继手术、化疗、放疗和靶向治疗后的另一种有效治疗方法.随着对肿瘤免疫学越来越深入的探索,免疫治疗的理论机制正在不断完善.一系列关于以程序性死亡蛋白-1及程序性死亡蛋白配体-1为核心的免疫检查点抑制剂的药物临床研究均显示出对胃癌有良好的疗效,免疫治疗正在逐步改写胃癌的治疗模式.该文将通过免疫治疗的机制、程序性死亡蛋白配体-1蛋白表达检测在筛选免疫治疗的潜在获益人群中的应用、免疫治疗在晚期和进展期胃癌中的应用三个方面评述胃癌免疫治疗的研究进展.
Research advances of immunotherapy for gastric cancer
Gastric cancer(GC)is one of the most prevalent malignant neoplasms in the world.Due to mild and often unnoticed early symptoms and a low screening rate,most patients are diagnosed at a locally advanced or a late stage with poor outcomes.In recent years,immunotherapy has made significant headways in the treatment of GC,particularly for those with unresectable tumors and recurrent metastases.It has emerged as a valuable additional option for patients after surgery,chemoradiotherapy and targeted therapy.With a deeper understanding of tumor immunology,theoretical mechanisms of immunotherapy are continuously refined.A series of clinical studies on immune checkpoint inhibitors of programmed death protein-1 and programmed death protein ligand-1 have demonstrated promising efficacy for GC.And immunotherapy is gradually transforming the therapeutic paradigm of GC.This review summarized the latest researches of immunotherapy for GC through elucidating the mechanisms of immunotherapy,examining the utility of programmed death protein ligand-1 protein expression assay in identifying potential beneficiaries of immunotherapy and evaluating the applications of immunotherapy for advanced and progressive GC.

Gastric cancerImmunotherapyProgrammed death protein-1Programmed death protein ligand-1

郑浩、张子龙

展开 >

长江大学附属荆州医院胃肠外科,湖北 荆州 434020

胃癌 免疫治疗 程序性死亡蛋白-1 程序性死亡蛋白配体-1

湖北省自然科学基金上项目

2022CFB088

2024

腹部外科
中华医学会武汉分会

腹部外科

CSTPCD
影响因子:0.615
ISSN:1003-5591
年,卷(期):2024.37(4)
  • 4