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鼻咽癌免疫治疗研究进展

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鼻咽癌(NPC)是头颈部最常见的恶性肿瘤。近年来,基于程序性死亡-1/程序性死亡配体-1(PD-1/PD-L1)阻断的免疫检查点抑制剂(ICIs)取得突破性进展,PD-1 抑制剂被批准用于复发和/或转移性NPC的治疗。目前,PD-1 免疫检查点抑制剂已经成为NPC免疫治疗的主要方法,其他免疫疗法,还包括肿瘤疫苗、细胞因子、治疗性抗体、分子靶向治疗等。NPC免疫治疗可提高人体免疫力,减轻治疗的不良反应,提高患者生活质量。越来越多的临床研究,调查免疫疗法治疗晚期NPC的安全性和有效性。NPC免疫治疗取得较大进展,多项免疫治疗的临床研究在晚期NPC中取得了成功。在文献调研的基础上,从肿瘤免疫治疗、NPC免疫治疗方法、NPC免疫治疗的不足3 个方面,综述NPC免疫治疗的原理、主要方法、存在的问题,旨在为鼻咽癌免疫治疗提供最佳方案。
Research progress in immunotherapy for nasopharyngeal carcinoma
Nasopharyngeal carcinoma(NPC)is the most common malignant tumor in head and neck region.In recent years,breakthrough progress has been made in immune checkpoint inhibitors(ICIs)based on programmed death-1/programmed death ligand-1(PD-1/PD-L1)blockade,and PD-1 inhibitors have been approved for the treatment of recurrent and/or metastatic NPC.At present,PD-1 immune checkpoint inhibitors have become the main method of NPC immunotherapy,and other immunotherapies include tumor vaccines,cytokines,therapeutic antibodies,molecular targeted therapy,etc.NPC immunotherapy improves the body's immunity,reduces the side effects of therapy,and improves quality of life for patients.Many clinical studies have investigated the safety and effectiveness of immunotherapy in the therapy of advanced NPC.Significant progress has been made in the immunotherapy of NPC,and multiple clinical studies on immunotherapy have achieved success in terminal NPC.Based on literature research,this article reviews the principles,main methods,and existing problems of NPC immunotherapy from three aspects:tumor immunotherapy,NPC immunotherapy methods,and the shortcomings of NPC immunotherapy.The aim of this article is to provide the best plan for immunotherapy of NPC.

nasopharyngeal carcinomaimmunotherapyprogrammed death-1immune evasion

杨成盛、黄士浦、刘佳艺、黄卫国

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桂林医学院基础医学院,桂林 541199

鼻咽癌 免疫治疗 程序性死亡-1 免疫逃避

国家自然科学基金地区科学基金广西自然科学基金国家级大学生创新创业训练计划

823605282023GXNSFAA026021202210601021

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(2)
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