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胃癌免疫环境重塑的研究进展

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胃癌是我国高发且预后较差的恶性肿瘤.根治性手术、放化疗、靶向治疗、免疫治疗等尚未能彻底改变进展期胃癌治疗的困局.日益增多的证据提示,肿瘤的免疫微环境及系统免疫环境对治疗效果和生存预后有重要影响.因此本文简述了胃癌免疫微环境及系统免疫环境的构成,综述了靶向程序性细胞死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)、Claudin18.2的单克隆抗体等新兴方法治疗胃癌的研究进展,以及上述治疗方法和放疗、化疗对胃癌局部微环境和系统免疫环境的影响.结合自身经验探讨便捷、高效地监测和重塑胃癌免疫微环境及系统免疫环境的可能途径,希望为胃癌个体化综合治疗新策略的研究提供新思路.
Research progress on reshaping of immune environment in gastric cancer
Gastric cancer is a malignant tumor with a high incidence and poor prognosis in China.Radical surgery,radiotherapy and chemotherapy,as well as newly developed targeted therapy and immunotherapy,have not yet completely changed the treatment dilemma of advanced gastric cancer.An increasing amount of research evidence suggests that the immune microenvironment and systemic immune environment of tumors have a significant impact on treatment efficacy and survival prognosis.Therefore,this article briefly describes the current research status of the immune microenvironment and systemic immune environment,and reviews the research progress of emerging methods such as monoclonal antibodies targeting programmed cell dealth 1(PD-1)/programmed cell dealth ligland 1(PD-L1),Claudin 18.2,and the effects of the above methods including radiotherapy and chemotherapy on the local microenvironment and systemic immune environment of gastric cancer.It explores the possible ways to economically and efficiently monitor and reshape the immune microenvironment and systemic immune environment of gastric cancer,in order to provide new ideas for the research of personalized comprehensive treatment strategies for gastric cancer.

Gastric cancerTumor immune microenvironmentSystem immune environmentImmune remodeling

相小松、苏钰、潘军、郭飞龙、马龙、李国立

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210002 南京 解放军东部战区总医院普通外科

210002 解放军东部战区总医院全科医学科

210002 解放军东部战区总医院肿瘤科

胃癌 肿瘤免疫微环境 系统免疫环境 免疫重塑

2024

临床肿瘤学杂志
解放军第八一医院

临床肿瘤学杂志

CSTPCD
影响因子:1.583
ISSN:1009-0460
年,卷(期):2024.29(10)