首页|PD-1抑制剂治疗肝炎相关原发性肝癌的病毒再激活研究进展

PD-1抑制剂治疗肝炎相关原发性肝癌的病毒再激活研究进展

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原发性肝细胞癌(HCC)是我国最常见的恶性肿瘤之一,慢性乙型病毒性肝炎、慢性丙型病毒性肝炎是HCC发生的主要危险因素,因慢性感染促进程序性细胞死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)等免疫共抑制分子的释放,导致免疫耐受及肿瘤的发生。近年来,以免疫检查点抑制剂(ICIs)为主的综合治疗已广泛运用于晚期肿瘤的治疗,然而,其导致的乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)再激活相关研究报道较少,该文就PD-1/PD-L1抑制剂治疗肝炎相关原发性肝癌的病毒再激活进行综述。
Research progress on viral reactivation of PD-1 inhibitors in the treatment of hepatitis-related liver cancer
Primary hepatocellular carcinoma(HCC)is one of the most common malignant tumors in China.Chronic hepatitis B and chronic hepatitis C are the main risk factors for HCC.Chronic infection pro-motes the release of immune co-inhibitory molecules such as programmed cell death protein 1(PD-1)/pro-grammed death ligand 1(PD-L1),which leads to immune tolerance and tumorigenesis.In recent years,compre-hensive treatment based on immune checkpoint inhibitors(ICIs)has been widely used in the treatment of ad-vanced tumors.However,there are few reports on the reactivation of hepatitis B virus(HBV)and hepatitis C virus(HCV)caused by ICIs.This article reviews the viral reactivation of PD-1/PD-L1 inhibitors in the treat-ment of hepatitis-related primary liver cancer.

PD-1 inhibitorImmunotherapyPrimary hepatocellular carcinomaHepatitis virusViral reactivationReview

刘月圆、刘建婷、张荣生

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大理大学第一附属医院肿瘤科,云南大理 671000

PD-1抑制剂 免疫治疗 原发性肝细胞癌 肝炎病毒 病毒再激活 综述

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(20)