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实体瘤免疫治疗现状与未来发展方向

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免疫治疗已革新肿瘤临床治疗实践,成为实体瘤治疗的核心策略之一.目前,临床上已获批的实体瘤免疫治疗策略包括:PD-1抗体、CTLA-4抗体、双特异性抗体、TCR-T、TIL等,这些免疫治疗策略主要通过激活T细胞抗瘤免疫反应或直接补充肿瘤反应性的T细胞发挥其抗瘤效应.然而受限于肿瘤微环境中的抑制因素,这些治疗策略的治疗效果仍不够理想.本文以肿瘤-免疫循环理论为基础,对目前已获批的肿瘤免疫治疗策略、早期临床试验以及新兴的免疫治疗策略进行系统性综述,并对针对T细胞及T细胞以外的细胞群体的免疫治疗的未来发展方向进行展望.
Current status and future directions of immunotherapy for solid tumors
Immunotherapy has revolutionized clinical treatment of solid tumors,becoming a core strategy for the treatment of solid tumors. Currently approved immunotherapy strategies for solid tumors include PD-1 antibodies,CTLA-4 antibodies,bispecific antibodies,TCR-T cells,and TIL. These approaches primarily exert antitumor effects by activating T-cell-mediated immune responses or directly supplementing tumor-reactive T cells. However,restrained by inhibitory factors within the tumor microenvironment,the therapeutic outcomes of these strategies remain suboptimal. Based on the cancer-immunity cycle theory,this article provides a systematic review of approved immunotherapy strategies,early-stage clinical trials,and emerging immunotherapy approaches. It also offers insights into the future directions of immunotherapy targeting T cells and other cell populations beyond T cells.

cancer immunitycancer immunotherapyimmune checkpoint inhibitorstumor microenvironmentadoptive cell therapy

查皓然、朱波

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中国人民解放军陆军军医大学附属新桥医院 肿瘤科,重庆 400037

中国人民解放军火箭军特色医学中心肿瘤科,北京 100088

肿瘤免疫 肿瘤免疫治疗 免疫检查点抑制剂 肿瘤微环境 过继性细胞治疗

2024

中国肿瘤生物治疗杂志
中国免疫学会,中国抗癌协会

中国肿瘤生物治疗杂志

CSTPCD北大核心
影响因子:0.696
ISSN:1007-385X
年,卷(期):2024.31(11)