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[Regulatory effect of molecular targeted drugs on the immune system for liver cancer]
1Department of Infectious Diseases, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China.
Abstract:
Molecular targeted drugs are the first choice for systemic treatment of liver cancer. In the past decade, several anti-liver cancer targeted drugs have been launched. More recently, immunotherapy has become a dazzling nova in the field of systemic treatment of liver cancer. Nivolumab and pembrolizumab have been approved as second-line treatments for patients with advanced hepatocellular carcinoma treated with sorafenib. However, the effect of single-agent treatment is always unsatisfactory in advanced liver cancer. An increasing number of evidences suggests that molecular targeted drugs have important immunomodulatory effects for liver cancer, and several targeted combined immunotherapies have also shown promising clinical effectiveness. This paper reviews the immunomodulatory effects of several molecular targeted drugs in the field of liver cancer.
Insights
Molecular targeted drugs and immunotherapy are key for liver cancer. Combining targeted therapies with immunotherapy shows promise for advanced liver cancer treatment, improving outcomes beyond single-agent approaches.
Area of Science:
- Hepatocellular carcinoma research
- Cancer immunotherapy
- Molecular targeted therapy
Background:
- Molecular targeted drugs are primary systemic treatments for liver cancer, with several approved in the last decade.
- Immunotherapy, including nivolumab and pembrolizumab, is now a significant option for advanced hepatocellular carcinoma (HCC) after sorafenib treatment.
- Single-agent therapies often yield unsatisfactory results in advanced liver cancer.
Purpose of the Study:
- To review the immunomodulatory effects of molecular targeted drugs in liver cancer.
- To explore the potential of combining targeted therapy with immunotherapy for advanced HCC.
- To highlight emerging treatment strategies in liver cancer systemic therapy.
Main Methods:
- Literature review of studies on molecular targeted drugs in liver cancer.
- Analysis of clinical trial data for targeted therapies and immunotherapies.
- Examination of evidence on the immunomodulatory roles of targeted agents.
Main Results:
- Molecular targeted drugs possess significant immunomodulatory capabilities in liver cancer.
- Combination therapies of targeted drugs and immunotherapy demonstrate promising clinical efficacy.
- Evidence suggests synergistic effects between targeted agents and immune checkpoint inhibitors.
Conclusions:
- Targeted therapies can enhance the effectiveness of immunotherapy in liver cancer.
- Combined approaches offer a more potent strategy for managing advanced HCC.
- Further research into targeted drug immunomodulation is crucial for optimizing liver cancer treatment.
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