针对晚期恶性瘤的CSF1R向的挑战和前景
Ann Moeller1, Razelle Kurzrock2,3, Gregory P Botta4
1Sharp Rees-Stealy Medical Group San Diego, CA, USA.
American journal of cancer research
|August 10, 2023
概括
殖民地刺激因子1受体 (CSF1R) 阻断是一种潜在的癌症治疗方法. 高CSF1R表达与胰腺癌患者的生存结果无关,但通常与其他免疫检查点同时发生.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 分子生物学分子生物学
背景情况:
- 殖民地刺激因子1受体 (CSF1R) 信号影响瘤相关的巨细胞.
- 作为一种免疫调节癌症疗法,CSF1R阻断正在被探索.
研究的目的:
- 调查CSF1R瘤RNA表达和患者在各种癌症类型中的结果之间的相关性.
- 评估CSF1R表达对接受CSF1R抑制剂治疗的患者的生存的影响.
主要方法:
- 对CSF1RRNA表达的全癌症分析,以百分位数排列.
- 生存分析比较高 (≥50百分位) 与低 (<50百分位) 的CSF1R表达体.
- 在接受CSF1R抑制剂的患者中评估CSF1R表达,并评估并发性免疫检查点标志物的上调.
主要成果:
- 在514名患者中,高和低CSF1R表达因数之间没有观察到活检后生存的显著差异.
- 在21名接受CSF1R抑制剂治疗的患者中,没有发现中位数无进展或总生存时间的显著差异.
- 在高CSF1R表达率 (≥50百分位) 的瘤中,至少两种额外的免疫检查点标记物的同时上调.
结论:
- 瘤CSF1R表达本身似乎无法预测泛癌队列中的生存结果.
- 高CSF1R表达与多个免疫检查点通路的协同激活有关.
- 针对高CSF1R表达瘤的未来治疗策略可能需要共同准这些激活的免疫检查点.
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