推进结直肠免疫瘤学的转化研究
Elaine M Thomas1, Josephine A Wright2, Stephen J Blake2
1Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.
British journal of cancer
|August 10, 2023
概括
结直肠癌 (CRC) 的临床前模型对于开发免疫检查点抑制剂 (ICI) 至关重要. 本综述评估了当前的小鼠模型,以提高CRC免疫疗法响应率.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 翻译研究是翻译研究.
背景情况:
- 结肠直肠癌 (CRC) 是一个重大的健康负担,免疫检查点抑制剂 (ICI) 在大多数患者中有效性有限.
- 患有DNA不匹配修复缺陷 (dMMR) 和微卫星不稳定 (MSI) CRC的患者表现出更好的ICI反应,但可靠的预测因素很少.
- 开发新的战略来加强ICI响应并克服CRC中的阻力仍然是一个至关重要的未满足需求.
研究的目的:
- 审查CRC免疫调节策略的临床前测试现状.
- 批判性地评估现有的小鼠模型在预测ICI临床反应中的有用性.
- 确定在临床前模型中需要改进的关键领域,以加快CRC的治疗开发.
主要方法:
- 在免疫治疗研究中使用的临床前CRC模型的系统审查.
- 分析常用的小鼠模型:化学诱导,移植和转基因.
- 评估模型的局限性和优势,以回顾人类的CRC和免疫反应.
主要成果:
- 现有的CRC小鼠模型在充分代表人类疾病复杂性和预测ICI疗效方面存在局限性.
- 化学诱导,移植和转基因模型提供了明显的优势,但也存在重大缺陷.
- 需要更复杂的模型,更好地模仿患者特定的瘤微环境和免疫相互作用.
结论:
- 改善临床前模型对于推进CRC免疫疗法至关重要.
- 整合来自患者的数据和开发新的先进模型是关键的步骤.
- 优化临床前测试将加速将研究成果转化为有效的CRC治疗方法.
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