在免疫治疗中要征服的下一个堡垒:微卫星稳定的结直肠癌
Kai Ding1, Pei Mou2, Zhe Wang3
1Department of Gastroenterology, Changzheng Hospital, Naval Medical University, Shanghai, China.
Frontiers in immunology
|January 8, 2024
概括
结肠直肠癌 (CRC) 治疗正在通过免疫检查点抑制剂 (ICI) 取得进展. 本综述探讨了瘤微环境 (TME) 在熟练的不匹配修复 (pMMR) 或微卫星稳定 (MSS) CRC 中,以提高ICI治疗疗效.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 癌症研究 癌症研究
背景情况:
- 结肠直肠癌 (CRC) 是全球癌症死亡的主要原因.
- 免疫检查点抑制剂 (ICI) 改善了CRC治疗,特别是对于dMMR/MSI-H亚型.
- 熟练的不匹配修复 (pMMR) 或微卫星稳定 (MSS) CRC仍然是免疫治疗的挑战.
研究的目的:
- 审查目前关于pMMR/MSS CRC中的瘤微环境 (TME) 的研究.
- 探索pMMR/MSS CRC.免疫治疗策略的进展.
- 确定潜在的TME标,以提高pMMR/MSSCRC中的免疫治疗疗效.
主要方法:
- 对pMMR/MSS CRC现有研究的文献综述.
- 对瘤微环境特征的分析.
- 综合当前免疫疗法方法和结果.
主要成果:
- TME显著影响CRC进展和免疫治疗反应.
- 了解pMMR/MSS CRC TME特征对于治疗优化至关重要.
- 新兴的战略旨在调节TME以提高ICI的有效性.
结论:
- 针对TME提供了一个有希望的途径,以改善pMMR/MSS CRC中的免疫治疗结果.
- 进一步研究TME调制对于推进CRC治疗至关重要.
- 基于TME分析的个性化免疫疗法方法可以提高患者的反应.
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