为什么每日运行时间对免疫检查点抑制剂的有效性很重要?
Abdoulaye Karaboué1,2, Pasquale F Innominato3,4, Nicholas I Wreglesworth3,5
1UPR "Chronotherapy, Cancer and Transplantation", Medical School, Paris-Saclay University, 94800, Villejuif, France.
British journal of cancer
|June 4, 2024
概括
当天早些时候服用免疫检查点抑制剂 (ICI) 可能会显著改善癌症患者的生存率. 循环节律影响免疫治疗的有效性,突出了需要定时治疗的必要性.
科学领域:
- 时间生物学 时间生物学
- 癌症免疫学 癌症免疫学
- 免疫治疗是一种免疫疗法.
背景情况:
- 昼夜节律显著影响化疗和放射治疗的疗效.
- 新出现的数据表明,剂量时间对于癌症免疫治疗结果至关重要.
研究的目的:
- 审查关于昼夜节律在免疫检查点抑制剂 (ICI) 疗法中的作用的临床数据.
- 分析连接昼夜节律与ICI疗效24小时变化的机制.
主要方法:
- 对ICI疗法的临床数据的审查.
- 分析涉及昼夜节律障碍和瘤免疫微观环境的机制.
主要成果:
- 一天的早期时间 (ToD) ICI输液与在9个国家的3250名患者的无进展和整体存活率增加多达四倍相关.
- 破坏昼夜节律可以通过免疫抑制瘤微环境促进癌症和治疗失败.
结论:
- 了解抗瘤免疫的昼夜调节是至关重要的.
- 需要随机试验来建立个性化的慢性免疫疗法建议.
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