在非小细胞肺癌中对免疫治疗的耐药性:解开原因,制定有效的策略,并探索潜在的突破
Shuang Dong1, Xiaoyu Li1, Qing Huang1
1Department of Medical Oncology, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430079, China.
概括
了解非小细胞肺癌 (NSCLC) 的免疫疗法耐药性至关重要. 本综述详细介绍了涉及各种细胞和分子因素的耐药性机制,指导未来的组合策略,以获得更好的患者结果.
科学领域:
- 瘤学和免疫学
- 癌症研究 癌症研究
- 翻译医学是一种翻译医学.
背景情况:
- 免疫疗法,特别是免疫检查点抑制剂 (ICI),已经彻底改变了非小细胞肺癌 (NSCLC) 治疗.
- 对免疫疗法的治疗耐药性仍然是一个重大的临床挑战,需要对潜在机制有更深入的了解.
研究的目的:
- 综合审查NSCLC免疫疗法耐药性的多方面的机制.
- 探索各种细胞组件,分子异常和宏观因素在电阻中的作用.
- 讨论不断发展的治疗策略和克服耐药性的未来方向.
主要方法:
- 对临床前,临床和现实世界的证据进行文献综述.
- 对导致耐药性的遗传,表观遗传,细胞和环境因素的分析.
- 综合关于组合疗法和治疗目标的当前知识.
主要成果:
- 抵抗机制涉及多种类型的细胞 (除了癌细胞) 作为信号接收者和信号生成者.
- 分子驱动因素包括由激酶,生长因子和细胞因子调节的遗传/表观遗传异常.
- 诸如营养,并发症和微生物群等宏观因素显著影响治疗反应.
结论:
- 结合免疫疗法与放射治疗,化疗,向治疗和其他疗法相结合的组合策略是有希望的.
- 从消除癌细胞的重点转移到免疫调节和宿主微环境调节是关键.
- 解决当前的研究障碍和探索新的治疗途径对于推进NSCLC免疫疗法至关重要.
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