在固体瘤中获得免疫疗法的耐药性
Perrine Verdys1, Astrid Z Johansen1, Anurag Gupta2
1National Center for Cancer Immune Therapy (CCIT-DK), Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.
对免疫疗法 (ARI) 的获得性耐药性阻碍了许多患者在固体瘤中长期取得成功. 了解复杂的瘤内在和外在机制对于开发有效的针对ARI的干预措施至关重要.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 癌症研究 癌症研究
背景情况:
- 获得免疫疗法耐药性 (ARI) 是固体瘤的重大临床挑战,影响到最初响应患者的65%.
- 对ARI的标准化临床定义仍在开发中,这突显了这种现象的复杂性.
研究的目的:
- 审查了解固体瘤中获得的免疫疗法耐药性背后的多面机制的最新进展.
- 强调了解ARI发展的重要性,以创建预防策略和有效治疗方法.
主要方法:
- 本综述综合了目前关于导致ARI的瘤内在和外在因素的研究.
- 它检查了包括抗原处理缺陷,干扰素- (IFNγ) 不敏感性,T细胞排除,代谢重编程和瘤微环境的作用在内的机制.
主要成果:
- ARI涉及复杂的瘤内在机制,如抗原损失和IFNγ不敏感性.
- 外在因素,如免疫抑制细胞,细胞外矩阵重塑和微生物群失调也起着关键的作用.
- 瘤介导的T细胞排斥和代谢重编程被确定为主要贡献者.
结论:
- 对ARI的多种机制的全面理解对于临床管理至关重要.
- 将新的治疗策略与使用良好特征样本的翻译研究相结合,对于克服ARI和实现持久的患者益处至关重要.
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