胃肠道癌症的免疫疗法:当前的见解
Xue Jiang1, Yangyang Zhan1, Dong-Hua Yang2
1Department of Pharmacy, Shanghai Eastern Hepatobiliary Surgery Hospital, Shanghai, 200438, People's Republic of China.
Clinical pharmacology : advances and applications
|July 29, 2025
概括
免疫疗法,包括免疫检查点抑制剂和新的方法,如CAR-T细胞疗法,为胃肠道癌症提供有效和耐受的治疗方法. 本综述探讨了进展,挑战和个性化策略,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 胃肠道 (GI) 癌症是全球领先的恶性瘤.
- 免疫疗法代表了胃肠道癌症治疗的范式转变,激活了对瘤的免疫系统.
- 已批准的免疫疗法,如免疫检查点抑制剂 (ICI),显示出显著的疗效和可控的毒性.
研究的目的:
- 审查胃肠道癌症免疫治疗的最新进展.
- 探索超越ICI的新型免疫治疗策略.
- 讨论个性化治疗的挑战和未来方向.
主要方法:
- 关于肠道癌症免疫治疗的当前文献的综述.
- 对各种免疫治疗剂的临床试验数据的摘要.
- 分析新兴疗法,包括CAR-T,瘤病毒和癌症疫苗.
主要成果:
- 免疫检查点抑制剂 (PD-1,PD-L1,CTLA-4,LAG-3) 与其他治疗相结合已获得批准并具有有益作用.
- 克劳丁18.2向的CAR-T疗法显示出前景,在晚期胃/食道结癌中,客观缓解率为48.6%.
- 瘤病毒和个性化新抗原疫苗在临床研究中显示出潜在的疗效和安全性.
结论:
- 免疫疗法彻底改变了胃肠道癌症的治疗方法,提供了更好的疗效和耐受性.
- 像CAR-T,瘤病毒和癌症疫苗等新兴疗法具有显著的前景.
- 解决挑战和个性化治疗策略对于最大限度地提高治疗效益和改善患者预后至关重要.
更多相关视频
07:55Flow Cytometry-Based Isolation and Therapeutic Evaluation of Tumor-Infiltrating Lymphocytes in a Mouse Model of Pancreatic Cancer
Published on: January 17, 2025
1.1K
07:21Molecular and Immunologic Techniques in a Genetically Engineered Mouse Model of Gastrointestinal Stromal Tumor
Published on: May 2, 2022
2.2K
相关概念视频
Tumor Immunotherapy
662
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
662
Cancer Vaccines
514
Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
514
Targeted Cancer Therapies
7.8K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.8K
Cancer Therapies
8.0K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
8.0K
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
271
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
271
