免疫检查点疗法的突破:通过新技术克服NSCLC免疫检查点疗法耐药性
Li-Ping Kang1, Hua-Jing Huang2, Cong Xu3
1Zhuhai Hospital of Integrated Traditional Chinese & Western Medicine, Zhuhai, Guangdong, China.
Frontiers in immunology
|September 18, 2025
概括
免疫检查点疗法对非小细胞肺癌 (NSCLC) 有希望,但面临阻力. 本综述探讨了结合疗法和生物标志物等新策略,以提高癌症免疫疗法治疗效率.
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:
- 免疫检查点治疗是一种非小细胞肺癌 (NSCLC) 的开创性治疗方法.
- 然而,许多患者发展出耐药性,限制了治疗疗效.
- 了解抵抗机制对于推进癌症免疫治疗至关重要.
研究的目的:
- 在NSCLC中提供免疫检查点治疗的全面审查.
- 分析当前的检查点抑制剂和抵抗机制.
- 探索克服治疗耐药性的新策略.
主要方法:
- 关于免疫检查点治疗近期突破的文献综述.
- 分析潜在的生物学,当前的抑制剂和抵抗机制.
- 探索新的策略,包括组合疗法,新抗原疫苗和微生物组调制.
主要成果:
- 确定了对免疫检查点抑制剂的原发性和获得性耐药性的关键机制.
- 突出了克服耐药性的新治疗策略.
- 研究了TCR克隆性和T细胞炎症基因特征等生物标志物的作用,以预测反应.
结论:
- 需要创新的方法来提高NSCLC免疫检查点治疗的疗效.
- 组合疗法,个性化疫苗和微生物组调制显示出潜在的潜力.
- 生物标志物发现对于预测患者反应和改善癌症免疫治疗结果至关重要.
相关概念视频
Tumor Immunotherapy
1.8K
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.
1.8K
Treatment Resistant Cancers
3.7K
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...
3.7K
Cytotoxic T Cells-mediated Immune Response
6.5K
Cytotoxic T cells are a vital component of the immune system. They have the remarkable ability to identify and target antigens on infected or abnormal cells. These antigens often originate from intracellular pathogens such as viruses or abnormal proteins cancer cells produce.
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
Immunological surveillance is the ability of immune cells to monitor and eliminate infected cells with intracellular pathogens, neoplastically transformed cells, and cells with non-self antigens. Cytotoxic T cells and NK...
6.5K
Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
Targeted Cancer Therapies
8.6K
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...
8.6K
Cancer Vaccines
974
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...
974


