肝细胞癌的组合免疫疗法:免疫检查点,TKI和化疗之间的协同作用
Suoyi Dai1,2, Yuhang Chen1,2, Wenxun Cai1,2
1Department of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Journal of hematology & oncology
|September 27, 2025
概括
组合疗法,包括免疫检查点抑制剂 (ICI) 和氨酸激酶抑制剂 (TKI),是肝细胞癌 (HCC) 的关键. 了解瘤微环境 (TME) 相互作用对于提高HCC治疗疗效至关重要.
科学领域:
- 肝胆瘤学 肝胆瘤学
- 免疫治疗是一种免疫疗法.
- 癌症生物学 癌症生物学
背景情况:
- 组合疗法是肝细胞癌 (HCC) 治疗的核心.
- 免疫检查点抑制剂 (ICI) 作为单一疗法的疗效有限.
- 临床前模型难以复制HCC的复杂瘤微环境 (TME).
研究的目的:
- 审查当前关于HCC组合疗法的知识.
- 探索机械洞察力和治疗协同作用.
- 讨论个性化HCC治疗的新兴策略.
主要方法:
- 临床试验和临床前研究的文献综述.
- 对HCC治疗机制的当前知识的综合.
- 分析影响治疗反应和耐药性的因素.
主要成果:
- 组合方法 (ICI-TKI,ICI-化疗,双ICI) 正在获得动力.
- HCC异质性,肠道微生物群和表观遗传学会影响治疗结果.
- 新目标 (LAG-3,TIM-3,TIGIT,VISTA) 和TME重新编程正在调查中.
结论:
- 将基本见解转化为个性化的HCC治疗需要预测生物标志物.
- 对瘤细胞,免疫系统和TME的综合分析至关重要.
- 对于HCC管理而言,分层治疗方法正在出现.
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