瘤负担对免疫检查点和常规治疗反应和结果的影响
Prashanth Gowda1, Saiabhiroop R Govindu1, David Hsiehchen1,2
1Divison of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas.
Cancer research communications
|October 20, 2025
概括
瘤负担显著影响癌症治疗结果,作为预后因素而不是免疫疗法成功的特定预测因素. 较低的瘤负担通常可以改善各种癌症类型和治疗的生存率.
科学领域:
- 在瘤学瘤学.
- 免疫疗法研究 免疫疗法研究
- 临床试验分析
背景情况:
- 瘤负担在免疫疗法疗效中的作用受到争议,可能会积极或消极地影响结果.
- 区分瘤负担作为预后因素与免疫治疗的预测生物标志物是不清楚的.
研究的目的:
- 分析瘤负担与免疫疗法与传统疗法的疗效之间的关联.
- 确定瘤负担是否预测免疫疗法益处或作为一般预后因素.
主要方法:
- 从八个前性试验中对个体患者数据进行了特异分析.
- 包括患有非小细胞肺癌,肝细胞癌 (HCC),膀和细胞癌的患者.
- 结果的比较 (客观应答率,无进展生存率,整体生存率) 跨瘤负担层和治疗类型.
主要成果:
- 较低的瘤负担与更高的客观响应率以及在大多数癌症类型和治疗中改善的无进展和整体存活率相关.
- 瘤负担的影响是剂量依赖的和组织学无定性的,除了HCC中的索拉费尼布.
- 与传统治疗相比,阿特佐利祖马布在大多数癌症中显示出更高的整体存活率,无论瘤负担如何.
结论:
- 瘤负担是一个重要的预后因素,而不是免疫治疗的特定预测生物标志物.
- 这些发现强调了瘤负担在临床试验设计中对分层和选择的重要性.
- 替代终点可能无法完全捕捉瘤负担对整体存活率的负面影响.
相关概念视频
Tumor Immunotherapy
1.7K
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.
1.7K
The Tumor Microenvironment
7.6K
Every normal cell or tissue is embedded in a complex local environment called stroma, consisting of different cell types, a basal membrane, and blood vessels. As normal cells mutate and develop into cancer cells, their local environment also changes to allow cancer progression. The tumor microenvironment (TME) consists of a complex cellular matrix of stromal cells and the developing tumor. The cross-talk between cancer cells and surrounding stromal cells is critical to disrupt normal tissue...
7.6K
Cytotoxic T Cells-mediated Immune Response
6.4K
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...
6.4K
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
Tumor Progression
7.2K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
7.2K
Cancer Therapies
9.8K
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...
9.8K


