跨癌症对CD40抗体治疗的观点:调节瘤的免疫微环境
Xudong Hua1, Junyan Hua2, Yanzhong Wang3,4
1Dean's Office, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Journal of biochemical and molecular toxicology
|January 7, 2026
概括
CD40激动剂通过激活免疫细胞和改善抗原呈现,在瘤学中表现有前途. 这些疗法正在探索各种癌症,包括胰腺癌,黑色素瘤和血液恶性瘤,以克服治疗耐药性.
科学领域:
- 免疫学 免疫学 免疫学
- 在瘤学瘤学.
- 癌症 免疫疗法 免疫疗法
背景情况:
- CD40通路是天生的免疫和适应性免疫之间的关键联系.
- CD40激活增强树突细胞功能,抗原呈现和细胞毒性T细胞活性.
- 治疗性CD40激动剂的目的是重新配置瘤免疫微环境 (TIME) 并克服对免疫疗法的耐药性.
研究的目的:
- 审查各种癌症类型中CD40激动剂治疗的临床证据和前景.
- 突出在瘤学中利用CD40路径的共同挑战和未来方向.
主要方法:
- 对各种恶性瘤中CD40激动剂治疗的现有临床证据的审查.
- 对治疗策略的分析,包括与化疗和检查点抑制剂的组合.
- 探索新的药物输送方法和预测生物标志物的探索.
主要成果:
- CD40激动剂在胰腺癌,黑色素瘤,非小细胞肺癌和血液恶性瘤中表现出有效性.
- 与化疗或PD-1 抑制剂相结合,在"冷"瘤中显示出潜力.
- 挑战包括系统性毒性和瘤反应异质性,需要生物标志物开发.
结论:
- CD40激素治疗提供了一种灵活的方法来重新教育瘤的免疫微环境.
- 未来的发展需要谨慎的组合,新的传递方法 (如结合) 和预测性生物标志物.
- 这一途径有可能用于治疗传统的免疫阻断性恶性瘤.
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
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
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
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


