儿科神经母细胞瘤的免疫治疗进展:通过生物标志物引导的组合来克服耐药性
Mahla Shokouhfar1, Ali Darzi1, Fatemeh Ameli2
1School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie
|February 1, 2026
概括
神经母细胞瘤免疫疗法面临着瘤微环境的挑战,但新的治疗方法,如抗GD2抗体和CAR T细胞显示出希望. 以生物标志物为指导的个性化策略是提高高风险神经母细胞瘤患者生存率的关键.
科学领域:
- 儿科瘤学 儿科瘤学
- 免疫学 免疫学 免疫学
- 癌症治疗方法 癌症治疗方法
背景情况:
- 神经母细胞瘤是领先的儿科脑外固体瘤,在高风险病例中存活率较低.
- 神经母细胞瘤中的瘤微环境 (TME) 是免疫抑制的,限制了传统的免疫疗法.
- 目前的多式疗法难以克服耐药性并获得持久的反应.
研究的目的:
- 对神经母细胞瘤的现有和新兴免疫治疗策略进行审查.
- 讨论针对个性化治疗的耐药性机制和潜在生物标志物.
- 探索神经母细胞瘤免疫疗法的未来方向.
主要方法:
- 在神经母细胞瘤中免疫治疗的文献综述.
- 临床试验和临床前研究的分析.
- 综合有关新型治疗方式和抗药途径的数据.
主要成果:
- 与GM-CSF结合的抗GD2抗体 (dinutuximab,naxitamab) 显示出临床益处.
- 新兴疗法包括CAR T细胞,检查点抑制剂,疫苗和瘤病毒.
- 生物标志物 (例如,ALK状态,免疫特征) 对于患者分层至关重要.
- 组合策略和新型平台 (装甲CAR,双特异抗体) 正在发展.
结论:
- 免疫疗法为神经母细胞瘤治疗提供了显著的潜力,特别是在高危疾病中.
- 通过个性化,以生物标志物为指导的方法克服耐药性至关重要.
- 未来的研究应该集中在组合疗法和新型平台上,以提高治愈率.
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