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免疫检查点阻断剂在肝癌治疗中的研究进展

Advance of Immune Checkpoint Inhibitors in Therapy of Liver Cancer

  • 摘要: 近年来,免疫检查点阻断剂在众多实体瘤和恶性血液病的临床应用中均取得了值得肯定的效果,但是与肝癌相关的免疫靶向药物却仅限于索拉菲尼(Sorafenib)。随着2014年美国FDA连续通过了两个PD-1/PD-L1通路阻断剂,研究者们对免疫检查点阻断剂治疗肝癌能否取得良好的抗癌效果产生了浓厚兴趣。目前程序性细胞死亡蛋白(programmed cell death-1, PD-1)及其配体(programmed cell death ligand 1, PD-L1)、细胞毒性T淋巴细胞相关抗原-4(cytotoxic T lymphocyte associated antigen 4, CTLA-4)等分子阻断剂均在肝癌中开展了相关研究。其中检查点阻断剂Nivolumab和Tremelimumab在肝癌的临床试验初步研究结果乐观,前景值得期待。

     

    Abstract: In recent years, the immune checkpoint blocking agents have shown clinical responses across a broad spectrum of both solid and hematologic malignancies. However, the targeted treatment agents for the patients with hepatocellular carcinoma (HCC) are limited to sorafenib. With the FDA continuously passed through two PD-1/PD-L1 pathway inhibitors in 2014, the researchers wonder whether they would have gained better anticancer effect as a potential novel treatment way for patients with HCC. Currently, the programmed cell death protein (PD-1) and its ligand 1(PD-L1), cytotoxic T lymphocyte associated antigen-4 (CTLA-4) and other molecule blockers were applied in liver cancer research. Among them, Nivolumab and Tremelimumab have made significant progress in the initially clinical trials of HCC, which has a good prospect.

     

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