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MSS型结直肠癌免疫联合治疗研究进展

Research Progress on Combined Immunotherapy for Microsatellite Stable Colorectal Cancer

  • 摘要: 近年来,免疫治疗在恶性肿瘤治疗方面取得了很大的进展,已经丰富了多种恶性肿瘤的治疗模式。结直肠癌是全球三大常见的恶性肿瘤之一,免疫检查点抑制剂治疗对DNA错配修复缺陷(dMMR)/高微卫星不稳定性(MSI-H)转移性结直肠癌(mCRC)患者有显著临床获益,但约95% mCRC患者是错配修复完整(pMMR)/微卫星稳定(MSS)型,这类患者对单药免疫治疗的反应差,如何提高该类患者的免疫治疗疗效一直备受关注。本文就MSS型mCRC的免疫联合治疗研究进展进行综述。

     

    Abstract: In recent years, immunotherapy has achieved great progress in the treatment of malignant tumors and has enriched the treatment mode of many types of malignant tumors. Colorectal cancer is a common tumor worldwide. Immune checkpoint inhibitor therapy for patients with metastatic colorectal cancer (mCRC) featuring DNA mismatch repair deficiency/high microsatellite instability has significant clinical benefits, but approximately 95% of patients with mCRC are DNA mismatch repair proficient/microsatellite stable (MSS). These patients have poor response to immunotherapy. Therefore, strategies to improve the efficacy of immunotherapy in patients with this type of tumor have attracted considerable attention. This article reviews the research progress on combined immunotherapy for MSS mCRC.

     

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