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瘤内免疫注射联合放疗用于肿瘤治疗的研究进展

Progress of Research on Combination of Intratumoral Immune Injection and Radiotherapy for Tumor

  • 摘要: 近年来,随着肿瘤免疫治疗的迅速发展,肿瘤治疗性疫苗技术日益受到关注。相较于个体化新抗原疫苗,原位疫苗技术无需经历个体化抗原检测、抗原肽定制合成等繁琐的步骤,即可在肿瘤局部形成“抗原库”以启动较强的抗肿瘤免疫,且能提高部分患者对于免疫检查点抑制剂的反应率,在现阶段具有较高的临床转化潜力。本文主要介绍原位疫苗最主要的两种实现方式:放射治疗和瘤内免疫注射,同时阐述它们作为原位疫苗的作用机制和二者联合应用的临床前及临床研究现状,使该领域得到更多研究者和临床医生的关注。

     

    Abstract: With the rapid development of tumor immunotherapy in recent years, therapeutic cancer vaccines are attracting increased attention. Compared with personalized neoantigen vaccines, in situ vaccines could form an antigen reservoir in the tumor itself. Subsequently, antitumor immunity is initiated and the response to immune-checkpoint inhibitors of some patients improve without necessitating these patients to undergo the complicated procedures of detecting personalized antigen and customizing and synthesizing antigen peptide. At this stage, the potential of realizing the clinical translation of in situ vaccination is tremendous. In this review, we primarily introduce the mechanisms of radiotherapy and intratumoral immune injection as in situ vaccination and discuss the current status of preclinical study and clinical application of their combination to attract more attention from researchers and clinicians toward in situ vaccination.

     

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