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邹瀚辉, 李涛. PD-1/PD-L1抑制剂在恶性黑色素瘤(新)辅助治疗中的研究进展[J]. 肿瘤防治研究, 2020, 47(2): 141-146. DOI: 10.3971/j.issn.1000-8578.2020.19.0945
引用本文: 邹瀚辉, 李涛. PD-1/PD-L1抑制剂在恶性黑色素瘤(新)辅助治疗中的研究进展[J]. 肿瘤防治研究, 2020, 47(2): 141-146. DOI: 10.3971/j.issn.1000-8578.2020.19.0945
ZOU Hanhui, Li Tao. Research Progress of PD-1/PD-L1 Checkpoint Inhibitors in (Neo) Adjuvant Therapy for Malignant Melanoma[J]. Cancer Research on Prevention and Treatment, 2020, 47(2): 141-146. DOI: 10.3971/j.issn.1000-8578.2020.19.0945
Citation: ZOU Hanhui, Li Tao. Research Progress of PD-1/PD-L1 Checkpoint Inhibitors in (Neo) Adjuvant Therapy for Malignant Melanoma[J]. Cancer Research on Prevention and Treatment, 2020, 47(2): 141-146. DOI: 10.3971/j.issn.1000-8578.2020.19.0945

PD-1/PD-L1抑制剂在恶性黑色素瘤(新)辅助治疗中的研究进展

Research Progress of PD-1/PD-L1 Checkpoint Inhibitors in (Neo) Adjuvant Therapy for Malignant Melanoma

  • 摘要: 恶性黑色素瘤是一种具有较高复发率及死亡率的实体肿瘤。目前针对Ⅱ~Ⅲ期黑色素瘤的治疗仍是以外科手术为主,由于缺乏有效的(新)辅助治疗手段,高危黑色素瘤患者的5年生存率仅有30%~70%。程序性死亡因子1(PD-1)和程序性死亡因子配体1(PD-L1)是重要的免疫检验点共抑制分子,通过抑制T细胞的激活和增殖通路参与了肿瘤的免疫逃逸。近些年来包括Nivolumab和Pembrolizumab在内的多种PD-1/PD-L1抑制剂研发获批上市,并在晚期黑色素瘤的治疗中表现出显著的疗效。因此多项针对PD-1/PD-L1抑制剂在高危黑色素瘤患者(新)辅助治疗的临床试验正积极开展。本文主要对近年来相关研究进行了回顾与总结,探讨PD-1/PD-L1抑制剂在黑色素瘤(新)辅助治疗应用的前景和可能发展的方向。

     

    Abstract: Malignant melanoma is the most serious type of skin cancer with a high recurrence rate and death rate. Surgery still is the cornerstone of treatment for patients with stage Ⅱ and Ⅲ melanoma. For lack of effective (neo)adjuvant therapy, the prognosis of high-risk melanoma patients remains poor with 5-year survival rate of 30%-70%. PD-1 and PD-L1 belong to immunosuppressive pathway, and they can inhibit T cell activation and proliferation, which play an important role in tumor immune escape. In recent years, several kinds of antibodies targeting the PD-1/PD-L1 axis have been approved by FDA and have shown significant curative effect on advanced melanoma. Thus, a series of clinical trials on (neo)adjuvant therapies of high risk melanoma using PD-1/PD-L1 antibodies are carrying out. This article mainly reviews and summarizes the related studies and discusses the application prospect and possible development direction of PD-1/PD-L1 inhibitors in (neo)adjuvant therapy of melanoma.

     

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