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免疫检查点抑制剂在妇科恶性肿瘤治疗中的应用

Immune Checkpoint Inhibitors in the Treatment of Gynecologic Malignancies.

作者信息

Ring Kari L, Pakish Janelle, Jazaeri Amir A

机构信息

From the Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.K.L.R. and J.P. contributed equally to the current review.

出版信息

Cancer J. 2016 Mar-Apr;22(2):101-7. doi: 10.1097/PPO.0000000000000179.

Abstract

There is mounting evidence that the immune system plays an important role in the development and growth of gynecologic malignancies, and preliminary studies show activity of immune checkpoint inhibitors in ovarian, endometrial, and cervix cancer. In this review, we outline the completed trials of immune checkpoint blockade in the treatment of gynecologic malignancies. In addition, we review the ongoing trials in each disease site. The questions of which patients will benefit from immune checkpoint inhibitors and when immune checkpoint inhibitors should be incorporated into the treatment of gynecologic malignancies continue to be largely unanswered. As preclinical and clinical data emerge regarding predictive markers for response and resistance to immune checkpoint inhibitors, rational combination treatment strategies will help to further develop this emerging field in the treatment of gynecologic malignancies.

摘要

越来越多的证据表明,免疫系统在妇科恶性肿瘤的发生和发展中起重要作用,初步研究显示免疫检查点抑制剂在卵巢癌、子宫内膜癌和宫颈癌中具有活性。在本综述中,我们概述了免疫检查点阻断治疗妇科恶性肿瘤的已完成试验。此外,我们还综述了各疾病部位正在进行的试验。哪些患者将从免疫检查点抑制剂中获益以及何时应将免疫检查点抑制剂纳入妇科恶性肿瘤的治疗等问题在很大程度上仍未得到解答。随着关于免疫检查点抑制剂反应和耐药性预测标志物的临床前和临床数据的出现,合理的联合治疗策略将有助于进一步发展这一妇科恶性肿瘤治疗的新兴领域。

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