Sharma Padmanee, Hu-Lieskovan Siwen, Wargo Jennifer A, Ribas Antoni
Department of Genitourinary Medical Oncology and Immunology,The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Department of Medicine, Division of Hematology-Oncology, University of California, Los Angeles and the Jonsson Comprehensive Cancer Center, Los Angeles, CA 90095, USA.
Cell. 2017 Feb 9;168(4):707-723. doi: 10.1016/j.cell.2017.01.017.
Cancer immunotherapy can induce long lasting responses in patients with metastatic cancers of a wide range of histologies. Broadening the clinical applicability of these treatments requires an improved understanding of the mechanisms limiting cancer immunotherapy. The interactions between the immune system and cancer cells are continuous, dynamic, and evolving from the initial establishment of a cancer cell to the development of metastatic disease, which is dependent on immune evasion. As the molecular mechanisms of resistance to immunotherapy are elucidated, actionable strategies to prevent or treat them may be derived to improve clinical outcomes for patients.
癌症免疫疗法可在患有多种组织学类型转移性癌症的患者中诱导持久反应。扩大这些治疗方法的临床适用性需要更好地理解限制癌症免疫疗法的机制。免疫系统与癌细胞之间的相互作用是持续的、动态的,并且从癌细胞的最初形成到转移性疾病的发展不断演变,而转移性疾病的发展依赖于免疫逃逸。随着免疫疗法耐药分子机制的阐明,可以推导出预防或治疗这些机制的可行策略,以改善患者的临床结局。