Han Song-Chen, Yin Hua-Qi, Xu Tao
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2022 Apr;44(2):305-312. doi: 10.3881/j.issn.1000-503X.13013.
Renal cell carcinoma (RCC) is a common lethal urological cancer,the distant metastasis of which is the leading cause of death.Although targeted agents have remarkably improved the overall prognosis of RCC patients,nearly all the patients eventually acquire therapeutic resistance.With the advent of immune checkpoint inhibitors,immunotherapy based on tumor microenvironment (TME) has shown a broad scope in clinical application.The deepening understanding of TME leads to the changes of therapeutic strategies for advanced RCC,and the combination of targeted therapy and immunotherapy is exhibiting a promising prospect.Herein,we reviewed the TME characteristics,candidate predictive biomarkers,and possible targets for future development of drugs against RCC.
肾细胞癌(RCC)是一种常见的致命性泌尿系统癌症,其远处转移是主要死因。尽管靶向药物显著改善了RCC患者的总体预后,但几乎所有患者最终都会产生治疗耐药性。随着免疫检查点抑制剂的出现,基于肿瘤微环境(TME)的免疫疗法在临床应用中显示出广阔前景。对TME认识的不断深入导致晚期RCC治疗策略的改变,靶向治疗与免疫治疗的联合正展现出广阔前景。在此,我们综述了RCC的TME特征、候选预测生物标志物以及未来抗RCC药物开发的可能靶点。