Marcelo-Lewis Kathrina L, Moorthy Shhyam, Ileana-Dumbrava Ecaterina
Department of Thoracic/ Head and Neck Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Department of Investigational Cancer Therapeutics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
J Immunother Precis Oncol. 2020 Aug 5;3(3):121-127. doi: 10.36401/JIPO-20-6. eCollection 2020 Aug.
A major breakthrough in cancer treatment was ushered in by the development of immune checkpoint blockade therapy such as anti-CTLA4 antibody and anti-PD-1 and anti-programmed cell death-ligand 1 antibodies that are now approved for use in an increasing number of malignancies. Despite the relative success of immune checkpoint inhibitors with certain tumor types, many patients still fail to respond to such therapies, and the field is actively trying to understand the mechanisms of resistance, intrinsic or acquired, to immune checkpoint blockade. Herein, we discuss the roles that somatic genomic mutations in oncogenic pathways play in immune editing, as well as some of the current approaches toward improving response to immunotherapy.
免疫检查点阻断疗法的发展开创了癌症治疗的重大突破,如抗CTLA4抗体、抗PD-1抗体和抗程序性细胞死亡配体1抗体,这些药物目前已被批准用于越来越多的恶性肿瘤治疗。尽管免疫检查点抑制剂在某些肿瘤类型中取得了相对成功,但许多患者对这类疗法仍无反应,该领域正在积极探索免疫检查点阻断的内在或获得性耐药机制。在此,我们讨论致癌途径中的体细胞基因组突变在免疫编辑中的作用,以及目前一些提高免疫治疗反应的方法。