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免疫疗法在卵巢癌中的局限性和潜力。

Limitations and potential of immunotherapy in ovarian cancer.

机构信息

Department of Microbiology and Cell Biology, Indian Institute of Science, Bangalore, India.

出版信息

Front Immunol. 2024 Jan 9;14:1292166. doi: 10.3389/fimmu.2023.1292166. eCollection 2023.

Abstract

Ovarian cancer (OC) is the third most common gynecological cancer and alone has an emergence rate of approximately 308,069 cases worldwide (2020) with dire survival rates. To put it into perspective, the mortality rate of OC is three times higher than that of breast cancer and it is predicted to only increase significantly by 2040. The primary reasons for such a high rate are that the physical symptoms of OC are detectable only during the advanced phase of the disease when resistance to chemotherapies is high and around 80% of the patients that do indeed respond to chemotherapy initially, show a poor prognosis subsequently. This highlights a pressing need to develop new and effective therapies to tackle advanced OC to improve prognosis and patient survival. A major advance in this direction is the emergence of combination immunotherapeutic methods to boost CD8 T cell function to tackle OC. In this perspective, we discuss our view of the current state of some of the combination immunotherapies in the treatment of advanced OC, their limitations, and potential approaches toward a safer and more effective response.

摘要

卵巢癌 (OC) 是第三大常见妇科癌症,仅 2020 年全球就有约 308,069 例新发病例,且生存率极差。更确切地说,OC 的死亡率是乳腺癌的三倍,预计到 2040 年才会显著增加。造成这种高死亡率的主要原因是 OC 的身体症状只有在疾病的晚期才会被察觉,此时化疗的耐药性很高,而且最初确实对化疗有反应的 80%左右的患者随后预后较差。这凸显出迫切需要开发新的、有效的疗法来治疗晚期 OC,以改善预后和患者生存。在这方面的一个主要进展是出现了联合免疫治疗方法,以增强 CD8 T 细胞的功能来治疗 OC。在这篇观点文章中,我们讨论了我们对目前一些联合免疫疗法治疗晚期 OC 的看法,包括它们的局限性,以及实现更安全、更有效的反应的潜在方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7cf/10803592/bcbb0a41b845/fimmu-14-1292166-g001.jpg

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