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黑素瘤的免疫疗法和递药系统。

Immunotherapy and delivery systems for melanoma.

机构信息

Jiangxi Province Key Laboratory of Immunology and Inflammation, Department of Clinical Laboratory, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.

出版信息

Hum Vaccin Immunother. 2024 Dec 31;20(1):2394252. doi: 10.1080/21645515.2024.2394252. Epub 2024 Sep 17.

Abstract

Melanoma is a highly malignant tumor of melanocyte origin that is prone to early metastasis and has a very poor prognosis. Early melanoma treatment modalities are mainly surgical, and treatment strategies for advanced or metastatic melanoma contain chemotherapy, radiotherapy, targeted therapy and immunotherapy. The efficacy of chemotherapy and radiotherapy has been unsatisfactory due to low sensitivity and strong toxic side effects. And targeted therapy is prone to drug resistance, so its clinical application is limited. Melanoma has always been the leader of immunotherapy for solid tumors, and how to maximize the role of immunotherapy and how to implement immunotherapy more accurately are still urgent to be explored. This review summarizes the common immunotherapies and applications for melanoma, illustrates the current research status of melanoma immunotherapy delivery systems, and discusses the advantages and disadvantages of each delivery system and its prospects for clinical application.

摘要

黑色素瘤是一种起源于黑素细胞的高度恶性肿瘤,易早期转移,预后极差。早期黑色素瘤的治疗方法主要是手术,晚期或转移性黑色素瘤的治疗策略包括化疗、放疗、靶向治疗和免疫治疗。由于敏感性低和毒副作用强,化疗和放疗的疗效并不理想。而且靶向治疗容易产生耐药性,因此其临床应用受到限制。黑色素瘤一直是实体瘤免疫治疗的领头羊,如何最大限度地发挥免疫治疗的作用,如何更准确地实施免疫治疗,仍亟待探索。本文综述了黑色素瘤常用的免疫疗法及其应用,阐述了黑色素瘤免疫治疗递药系统的研究现状,讨论了各递药系统的优缺点及其临床应用前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4fa/11409522/af00bb91a0b2/KHVI_A_2394252_F0001_OC.jpg

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