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免疫疗法在肝细胞癌治疗中的作用。

Role of Immunotherapy in the Treatment of Hepatocellular Carcinoma.

作者信息

Dobrosotskaya Irina Y, Kumar Rashmi, Frankel Timothy L

机构信息

Section of Medical Oncology, Department of Medicine, Ann Arbor Veterans Healthcare System, Ann Arbor, MI 48105, USA.

Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA.

出版信息

Curr Oncol. 2025 Apr 30;32(5):264. doi: 10.3390/curroncol32050264.

Abstract

Hepatocellular carcinoma is the most common primary liver tumor and is strongly related to underlying liver cirrhosis. Common etiologies include viral hepatitis, elevated alcohol consumption and metabolic diseases, all of which result in liver inflammation and scarring. Previously, systemic therapies for locally advanced or metastatic disease were limited to tyrosine kinase inhibitors with poor efficacy and rare cures. Recent advances have harnessed the power of the immune system to combat disease, resulting in improved outcomes and occasional cures. Here, we describe the recent clinical trials in immunotherapies for the treatment of hepatocellular carcinoma as first- and second-line therapies and in combination with other drug classes.

摘要

肝细胞癌是最常见的原发性肝脏肿瘤,与潜在的肝硬化密切相关。常见病因包括病毒性肝炎、酒精摄入量增加和代谢性疾病,所有这些都会导致肝脏炎症和瘢痕形成。以前,针对局部晚期或转移性疾病的全身治疗仅限于酪氨酸激酶抑制剂,疗效不佳且很少能治愈。最近的进展利用免疫系统的力量来对抗疾病,从而改善了治疗效果并偶尔实现治愈。在此,我们描述了免疫疗法用于治疗肝细胞癌作为一线和二线疗法以及与其他药物类别联合使用的近期临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d550/12109946/c73eb50e0834/curroncol-32-00264-g001.jpg

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