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肺癌免疫治疗方法:从临床试验到未来进展

Lung Cancer Immunotherapy Approaches: From Clinical Testing to Future Advances.

作者信息

Bhattacharyya Mayuri, Majaw Suktilang

机构信息

Department of Biotechnology and Bioinformatics, North-Eastern Hill University, Shillong, India 793022.

出版信息

Adv Pharm Bull. 2025 Jun 2;15(2):326-340. doi: 10.34172/apb.025.45104. eCollection 2025 Jul.

Abstract

One of the major reason of deaths due to cancer globally is caused by lung cancer of which the two main types include non-small cell and small cell lung cancer. The onset of treatment-resistance in cancer cells offers a serious obstacle to the therapeutic effect despite that primary conventional treatments have provided significant benefits and cures. Cancer immunotherapy offers a compelling alternative in patients by utilizing their immune system to enhance its ability to fight against tumors. Cancer immunotherapy includes treatment with cytokines, hormones, bacterial products, monoclonal antibodies, vaccines, etc. Many of these immunotherapies are clinically tested in lung cancer patients. Tumor-associated antigens specific for lung cancer are being targeted using monoclonal antibodies and vaccines. Genetically engineered T-cells that are cultured outside the body are reinfused into the patients. In this review, we describe the different immunotherapeutic approaches that have been clinically tested and used to treat lung cancer globally. The data presented are collected from published studies through electronic databases like Google Scholar and Pubmed using keywords like immunotherapy, adoptive cell therapy, cancer, vaccines, lung cancer and immunological checkpoint inhibitors. The clinical trial results were acquired from ClinicalTrials.gov.in, a database of clinical research studies and their result updates. The review examines the current immunotherapies available for lung cancer treatment globally. While these therapies offer significant benefits to the community, several challenges have hindered their widespread adoption. Key issues such as adverse effects, high costs and varying patient responses to lung cancer immunotherapy require careful consideration. The integration of advanced technologies, including artificial intelligence and bioinformatics tools, along with combinatorial strategies and thorough monitoring, has the potential to increase widely use of lung cancer immunotherapy.

摘要

全球因癌症导致死亡的主要原因之一是肺癌,其中两种主要类型包括非小细胞肺癌和小细胞肺癌。尽管原发性传统治疗已带来显著益处并治愈了一些患者,但癌细胞产生的治疗抗性对治疗效果构成了严重障碍。癌症免疫疗法通过利用患者的免疫系统来增强其对抗肿瘤的能力,为患者提供了一种有吸引力的替代方案。癌症免疫疗法包括使用细胞因子、激素、细菌产物、单克隆抗体、疫苗等进行治疗。其中许多免疫疗法已在肺癌患者中进行了临床试验。针对肺癌特异性的肿瘤相关抗原正在使用单克隆抗体和疫苗进行靶向治疗。在体外培养的基因工程T细胞被重新注入患者体内。在本综述中,我们描述了已在全球范围内进行临床试验并用于治疗肺癌的不同免疫治疗方法。所呈现的数据是通过谷歌学术和PubMed等电子数据库,使用免疫疗法、过继性细胞疗法、癌症、疫苗、肺癌和免疫检查点抑制剂等关键词,从已发表的研究中收集而来。临床试验结果来自ClinicalTrials.gov.in,这是一个临床研究及其结果更新的数据库。本综述考察了全球目前可用于肺癌治疗的免疫疗法。虽然这些疗法为社会带来了显著益处,但一些挑战阻碍了它们的广泛应用。诸如不良反应、高成本以及患者对肺癌免疫疗法的不同反应等关键问题需要仔细考虑。包括人工智能和生物信息学工具在内的先进技术的整合,以及联合策略和全面监测,有可能增加肺癌免疫疗法的广泛应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ffa/12413958/f97e1fc361aa/apb-15-326-g001.jpg

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