摘要
癌症免疫疗法致力于利用免疫系统的微弱强度和特异性来治疗包括结肠直肠癌在内的各种恶性肿瘤。癌症免疫疗法的最新挑战是实践和开发分子免疫学工具,以创建能够有效,安全地增强抗肿瘤反应的策略。经过几次欺骗性的尝试之后,浪潮终于改变了,免疫疗法已成为多种癌症的临床确认治疗方法。免疫治疗方法包括施用抗体或修饰的蛋白,这些抗体或修饰的蛋白通过免疫控制途径阻断细胞活性或共同刺激细胞,癌症疫苗,溶瘤细菌,离体激活的T细胞和自然杀伤细胞的过继转移。经过工程改造的T细胞可用于产生嵌合抗原受体(CAR),以治疗不同的恶性肿瘤,包括近十年来的结直肠癌。尽管在临床上取得了相当大的早期成功,但CAR-T疗法仍会产生一些副作用,有时效果很小。它特别强调了采用CAR-T技术的最新临床证据以及具有良好性能的其他相关免疫治疗方法,并着重指出了该疗法如何影响治疗结局和下一轮高潮,这是结直肠癌的重要临床方面。在这篇综述中,我们概括了为改善CAR-T疗法在结肠癌中的疗效和特异性而产生的最新进展。
关键词: 癌症免疫疗法,大肠癌,CAR-T技术,联合疗法,赘生性细胞,转化,肿瘤细胞。
[http://dx.doi.org/10.1038/nrc3153] [PMID: 22020206]
[http://dx.doi.org/10.1101/gad.314617.118] [PMID: 30275043]
[http://dx.doi.org/10.3389/fimmu.2018.00241] [PMID: 29535707]
[http://dx.doi.org/10.2147/BTT.S166310] [PMID: 31118560]
[http://dx.doi.org/10.1016/j.immuni.2016.10.014] [PMID: 27851917]
[http://dx.doi.org/10.1056/NEJMoa1407222] [PMID: 25317870]
[http://dx.doi.org/10.3389/fonc.2017.00202] [PMID: 28955655]
[http://dx.doi.org/10.1186/s40425-016-0158-5] [PMID: 27660707]
[http://dx.doi.org/10.1159/000496870] [PMID: 31244578]
[http://dx.doi.org/10.3389/fonc.2019.00176] [PMID: 30984613]
[http://dx.doi.org/10.1042/EBC20160017] [PMID: 27784777]
[http://dx.doi.org/10.1016/j.jocit.2016.08.001]
[http://dx.doi.org/10.1155/2017/3578090]
[http://dx.doi.org/10.3322/caac.21492] [PMID: 30207593]
[http://dx.doi.org/10.1007/s11095-008-9661-9] [PMID: 18626751]
[http://dx.doi.org/10.3390/cancers3033279] [PMID: 24212956]
[http://dx.doi.org/10.3748/wjg.v19.i46.8531] [PMID: 24379570]
[http://dx.doi.org/10.1002/jcp.28080] [PMID: 30637729]
[http://dx.doi.org/10.3748/wjg.v24.i48.5418] [PMID: 30622371]
[http://dx.doi.org/10.1016/j.immuni.2013.07.012] [PMID: 23890059]
[http://dx.doi.org/10.1038/nrc.2016.97] [PMID: 27550819]
[http://dx.doi.org/10.1084/jem.20090847] [PMID: 20008522]
[http://dx.doi.org/10.1111/bjh.15851] [PMID: 30864164]
[http://dx.doi.org/10.2174/1389201019666180418095526] [PMID: 29667553]
[http://dx.doi.org/10.1158/2159-8290.CD-12-0548] [PMID: 23550147]
[http://dx.doi.org/10.1016/j.pharmthera.2017.03.012] [PMID: 28342824]
[http://dx.doi.org/10.1038/nrd.2018.74]
[http://dx.doi.org/10.1126/scitranslmed.aaw2127] [PMID: 30814337]
[http://dx.doi.org/10.1126/science.40.1042.904] [PMID: 17809860]
[http://dx.doi.org/10.1098/rspb.1948.0026]
[http://dx.doi.org/10.1073/pnas.41.11.849] [PMID: 16589759]
[http://dx.doi.org/10.1098/rstb.1956.0006]
[http://dx.doi.org/10.1111/imm.12558] [PMID: 26790994]
[http://dx.doi.org/10.1098/rspb.1957.0048] [PMID: 13465720]
[http://dx.doi.org/10.1042/bj0730119] [PMID: 14434282]
[http://dx.doi.org/10.1084/jem.113.5.861] [PMID: 13725659]
[http://dx.doi.org/10.1084/jem.137.5.1142] [PMID: 4573839]
[http://dx.doi.org/10.1038/251547a0] [PMID: 4547543]
[http://dx.doi.org/10.1002/eji.1830010102] [PMID: 14978855]
[http://dx.doi.org/10.1073/pnas.72.9.3666] [PMID: 1103152]
[http://dx.doi.org/10.1073/pnas.73.1.203] [PMID: 813222]
[PMID: 6181166]
[http://dx.doi.org/10.1126/science.1840703] [PMID: 1840703]
[http://dx.doi.org/10.1038/41131] [PMID: 9237759]
[http://dx.doi.org/10.1056/NEJMoa051424] [PMID: 16371631]
[http://dx.doi.org/10.4161/hv.19795] [PMID: 22832254]
[http://dx.doi.org/10.1126/scitranslmed.aaj2013]
[PMID: 22180676]
[http://dx.doi.org/10.1038/nature.2016.20988] [PMID: 27882996]
[http://dx.doi.org/10.1021/acsbiomaterials.7b00077]
[http://dx.doi.org/10.1084/jem.20031981] [PMID: 15007091]
[http://dx.doi.org/10.1146/annurev.immunol.21.120601.141126] [PMID: 12524386]
[http://dx.doi.org/10.1038/nm1001-1118] [PMID: 11590434]
[http://dx.doi.org/10.1038/nri748] [PMID: 11913068]
[http://dx.doi.org/10.1126/science.7513904] [PMID: 7513904]
[http://dx.doi.org/10.21873/anticanres.11144] [PMID: 27793882]
[http://dx.doi.org/10.3389/fimmu.2018.01347] [PMID: 29967608]
[http://dx.doi.org/10.1186/s12865-014-0036-1] [PMID: 25245659]
[http://dx.doi.org/10.3390/cancers12010125] [PMID: 31947775]
[http://dx.doi.org/10.1016/j.cytogfr.2017.06.009] [PMID: 28690108]
[http://dx.doi.org/10.1159/000282062] [PMID: 20460888]
[http://dx.doi.org/10.1172/jci.insight.92232] [PMID: 28978805]
[http://dx.doi.org/10.1186/1479-5876-11-187] [PMID: 23937772]
[http://dx.doi.org/10.1158/1078-0432.CCR-17-2041] [PMID: 29061641]
[http://dx.doi.org/10.1016/j.canlet.2017.02.015] [PMID: 28223167]
[http://dx.doi.org/10.3390/ijms20184413] [PMID: 31500315]
[http://dx.doi.org/10.15586/jkcvhl.2014.18] [PMID: 28326252]
[http://dx.doi.org/10.1200/JCO.2005.04.3216] [PMID: 16505439]
[http://dx.doi.org/10.2217/imt.14.86] [PMID: 25524383]
[http://dx.doi.org/10.1111/imr.12132] [PMID: 24329789]
[http://dx.doi.org/10.1089/hum.2015.024] [PMID: 25860661]
[PMID: 25801036]
[http://dx.doi.org/10.3389/fimmu.2017.00270] [PMID: 28348562]
[http://dx.doi.org/10.1016/j.omtm.2018.01.009] [PMID: 29552579]
[http://dx.doi.org/10.1158/1535-7163.MCT-17-1097] [PMID: 30181329]
[http://dx.doi.org/10.1016/j.ymthe.2018.02.001] [PMID: 29503195]
[http://dx.doi.org/10.1038/mt.2016.63] [PMID: 27019998]
[http://dx.doi.org/10.1038/cti.2014.7] [PMID: 25505964]
[http://dx.doi.org/10.1038/nm.3838] [PMID: 25939063]
[http://dx.doi.org/10.1111/imr.12125] [PMID: 24329791]
[http://dx.doi.org/10.2217/imt.12.112] [PMID: 23194363]
[http://dx.doi.org/10.1007/s10875-011-9532-8] [PMID: 21505816]
[http://dx.doi.org/10.1158/1078-0432.CCR-06-1183] [PMID: 17062687]
[http://dx.doi.org/10.1038/mto.2016.14] [PMID: 27231717]
[http://dx.doi.org/10.4049/jimmunol.1500751] [PMID: 26188068]
[http://dx.doi.org/10.1111/cei.12216] [PMID: 24116999]
[http://dx.doi.org/10.1002/cti2.1049] [PMID: 31110702]
[http://dx.doi.org/10.1016/j.ymthe.2017.06.014] [PMID: 28697888]
[http://dx.doi.org/10.1158/1078-0432.CCR-15-1433] [PMID: 27084741]
[http://dx.doi.org/10.3389/fimmu.2019.02250] [PMID: 31681259]
[http://dx.doi.org/10.1186/s13045-019-0704-y] [PMID: 30777106]
[http://dx.doi.org/10.7150/ijbs.34213] [PMID: 31754328]
[PMID: 31218103]
[http://dx.doi.org/10.15252/emmm.201607485] [PMID: 28765140]
[PMID: 10389908]
[http://dx.doi.org/10.4049/jimmunol.1401710] [PMID: 26673145]
[http://dx.doi.org/10.1182/blood-2011-10-384388] [PMID: 22160384]
[http://dx.doi.org/10.1182/blood-2014-05-552729] [PMID: 24876563]
[PMID: 30880814]
[http://dx.doi.org/10.1016/j.coi.2012.08.008] [PMID: 22981681]
[http://dx.doi.org/10.1016/j.molmed.2017.03.002] [PMID: 28416139]
[http://dx.doi.org/10.1007/s00262-016-1842-5] [PMID: 27138532]
[http://dx.doi.org/10.1007/s11427-016-5027-4] [PMID: 26965525]
[http://dx.doi.org/10.1038/s41419-018-0278-6] [PMID: 29449531]
[http://dx.doi.org/10.18632/oncotarget.19361] [PMID: 29163850]
[http://dx.doi.org/10.7150/ijbs.14405] [PMID: 27194949]
[http://dx.doi.org/10.1038/s41419-017-0061-0] [PMID: 29371595]
[http://dx.doi.org/10.1038/nrclinonc.2017.148] [PMID: 28925994]
[http://dx.doi.org/10.1038/mt.2010.24] [PMID: 20179677]
[http://dx.doi.org/10.1038/mt.2010.31] [PMID: 20357779]
[http://dx.doi.org/10.1016/j.molonc.2007.01.004] [PMID: 19383285]
[http://dx.doi.org/10.1016/S0952-7915(98)80228-8] [PMID: 9794842]
[http://dx.doi.org/10.1038/ni.2762] [PMID: 24240160]
[http://dx.doi.org/10.1056/NEJMoa1200690] [PMID: 22658127]
[http://dx.doi.org/10.1073/pnas.1821218116] [PMID: 31636208]
[http://dx.doi.org/10.1084/jem.20100643] [PMID: 20819927]
[http://dx.doi.org/10.1038/modpathol.2017.156] [PMID: 29192647]
[http://dx.doi.org/10.3390/jcm9010182] [PMID: 31936611]