摘要
肾细胞癌(RCC)是一种免疫应答性最强的人类癌症。高剂量IL-2和干扰素-α曾经是转移性肾癌治疗的原则,但是他们有苛刻的公差分布和有限的回应率。在过去的十年中,由于较高的响应速度和更有利的毒性方面,靶向治疗取代了细胞因子治疗。新兴的免疫治疗靶向受体PD-1和PD-L1配体已显示出可喜的成果。同样的,其他新的靶向免疫疗法目前正在评估。新一代免疫疗法的安全性和反应率是令人鼓舞的,其证明了临床试验的进展。然而,更长的随访数据被需要用以确认这些有前途的结果。此外,目前还不清楚新的免疫疗法和当前的靶向治疗的最佳顺序或组合是否会出现。
关键词: 免疫治疗;免疫目标;转移性肾细胞癌;肾细胞癌。
图形摘要
Current Drug Targets
Title:Emerging Immunotargets in Metastatic Renal Cell Carcinoma
Volume: 17 Issue: 7
Author(s): John Kucharczyk, Marc R. Matrana, Matteo Santoni, Francesco Massari, Marina Scarpelli, Liang Cheng, Antonio Lopez-Beltran and Stefano Cascinu, Rodolfo Montironi, Moch Holger
Affiliation:
关键词: 免疫治疗;免疫目标;转移性肾细胞癌;肾细胞癌。
摘要: Renal cell carcinoma (RCC) is one of the most immunoresponsive human cancers. High-dose IL-2 and Interferon-α were once the principle therapies for metastatic RCC, however they had harsh-tolerance profiles and limited response rates. In the last decade, targeted therapies have supplanted cytokine therapy due to higher response rates and more favorable toxicity profiles. Emerging immunotherapies targeting the PD-1 receptor and PD-L1 ligand have shown promising results. Likewise, other novel targeted immunotherapies are currently under evaluation. The safety profiles and response rates of new generation immunotherapies are encouraging and justify the progression of clinical trials. However, longer follow-up data are needed to confirm these promising results. In addition, it is still unclear if an optimal sequence or combinations of new immunotherapies paired with current targeted therapies will emerge.
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John Kucharczyk, Marc R. Matrana, Matteo Santoni, Francesco Massari, Marina Scarpelli, Liang Cheng, Antonio Lopez-Beltran and Stefano Cascinu, Rodolfo Montironi, Moch Holger , Emerging Immunotargets in Metastatic Renal Cell Carcinoma, Current Drug Targets 2016; 17 (7) . https://dx.doi.org/10.2174/1389450117666151209115753
DOI https://dx.doi.org/10.2174/1389450117666151209115753 |
Print ISSN 1389-4501 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5592 |
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