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郭晓轶, 刘菲, 韩雪迪, 朱华, 杨志. 分子影像引导肿瘤免疫治疗新进展[J]. 肿瘤防治研究, 2018, 45(1): 47-51. DOI: 10.3971/j.issn.1000-8578.2018.17.0971
引用本文: 郭晓轶, 刘菲, 韩雪迪, 朱华, 杨志. 分子影像引导肿瘤免疫治疗新进展[J]. 肿瘤防治研究, 2018, 45(1): 47-51. DOI: 10.3971/j.issn.1000-8578.2018.17.0971
GUO Xiaoyi, LIU Fei, HAN Xuedi, ZHU Hua, YANG Zhi. Progress of Molecular Imaging-guided Tumor Immunotherapy[J]. Cancer Research on Prevention and Treatment, 2018, 45(1): 47-51. DOI: 10.3971/j.issn.1000-8578.2018.17.0971
Citation: GUO Xiaoyi, LIU Fei, HAN Xuedi, ZHU Hua, YANG Zhi. Progress of Molecular Imaging-guided Tumor Immunotherapy[J]. Cancer Research on Prevention and Treatment, 2018, 45(1): 47-51. DOI: 10.3971/j.issn.1000-8578.2018.17.0971

分子影像引导肿瘤免疫治疗新进展

Progress of Molecular Imaging-guided Tumor Immunotherapy

  • 摘要: 随着肿瘤学、免疫学、影像学研究的发展,免疫治疗已成为继肿瘤传统治疗方法(化学治疗、手术治疗及放射治疗)后的又一种重要的肿瘤治疗方法。其中细胞毒性T淋巴细胞相关抗原4(CTLA-4)和程序性死亡分子1及其配体(PD-1/PD-L1)信号通路是近年来肿瘤免疫治疗研究的热点。目前的CTLA-4和PD1/PDL1药物能够特异性作用于T细胞,增强机体活化T细胞的免疫杀伤功能,在肿瘤治疗中取得了“突破性”的效果。但是,并不是所有的患者都对肿瘤免疫治疗有疗效响应,通过核素标记免疫治疗药物分子并利用分子影像学方式进行实时、在体的检测,能够为患者筛选、疗效检测、治疗方案优化、预后评估提供新方法。本综述以目前已有的核素标记免疫治疗药物临床分子显像为基点,阐述了近年肿瘤免疫治疗领域的巨大改变,并对分子影像引导肿瘤免疫治疗发展趋势进行展望。

     

    Abstract: With the development of oncology, immunology and imaging, tumor immunotherapy has been one of the most important strategies for cancer treatment after the classic tumor therapies (chemotherapy, surgery-therapy and radio-therapy). Among them, cytotoxic T lymphocyte-associated protein 4 (CTLA-4) and the programmed cell death protein/protein ligand 1 (anti-PD-1/PD-L1) attract most attention in tumor immunotherapy fields. The CTLA-4 and PD1/PDL1 antibodies can specifically bind and regulate the T cell, enhance the T-cell immune-killer ability to tumors and hold great potential to revolutionize cancer therapy. However, studies have demonstrated the lack of clinical benefit in some patients using immunotherapy. Molecular imaging that based on radio-nuclide labeled immune-therapy antibodies provide a new method for patients selection, response assessment, treatment plan optimization and prognosis assessment by real-time and in-vivo radio-immuno-imaging. This paper based on the existing radio-nuclide labeled immune-therapy antibodies expounds the great change of tumor immunotherapy in the field of molecular imaging in recent years and the research progress of molecular imaging guiding the development of tumor immunotherapy trends.

     

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