Cancer immunotherapy using checkpoint blockade.
Cancer immunotherapy using checkpoint blockade.
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DOI:
10.1126/science.aar4060
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发表时间:
2018-03-23
期刊:
影响因子:
--
通讯作者:
Wolchok JD
中科院分区:
文献类型:
--
作者:
Ribas A;Wolchok JD
The release of negative regulators of immune activation (immune checkpoints) that limit antitumor responses has resulted in unprecedented rates of long-lasting tumor responses in patients with a variety of cancers. This can be achieved by antibodies blocking the cytotoxic T lymphocyte antigen-4 (CTLA-4) or the programmed death-1 (PD-1) pathway, either alone or in combination. The main premise for inducing an immune response is the pre-existence of antitumor T cells that were limited by specific immune checkpoints. Most patients who have tumor responses maintain long lasting disease control, yet one third of patients relapse. Mechanisms of acquired resistance are currently poorly understood, but evidence points to alterations that converge on the antigen presentation and interferon gamma signaling pathways. New generation combinatorial therapies may overcome resistance mechanisms to immune checkpoint therapy.
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发表时间:
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期刊:
The New England journal of medicine
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