Hallmarks of response to immune checkpoint blockade.

Hallmarks of response to immune checkpoint blockade.
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DOI:
10.1038/bjc.2017.136
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发表时间:
2017-06-27
影响因子:
8.8
通讯作者:
Wargo JA
Wargo JA
中科院分区:
医学1区
文献类型:
--
作者:
Cogdill AP;Andrews MC;Wargo JA

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通过使用免疫检查点阻断治疗癌症取得了前所未有的进展,批准了几种跨越多种癌症类型的检查点阻断方案。然而,对这种形式的治疗的反应并不是普遍的,显然需要深入了解以确定反应的最佳生物标志物和对抗治疗耐药性的机制。对癌症特征的工作知识可以深入了解免疫检查点阻断的反应,尽管其重点是以肿瘤为中心的,其他因素也相关,包括宿主免疫和环境影响。在这里,我们描述了对免疫检查点封锁反应的支柱和标志的基础,并讨论了它们与免疫监测和耐药性机制的相关性。这种认识的演变最终将有助于指导治疗策略,以增强治疗反应。
Unprecedented advances have been made in the treatment of cancer through the use of immune checkpoint blockade, with approval of several checkpoint blockade regimens spanning multiple cancer types. However, responses to this form of therapy are not universal, and insights are clearly needed to identify optimal biomarkers of response and to combat mechanisms of therapeutic resistance. A working knowledge of the hallmarks of cancer yields insight into responses to immune checkpoint blockade, although the focus of this is rather tumour-centric and additional factors are pertinent, including host immunity and environmental influences. Herein, we describe the foundation for pillars and hallmarks of response to immune checkpoint blockade, with a discussion of their relevance to immune monitoring and mechanisms of resistance. Evolution of this understanding will ultimately help guide treatment strategies to enhance therapeutic responses.
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