Activity and Immune Correlates of a Programmed Death-1 Blockade Antibody in the treatment of Refractory Solid Tumors.

Activity and Immune Correlates of a Programmed Death-1 Blockade Antibody in the treatment of Refractory Solid Tumors.
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程序性死亡 1 阻断抗体治疗难治性实体瘤的活性和免疫相关性

DOI:
10.7150/jca.21414
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发表时间:
2018
期刊:
影响因子:
3.9
通讯作者:
Xia L
Xia L
中科院分区:
医学3区
文献类型:
--
作者:
Jiang C;Cai X;Zhang H;Xia X;Zhang B;Xia L

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背景:阻断程序性死亡1(PD-1)是一种抑制性T淋巴细胞受体,在多种肿瘤中与免疫系统增强和肿瘤缓解有关。我们评估了接受抗PD-1抗体治疗的癌症患者的抗肿瘤活性和免疫相关性。患者和方法:12例晚期转移性肿瘤患者接受抗PD-1抗体治疗。在12周的治疗方案后评估疗效。每个周期前检测生化和免疫学指标。结果:12例患者中,3例部分缓解,6例病情稳定(客观有效率:3/12,25%;疾病控制率:9/12,75%)。在免疫治疗期间,稳定期患者外周血中CD3+T淋巴细胞比例保持稳定,CD3+CD4+T辅助细胞减少,CD3+CD8+T记忆细胞增加。此外,血清乳酸脱氢酶水平的升高似乎与肿瘤的进展有关。结论:一种抗PD-1抗体在约25%的各种实体瘤患者中产生了客观反应,表明它可以改善体内的免疫系统。
Background: Blockade of programmed death 1 (PD-1), an inhibitory T lymphocyte receptor, is associated with immune system enhancement and tumor remission in various tumors. We assessed the anti-tumor activity and immune correlates of cancer patients treated with an anti-PD-1 antibody. Patients and Methods: Twelve patients with advanced metastatic tumors were treated with anti-PD-1 antibody. Responses were assessed after a 12-week treatment regimen. Biochemical and immunological indexes were measured before each cycle. Results: Among the 12 patients, 3 patients showed partial response while 6 patients had stable disease (objective response rate: 3/12, 25%; disease control rate: 9/12, 75%). During immunotherapy, the proportion of circulating CD3+ T lymphocytes remained stable, with decreasing trends of CD3+CD4+ T helper cell and increase in CD3+CD8+ T memory cells, in patients with stable disease. Additionally, an increase in serum lactate dehydrogenase levels seemed to correlate with tumor progression. Conclusions: An anti-PD-1 antibody produced objective responses in approximately 25% patients with various solid tumors, demonstrating that it could improve the immune system in vivo.
DOI: 10.1056/nejmoa1003466
发表时间: 2010-08-19
期刊: The New England journal of medicine
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