严时佳, 刘娴雅, 万国辉. 免疫治疗联合靶向治疗在晚期肝癌方面的临床研究进展J. 药学学报, 2019,54(10): 1749-1754. doi: 10.16438/j.0513-4870.2019-0585
引用本文: 严时佳, 刘娴雅, 万国辉. 免疫治疗联合靶向治疗在晚期肝癌方面的临床研究进展J. 药学学报, 2019,54(10): 1749-1754. doi: 10.16438/j.0513-4870.2019-0585
YAN Shi-jia, LIU Xian-ya, WAN Guo-hui. Review on clinical research progress of immunotherapy in liver cancerJ. Acta Pharmaceutica Sinica, 2019,54(10): 1749-1754. doi: 10.16438/j.0513-4870.2019-0585
Citation: YAN Shi-jia, LIU Xian-ya, WAN Guo-hui. Review on clinical research progress of immunotherapy in liver cancerJ. Acta Pharmaceutica Sinica, 2019,54(10): 1749-1754. doi: 10.16438/j.0513-4870.2019-0585

免疫治疗联合靶向治疗在晚期肝癌方面的临床研究进展

Review on clinical research progress of immunotherapy in liver cancer

  • 摘要: 肝癌是我国最常见的恶性肿瘤之一,其发病原因复杂,早期症状不明显,进展迅速,预后差,严重威胁居民生命安全。免疫治疗和靶向治疗是近年来治疗晚期和转移性肝癌的重要手段。随着FDA批准索拉菲尼(sorafenib)等酪氨酸激酶抑制剂(tyrosine kinase inhibitor,TKI)、程序性死亡受体1(programmed cell death protein 1,PD-1)和细胞毒T淋巴细胞相关抗原4(cytotoxic T lymphocyte-associated antigen-4,CTLA-4)免疫检查点抑制剂等用于肝癌治疗,单药治疗和联合治疗的研究都获得较大的进展,为晚期肝癌患者生存率提高带来新的转机。但当前对免疫治疗的作用机制、耐药机制尚不清晰,联合治疗的临床研究也在进行中。本文就免疫治疗及相关联合治疗在晚期肝癌方面的临床研究进展进行综述,力求把握当前肝癌治疗的发展动向,为免疫治疗进一步发展提供参考。

     

    Abstract: Hepatocellular carcinoma (HCC) is one of the most common malignant tumors, which is charac-terized by complex pathogenesis, inconspicuous early symptoms, rapid progress and poor prognosis. Immuno-therapy and targeted therapy are important methods to treat advanced and metastatic liver cancer in recent years. With the FDA's approval of sorafenib and other tyrosine kinase inhibitors and programmed cell death protein 1 and cytotoxic T lymphocyte-associated antigen-4 immune checkpoint inhibitors for the treatment of liver cancer, great progress has been made in single-agent therapy and combination therapy, bringing a new turning point for the improvement of survival rate of patients with advanced liver cancer. However, the mechanism of immunotherapy and drug resistance is still unclear, and its clinical application combined with targeted and other therapies is still under research, which needs to be further explored by researchers. In this paper, the clinical research progress of immunotherapy combined with other therapies in advanced hepatocellular carcinoma was reviewed, in order to grasp the current development trend of the treatment of hepatocellular carcinoma and provide reference for the further development direction of immunotherapy.

     

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