临床肿瘤学杂志

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免疫检查点在乳腺癌中的研究进展

荆晶,张明辉 综述,张清媛 审校   

  1. 150081 哈尔滨 哈尔滨医科大学附属肿瘤医院内三科
  • 收稿日期:2017-03-13 修回日期:2017-05-02 出版日期:2017-08-31 发布日期:2017-08-31
  • 通讯作者: 张清媛

Progression of immune checkpoint in breast cancer

JING Jing,ZHANG Minghui,ZHANG Qingyuan   

  1. Department of Medical Oncology,Harbin Medical University Cancer Hospital, Harbin 150081,China
  • Received:2017-03-13 Revised:2017-05-02 Online:2017-08-31 Published:2017-08-31
  • Contact: ZHANG Qingyuan

摘要: 免疫检查点对于维持自身免疫耐受、避免免疫系统对正常组织进行攻击发挥着至关重要的作用。肿瘤细胞能够利用免疫检查点通路的激活逃避免疫系统的识别。目前最重要的免疫检查点为细胞毒T淋巴细胞相关抗原-4(CTLA-4)、程序性死亡受体-1(PD-1)及程序性死亡受体配体-1(PD-L1)。肿瘤细胞PD-L1通过与活化的T细胞的PD-1结合,能够通过诱导T细胞的凋亡降低肿瘤免疫反应。免疫检查点抑制剂的应用能够延长肿瘤患者的生存时间。尽管目前对于免疫检查点认识有限,但免疫检查点抑制剂作为新的治疗方法有望改变乳腺癌的治疗模式。本篇综述将介绍乳腺癌中免疫检查点的研究进展。

Abstract: Immune checkpoint plays an important role in maintaining self-tolerance and preventing immune system from attacking normal tissues. Tumor cells take advantage of these mechanisms to evade immune recognition. At present,the most important immune checkpoints are cytotoxic T-lymphocyte antigen-4(CTLA4),programmed death-1(PD-1)and programmed death ligand-1(PD-L1). PD-L1 binds PD-1 to reduce the cellular immune response by inducing T-cell apoptosis or exhaustion. Immune checkpoint blockade improves the survival of patients with cancer. Despite the limited understanding,checkpoint blockade as a novel therapeutic approach may change the treatment paradigm of breast cancer in the future. In this paper,recent advances of immune checkpoint blockade in breast cancer are reviewed.

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