免疫检查点TIGIT/CD155对原发性肝癌免疫微环境的调控作用及应用展望
DOI: 10.3969/j.issn.1001-5256.2022.11.039
Regulatory effect of immune checkpoint TIGIT/CD155 on the immune microenvironment of primary liver cancer and its application prospects
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摘要: 随着免疫检查点抑制剂在各种实体瘤中得到了应用,耐药性和疗效不佳等问题随之而来,所以为了更好地改善患者的预后,探索更佳的免疫治疗方案刻不容缓。本文介绍了一种新兴的免疫检查点TIGIT及其高亲和力配体CD155,总结了TIGIT/CD155通路对肝癌免疫微环境的调控作用,并归纳了针对TIGIT的抑制剂在肝癌免疫治疗中的应用。认为TIGIT/CD155可以通过免疫细胞和基质细胞等改变肝癌的免疫微环境,从而造成免疫逃逸使病情恶化。分析表明,针对TIGIT的靶向治疗会成为将来肝癌治疗发展的新方向,并在免疫联合治疗中发挥重要作用。Abstract: With the application of immune checkpoint inhibitors in various solid tumors, problems such as drug resistance and poor response gradually occur, and therefore, in order to better improve the prognosis of patients, it is urgent to explore better immunotherapy regimens. This article introduces an emerging immune checkpoint TIGIT and its high-affinity ligand CD155 and summarizes the regulatory effect of the TIGIT/CD155 pathway on the immune microenvironment of liver cancer and the application of inhibitors targeting TIGIT in immunotherapy for liver cancer. It is believed that TIGIT/CD155 can change the immune microenvironment of liver cancer through immune cells and stromal cells, thereby causing immune escape and worsening of disease conditions. The analysis shows that the targeted therapy for TIGIT will become a new direction for the development of liver cancer therapy and play an important role in combined immunotherapy.
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Key words:
- Liver Neoplasms /
- Immunosuppressive Agents /
- Tumor Microenvironment
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表 1 TIGIT免疫检查点抑制剂在实体瘤免疫治疗中的应用
Table 1. Application of TIGIT immune checkpoint inhibitors in immunotherapy of solid tumor
TIGIT抑制剂 试验号 研究年份 研究疾病 试验内容 试验阶段 试验方式 BGB-A1217 NCT04948697 2021年 晚期HCC 与贝伐珠单抗(BAT1706)或替雷利珠单抗(BGB-A317)联合治疗 Ⅱ期 对照试验 AB154 NCT03628677 2018年 晚期恶性实体肿瘤 单药治疗或与塞帕利单抗(AB122)联合治疗 Ⅰ期 对照试验 IBI-939 NCT04353830 2020年 晚期恶性肿瘤 单药治疗或与信迪利单抗联合治疗 Ⅰ期 对照试验 M-6223 NCT04457778 2020年 转移性或局部晚期不可切除实体肿瘤 单药治疗或与M7824(PD-1/TGFβ双靶向药物)联合治疗 Ⅰ期 对照试验 AGEN1777 NCT05025085 2020年 晚期实体肿瘤 单药治疗或与一种PD-1抑制剂联合治疗 Ⅰ期 对照试验 IBI-321 NCT04911894 NCT04911881 2021年 晚期实体肿瘤 单药治疗 Ⅰ期 单臂试验 MK-7684 NCT05007106 2021年 包括HCC在内的8种晚期实体肿瘤 与PD-1抑制剂或分子靶向药物等联合治疗 Ⅱ期 对照试验 ASP8374 NCT03945253 2019年 晚期实体肿瘤 单药治疗 Ⅰ期 对照试验 BAT6005 NCT05116709 2021年 局部或转移性晚期实体肿瘤 单药治疗 Ⅰ期 单臂试验 -
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