国际肿瘤学杂志 ›› 2022, Vol. 49 ›› Issue (11): 700-704.doi: 10.3760/cma.j.cn371439-20220408-00138
• 综述 • 上一篇
收稿日期:
2022-04-08
修回日期:
2022-06-05
出版日期:
2022-11-08
发布日期:
2022-12-06
通讯作者:
岳琦
E-mail:yqyd5678@163.com
Xu Qiuyue, Ma Xianmei, Yue Qi()
Received:
2022-04-08
Revised:
2022-06-05
Online:
2022-11-08
Published:
2022-12-06
Contact:
Yue Qi
E-mail:yqyd5678@163.com
摘要:
子宫内膜癌由癌症基因组图谱计划通过基因组序列分析确定了4种分子亚型。基于各亚型不同免疫特点,选择适合的免疫治疗药物的临床试验在多个国家展开并取得重要进展。临床主要应用的免疫检查点抑制剂有抗程序性细胞死亡蛋白-1/程序性死亡配体-1抗体和聚腺苷二磷酸核糖聚合酶抑制剂。依据不同免疫检查点抑制剂针对的靶点特性优化药物选择和药物配伍可能为子宫内膜癌的免疫治疗提供新机遇,为提高生存率带来新的曙光。
徐秋月, 马咸梅, 岳琦. 基于分子分型的子宫内膜癌免疫治疗[J]. 国际肿瘤学杂志, 2022, 49(11): 700-704.
Xu Qiuyue, Ma Xianmei, Yue Qi. Immunotherapy for endometrial carcinoma based on molecular typing[J]. Journal of International Oncology, 2022, 49(11): 700-704.
[1] |
中国抗癌协会妇科肿瘤专业委员会. 子宫内膜癌诊断与治疗指南(2021年版)[J]. 中国癌症杂志, 2021, 31(6): 501-512. DOI: 10.19401/j.cnki.1007-3639.2021.06.08.
doi: 10.19401/j.cnki.1007-3639.2021.06.08 |
[2] |
Baiden-Amissah REM, Annibali D, Tuyaerts S, et al. Endometrial cancer molecular characterization: the key to identifying high-risk patients and defining guidelines for clinical decision-making?[J]. Cancers (Basel), 2021, 13(16): 3988. DOI: 10.3390/cancers13163988.
doi: 10.3390/cancers13163988 |
[3] |
Beinse G, Rance B, Just PA, et al. Identification of TP53 mutated group using a molecular and immunohistochemical classification of endometrial carcinoma to improve prognostic evaluation for adjuvant treatments[J]. Int J Gynecol Cancer, 2020, 30(5): 640-647. DOI: 10.1136/ijgc-2019-000871.
doi: 10.1136/ijgc-2019-000871 |
[4] |
Piulats JM, Guerra E, Gil-Martín M, et al. Molecular approaches for classifying endometrial carcinoma[J]. Gynecol Oncol, 2017, 145(1): 200-207. DOI: 10.1016/j.ygyno.2016.12.015.
doi: S0090-8258(16)31680-8 pmid: 28040204 |
[5] |
McAlpine J, Leon-Castillo A, Bosse T. The rise of a novel classification system for endometrial carcinoma; integration of molecular subclasses[J]. J Pathol, 2018, 244(5): 538-549. DOI: 10.1002/path.5034.
doi: 10.1002/path.5034 |
[6] |
Imboden S, Nastic D, Ghaderi M, et al. Phenotype of POLE-mutated endometrial cancer[J]. PLoS One, 2019, 14(3): e0214318. DOI: 10.1371/journal.pone.0214318.
doi: 10.1371/journal.pone.0214318 |
[7] |
Akhtar M, Al Hyassat S, Elaiwy O, et al. Classification of endometrial carcinoma: new perspectives beyond morphology[J]. Adv Anat Pathol, 2019, 26(6): 421-427. DOI: 10.1097/PAP.0000000000000251.
doi: 10.1097/PAP.0000000000000251 pmid: 31567131 |
[8] |
Yamashita H, Nakayama K, Ishikawa M, et al. Microsatellite instability is a biomarker for immune checkpoint inhibitors in endometrial cancer[J]. Oncotarget, 2017, 9(5): 5652-5664. DOI: 10.18632/oncotarget.23790.
doi: 10.18632/oncotarget.23790 |
[9] |
Goebel EA, Vidal A, Matias-Guiu X, et al. The evolution of endometrial carcinoma classification through application of immunohistochemistry and molecular diagnostics: past, present and future[J]. Virchows Arch, 2018, 472(6): 885-896. DOI: 10.1007/s00428-017-2279-8.
doi: 10.1007/s00428-017-2279-8 |
[10] |
Cancer Genome Atlas Research Network, Kandoth C, Schultz N, et al. Integrated genomic characterization of endometrial carcinoma[J]. Nature, 2013, 497(7447): 67-73. DOI: 10.1038/nature12113.
doi: 10.1038/nature12113 |
[11] |
Uppendahl L, Mullany SA, Winterhoff B. Molecular characterization of endometrial cancer and therapeutic implications[J]. Curr Opin Obstet Gynecol, 2017, 29(1): 35-39. DOI: 10.1097/GCO.0000000000000342.
doi: 10.1097/GCO.0000000000000342 |
[12] |
Soslow RA, Tornos C, Park KJ, et al. Endometrial carcinoma diagnosis: use of FIGO grading and genomic subcategories in clinical practice: recommendations of the the International Society Of Gynecological Pathologists[J]. Int J Gynecol Pathol, 2019, 38 Suppl 1 (Iss 1 Suppl 1): S64-S74. DOI: 10.1097/PGP.0000000000000518.
doi: 10.1097/PGP.0000000000000518 |
[13] |
Gargiulo P, Della Pepa C, Berardi S, et al. Tumor genotype and immune microenvironment in POLE-ultramutated and MSI-hypermutated endometrial cancers: new candidates for checkpoint blockade immunotherapy?[J]. Cancer Treat Rev, 2016, 48: 61-68. DOI: 10.1016/j.ctrv.2016.06.008.
doi: 10.1016/j.ctrv.2016.06.008 pmid: 27362548 |
[14] |
Piulats JM, Matias-Guiu X. Immunotherapy in endometrial cancer: in the nick of time[J]. Clin Cancer Res, 2016, 22(23): 5623-5625. DOI: 10.1158/1078-0432.CCR-16-1820.
doi: 10.1158/1078-0432.CCR-16-1820 pmid: 27697995 |
[15] |
Paleari L, Pesce S, Rutigliani M, et al. New insights into endometrial cancer[J]. Cancers (Basel), 2021, 13(7): 1496. DOI: 10.3390/cancers13071496.
doi: 10.3390/cancers13071496 |
[16] |
Eggink FA, Van Gool IC, Leary A, et al. Immunological profiling of molecularly classified high-risk endometrial cancers identifies POLE-mutant and microsatellite unstable carcinomas as candidates for checkpoint inhibition[J]. Oncoimmunology, 2017, 6(2): e1264565. DOI: 10.1080/2162402X.2016.1264565.
doi: 10.1080/2162402X.2016.1264565 |
[17] |
Gómez-Raposo C, Merino Salvador M, Aguayo Zamora C, et al. Immune checkpoint inhibitors in endometrial cancer[J]. Crit Rev Oncol Hematol, 2021, 161: 103306. DOI: 10.1016/j.critrevonc.2021.103306.
doi: 10.1016/j.critrevonc.2021.103306 |
[18] |
Post CCB, Westermann AM, Bosse T, et al. PARP and PD-1/PD-L1 checkpoint inhibition in recurrent or metastatic endometrial cancer[J]. Crit Rev Oncol Hematol, 2020, 152: 102973. DOI: 10.1016/j.critrevonc.2020.102973.
doi: 10.1016/j.critrevonc.2020.102973 |
[19] |
Keir ME, Butte MJ, Freeman GJ, et al. PD-1 and its ligands in tolerance and immunity[J]. Annu Rev Immunol, 2008, 26: 677-704. DOI: 10.1146/annurev.immunol.26.021607.090331.
doi: 10.1146/annurev.immunol.26.021607.090331 pmid: 18173375 |
[20] |
Tsimberidou AM, Vo HH, Subbiah V, et al. Pembrolizumab in patients with advanced metastatic germ cell tumors[J]. Oncologist, 2021, 26(7): 558-e1098. DOI: 10.1002/onco.13682.
doi: 10.1002/onco.13682 |
[21] |
Markham A. Dostarlimab: first approval[J]. Drugs, 2021, 81(10): 1213-1219. DOI: 10.1007/s40265-021-01539-5.
doi: 10.1007/s40265-021-01539-5 pmid: 34106455 |
[22] |
Konstantinopoulos PA, Liu JF, Luo W, et al. Phase 2, two-group, two-stage study of avelumab in patients (pts) with microsatellite stable (MSS), microsatellite instable (MSI), and polymerase epsilon (POLE) mutated recurrent/persistent endometrial cancer (EC)[J]. J Clin Oncol, 2019, 37(15_suppl): 5502. DOI: 10.1200/JCO.2019.37.15_suppl.5502.
doi: 10.1200/JCO.2019.37.15_suppl.5502 |
[23] |
Green AK, Feinberg J, Makker V. A review of immune checkpoint blockade therapy in endometrial cancer[J]. Am Soc Clin Oncol Educ Book, 2020, 40: 1-7. DOI: 10.1200/EDBK_280503.
doi: 10.1200/EDBK_280503 pmid: 32213091 |
[24] |
Antill YC, Kok PS, Robledo K, et al. Activity of durvalumab in advanced endometrial cancer (AEC) according to mismatch repair (MMR) status: the phase Ⅱ PHAEDRA trial (ANZGOG1601)[J]. J Clin Oncol, 2019, 37(15_suppl): 5501. DOI: 10.1200/JCO.2019.37.15_SUPPL.5501.
doi: 10.1200/JCO.2019.37.15_SUPPL.5501 |
[25] |
Monestier S, Dalle S, Mortier L, et al. Effectiveness and safety of nivolumab in patients with advanced melanoma: a multicenter, observational study[J]. Int J Cancer, 2021, 148(11): 2789-2798. DOI: 10.1002/ijc.33467.
doi: 10.1002/ijc.33467 pmid: 33428772 |
[26] |
Santin AD, Bellone S, Buza N, et al. Regression of chemotherapy-resistant polymerase ε (POLE) ultra-mutated and MSH6 hyper-mutated endometrial tumors with nivolumab[J]. Clin Cancer Res, 2016, 22(23): 5682-5687. DOI: 10.1158/1078-0432.CCR-16-1031.
doi: 10.1158/1078-0432.CCR-16-1031 pmid: 27486176 |
[27] |
Lim JSJ, Tan DSP. Understanding resistance mechanisms and expanding the therapeutic utility of PARP inhibitors[J]. Cancers (Basel), 2017, 9(8): 109. DOI: 10.3390/cancers9080109.
doi: 10.3390/cancers9080109 |
[28] |
Slade D. PARP and PARG inhibitors in cancer treatment[J]. Genes Dev, 2020, 34(5/6): 360-394. DOI: 10.1101/gad.334516.119.
doi: 10.1101/gad.334516.119 |
[29] |
Li H, Liu ZY, Wu N, et al. PARP inhibitor resistance: the underlying mechanisms and clinical implications[J]. Mol Cancer, 2020, 19(1): 107. DOI: 10.1186/s12943-020-01227-0.
doi: 10.1186/s12943-020-01227-0 pmid: 32563252 |
[30] |
Hsu C, Lee SH, Ejadi S, et al. Safety and antitumor activity of pembrolizumab in patients with programmed death-ligand 1-positive nasopharyngeal carcinoma: results of the KEYNOTE-028 study[J]. J Clin Oncol, 2017, 35(36): 4050-4056. DOI: 10.1200/JCO.2017.73.3675.
doi: 10.1200/JCO.2017.73.3675 pmid: 28837405 |
[31] |
Antill Y, Kok PS, Robledo K, et al. Clinical activity of durvalumab for patients with advanced mismatch repair-deficient and repair-proficient endometrial cancer. A nonrandomized phase 2 clinical trial[J]. J Immunother Cancer, 2021, 9(6): e002255. DOI: 10.1136/jitc-2020-002255.
doi: 10.1136/jitc-2020-002255 |
[32] |
Makker V, Taylor MH, Aghajanian C, et al. Lenvatinib plus pembrolizumab in patients with advanced endometrial cancer[J]. J Clin Oncol, 2020, 38(26): 2981-2992. DOI: 10.1200/JCO.19.02627.
doi: 10.1200/JCO.19.02627 pmid: 32167863 |
[1] | 杨蜜, 别俊, 张加勇, 邓佳秀, 唐组阁, 卢俊. 局部晚期可切除食管癌新辅助治疗疗效及预后分析[J]. 国际肿瘤学杂志, 2024, 51(6): 332-337. |
[2] | 许凤琳, 吴刚. EBV在鼻咽癌肿瘤免疫微环境和免疫治疗中的研究进展[J]. 国际肿瘤学杂志, 2024, 51(6): 359-363. |
[3] | 萨蔷, 徐航程, 王佳玉. 乳腺癌免疫治疗研究进展[J]. 国际肿瘤学杂志, 2024, 51(4): 227-234. |
[4] | 钟楠, 王淡瑜, 周欢欢, 刘宁, 戴纬, 刘黎琼, 郭智. CD30单抗联合PD-1抑制剂治疗复发难治性霍奇金淋巴瘤的疗效与安全性[J]. 国际肿瘤学杂志, 2024, 51(4): 245-248. |
[5] | 钱晓涛, 石子宜, 胡格. Ⅲ~ⅣA期食管鳞状细胞癌根治性放化疗后行免疫检查点抑制剂维持治疗的真实世界临床研究[J]. 国际肿瘤学杂志, 2024, 51(3): 151-156. |
[6] | 解淑萍, 孙亚红, 汪超. 早期肿瘤标志物联合NLR、PLR预测胃癌免疫治疗疗效[J]. 国际肿瘤学杂志, 2024, 51(3): 157-165. |
[7] | 陈欣祎, 翁一鸣, 魏家燕, 王劲松, 彭敏. 免疫检查点抑制剂在复发或转移性头颈部鳞状细胞癌治疗中的进展[J]. 国际肿瘤学杂志, 2023, 50(9): 553-557. |
[8] | 邓隽军, 赵大勇, 李淼. 免疫检查点抑制剂在非小细胞肺癌治疗中的不良反应及危险因素[J]. 国际肿瘤学杂志, 2023, 50(9): 564-568. |
[9] | 张露, 蒋华, 林州, 马辰莺, 徐晓婷, 王利利, 周菊英. 免疫检查点抑制剂治疗复发转移性宫颈癌的疗效及预后分析[J]. 国际肿瘤学杂志, 2023, 50(8): 475-483. |
[10] | 过慈良, 江春平, 吴俊华. 肠道菌群与肿瘤免疫治疗[J]. 国际肿瘤学杂志, 2023, 50(7): 432-436. |
[11] | 吕璐, 孙鹏飞. 肠道菌群与宫颈癌[J]. 国际肿瘤学杂志, 2023, 50(6): 373-376. |
[12] | 凡梦思, 陆雅萍, 闫莉. 子宫内膜癌前哨淋巴结假阴性患者的临床病理特征分析[J]. 国际肿瘤学杂志, 2023, 50(5): 274-279. |
[13] | 顾安琴, 龙金华, 金风. 鼻咽癌免疫治疗的临床研究进展[J]. 国际肿瘤学杂志, 2023, 50(5): 299-303. |
[14] | 杨洪娟, 孙云川, 何新颖, 毕建强, 肖丽. 子宫内膜中肾样腺癌1例并文献复习[J]. 国际肿瘤学杂志, 2023, 50(4): 255-256. |
[15] | 王雅倩, 杜逸玮, 王兴, 贾军梅. 小细胞肺癌免疫治疗预后预测指标研究进展[J]. 国际肿瘤学杂志, 2023, 50(3): 179-182. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||