国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (8): 487-491.doi: 10.3760/cma.j.cn371439-20191105-00062

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肿瘤免疫治疗相关预测生物标志物研究进展

张敏, 周丽娜, 徐姗姗, 陈骏()   

  1. 大连医科大学附属第二医院肿瘤科 116000
  • 收稿日期:2019-11-05 修回日期:2020-03-11 出版日期:2020-08-08 发布日期:2020-10-22
  • 通讯作者: 陈骏 E-mail:chenjundl@vip.sina.com
  • 基金资助:
    希思科-君实肿瘤免疫研究基金(Y-JS2019-034)

Research progress in predictive biomarkers related to tumor immunotherapy

Zhang Min, Zhou Lina, Xu Shanshan, Chen Jun()   

  1. Department of Oncology, Second Hospital of Dalian Medical University, Dalian 116000, China
  • Received:2019-11-05 Revised:2020-03-11 Online:2020-08-08 Published:2020-10-22
  • Contact: Chen Jun E-mail:chenjundl@vip.sina.com
  • Supported by:
    CSCO-Junshi Tumor Immunotherapy Clinical Research Fund(Y-JS2019-034)

摘要:

肿瘤免疫治疗是一种主要针对程序性死亡蛋白-1(PD-1)及其配体PD-L1的治疗方法。PD-1/PD-L1抑制剂在多种肿瘤中具有非常明显的临床获益和持久反应,但是整体反应率仍较低。研究发现PD-L1和肿瘤突变负荷可以预测免疫治疗效果,MSI-H/dMMR、TP53和KRAS等基因突变与免疫治疗疗效呈正相关;而MDM2/4、EGFR、ALK等基因则与免疫治疗效果呈负相关。

关键词: 肿瘤, 免疫疗法, 生物学标记

Abstract:

Tumor immunotherapy is a treatment method mainly for programmed cell death-1 (PD-1) and its ligand PD-L1. PD-1/PD-L1 inhibitors have obvious clinical benefits and long-lasting responses in a variety of tumors. But overall response rates are still low. Studies show that PD-L1 and tumor mutation burden can predict the effect of immunotherapy. MSI-H/dMMR, TP53 and KRAS mutations are positively correlated with the effect of immunotherapy. While MDM2/4, EGFR, ALK and other genes are negatively correlated with the effect of immunotherapy.

Key words: Neoplasms, Immunotherapy, Biomarkers