Advances in drug resistance mechanism of immunological checkpoint inhibitors and post-drug resistant therapeutic strategy
10.11904/j.issn.1002-3070.2017.04.012
- VernacularTitle:免疫检查点抑制剂耐药机制及耐药后治疗策略的研究进展
- Author:
Yulan ZENG
;
Yangyang LIU
;
Jinyan LIANG
;
Feifei GU
- Keywords:
Cancer immunotherapy;
Immune-checkpoint blockers;
Primary drug resistance;
Acquired drug resistance
- From:
Practical Oncology Journal
2017;31(4):353-358
- CountryChina
- Language:Chinese
-
Abstract:
Immune-checkpoint blockers(ICBs)have been well received in a variety of tumors,and the quality of patient life has improved significantly.However,the reasons why not all patients treated with ICBs benefit from lesion control,symptom improvement,and survival time.Many patients are resistant to the first time when they have been using ICBs for a period of time.This is a clinical challenge.This review lists possible causes of primary drug resistance and acquired resistance to ICBs.The primary resistance is associated with several mechanisms,including tumor microenvironment,cancer cells themselves and other related factors.The acquired resistance includes nonclassical immunoprecipitation molecules secondary overexpression,abnormalities of antigen presenting signal pathway and dysfunction of T cell activation killer.Finally,we have described a variety of possible new combination of treatment,including combined radiotherapy and chemotherapy,and combined targeted therapy with other measures.
