Research advances in tumor-infiltrating lymphocytes in treatment of biliary tract cancer
10.3969/j.issn.1001-5256.2023.05.005
- VernacularTitle:肿瘤浸润淋巴细胞治疗胆道癌研究进展
- Author:
Xueshuai WAN
1
;
Xiaobing XIE
2
;
Haitao ZHAO
1
;
Weiyue GU
2
;
Henghui ZHANG
3
Author Information
1. Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China
2. Chineo Therapeutics Co., Ltd., Beijing 101111, China
3. Beijing Immupeutics Medicine Technology Co., Ltd., Beijing Engineering Research Center of Immunocellular Therapy, Beijing 102600, China
- Publication Type:Discussions by Experts
- Keywords:
Lymphocytes, Tumor-Infiltrating;
Biliary Tract Neoplasms;
Therapeutics
- From:
Journal of Clinical Hepatology
2023;39(5):1030-1036
- CountryChina
- Language:Chinese
-
Abstract:
Tumor-infiltrating lymphocytes (TILs) are a heterogeneous subset of lymphocytes, mainly T cells, present in tumor parenchyma and stroma. After being digested and isolated from tumor tissue and then cultured in vitro for activation and multiplication, it can be infused back into the patient's body to kill tumor cells. TILs have the advantages of high diversity of TCR, excellent ability to infiltrate into tumor sites, and low toxicity and are considered promising for the treatment of malignant solid tumors. At present, TIL therapy has been tested as a second-line treatment in a variety of solid tumors and has achieved preliminary results. Although there is still no clinical cohort report on the application of TILs in biliary tract cancer (BTC), recent clinical reports on multiple cancers have provided information on the efficacy of TIL therapy in a small number of BTC patients, which preliminarily confirmed the safety and efficacy of TIL therapy. However, since BTC is generally considered an immunologically repulsive tumor in which most effector T cells are sequestered at the tumor edge, the antitumor effect of TILs in BTC remains difficult to predict. Combination therapy with different anti-tumor methods and the development of new techniques to modify cells to enhance the anti-tumor ability of TILs are possible directions for breakthrough in the future.
