天津医药 ›› 2021, Vol. 49 ›› Issue (2): 219-224.doi: 10.11958/20202079

• 综述 • 上一篇    

肝细胞癌的血管正常化与免疫治疗 #br#

余贤哲,朱玲玲 ,李建国   

  1. 1遵义医科大学附属医院(邮编563000);2美国Harvard Medical School (四川大学华西医院肺癌中心)

  • 收稿日期:2020-07-21 修回日期:2020-10-20 出版日期:2021-02-15 发布日期:2021-02-02
  • 通讯作者: 李建国 E-mail:lijianguo0420@163.com

Vascular normalization and immunotherapy in hepatocellular carcinoma #br#

YU Xian-zhe, ZHU Ling-ling, LI Jian-guo   

  • Received:2020-07-21 Revised:2020-10-20 Published:2021-02-15 Online:2021-02-02

摘要: 肝细胞癌(HCC)是常见的恶性肿瘤之一,大部分患者确诊时往往为晚期,失去手术的机会,此时药物治疗
成为重要的治疗手段,包括化疗、靶向、免疫、中药及内分泌治疗等。免疫治疗是一种新兴的癌症治疗方式,然而异
常的肿瘤血管形成免疫抑制的肿瘤微环境,限制了免疫治疗的发展。抗血管生成治疗能够抑制肿瘤血管生长,修复
异常的肿瘤血管系统,成为改善免疫治疗的新策略。本文就
HCC的血管正常化与免疫治疗的关系及两者的联合治
疗进行综述。

关键词: 癌, 肝细胞, 免疫疗法, 肿瘤微环境, 血管生成抑制剂, CTLA-4抗原, 程序性细胞死亡受体1, 血管内皮生长因子类, 蛋白酪氨酸激酶类, 血管正常化

Abstract: Hepatocellular carcinoma (HCC) is one of the most common malignancies. Most patients are diagnosed late
and lose the opportunity for surgery at the late stage. At this time, medication becomes an important treatment, including
chemotherapy, targeting, immunity, traditional Chinese medicine and endocrine therapy. Immunotherapy is a new way of
cancer treatment, but the abnormal tumor angiogenesis forms an immunosuppressive tumor microenvironment, which limits
the development of immunotherapy. Antiangiogenic therapy has become a new strategy to improve immunotherapy by
inhibiting tumor vascular growth and repairing abnormal tumor vascular system. This article reviews the relationship between
blood vessel normalization and immunotherapy in HCC and the combination of them.

Key words: carcinoma, hepatocellular, immunotherapy, tumor microenvironment, angiogenesis inhibitors, CTLA-4 antigen, programmed cell death 1 receptor, vascular endothelial growth factors, protein-tyrosine kinases, vascular normalization

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