First-line ICIs in renal cell carcinoma

被引:3
作者
Fiorentino, Vincenzo [1 ,5 ]
Tralongo, Pietro [2 ]
Larocca, Luigi Maria [3 ]
Pizzimenti, Cristina [4 ]
Martini, Maurizio [1 ]
Pierconti, Francesco [2 ]
机构
[1] Univ Messina, Dept Human Pathol Adult & Dev Age Gaetano Barresi, Pathol Sect, Messina, Italy
[2] Fdn Policlin Univ Agostino Gemelli IRCCS, Dept Woman & Childs Hlth & Publ Hlth Sci, Pathol Unit, Rome, Italy
[3] Int Med Univ Rome, Unicamillus, Rome, Italy
[4] Univ Messina, Dept Biomed & Dent Sci & Morphofunct Imaging, Translat Mol Med & Surg, Messina, Italy
[5] Univ Messina, Azienda Univ Osped G Martino, Via Consolare Valeria 1, I-90125 Messina, Italy
关键词
Immune checkpoint inhibition; INTERFERON-ALPHA; THERAPY; CANCER; EVEROLIMUS; INTERLEUKIN-2; PEMBROLIZUMAB; MONOTHERAPY; SUNITINIB; NIVOLUMAB; TRIAL;
D O I
10.1080/21645515.2023.2225386
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 ; 0836 ; 090102 ; 100705 ;
摘要
Treatment of metastatic renal cell carcinoma (mRCC) has radically changed, switching from interferon alfa (IFN-& alpha;) and high-dose interleukin-2 (HD IL-2) to new targeted therapies directed against tumoral neoangiogenesis, the mammalian target of the rapamycin (mTOR) pathway and immune checkpoints. Of note, the inhibition of immune checkpoints restores antitumor immune response, therefore promoting immune-mediated elimination of neoplastic cells. The best example of this targeted treatment is represented by PD-1/PD-L1 inhibition that has become the standard of care in mRCC treatment and has improved mRCC patients' prognoses after failure of other targeted therapies. In this manuscript, we review the main therapeutic protocols adopted for mRCC, based on the use of immune checkpoint inhibitors (ICIs) alone or combined with other drugs.
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页数:7
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