Immune microenvironment and therapeutic progress of recurrent hepatocellular carcinoma after liver transplantation

被引:2
作者
Jin, Xin [1 ,2 ]
Ma, Xiaoting [3 ]
Zhao, Dong [1 ,2 ]
Yang, Lin [3 ]
Ma, Nan [1 ,2 ]
机构
[1] Southern Univ Sci & Technol, Shenzhen Peoples Hosp 3, Div Liver Surg, Natl Clin Res Ctr Infect Dis,Affiliated Hosp 2, 29 Bulan Rd, Shenzhen 518112, Guangdong, Peoples R China
[2] Southern Univ Sci & Technol, Shenzhen Peoples Hosp 3, Organ Transplantat Ctr, Natl Clin Res Ctr Infect Dis,Affiliated Hosp 2, 29 Bulan Rd, Shenzhen 518112, Guangdong, Peoples R China
[3] Chinese Acad Med Sci & Peking Union Med Coll, Natl Clin Res Ctr Canc, Natl Canc Ctr, Dept Med Oncol,Canc Hosp, 17 Panjiayuan Nanli, Beijing 100021, Peoples R China
关键词
ICI; HCC; Liver transplantation; PD-1; Tumor recurrence; T-CELLS; CHECKPOINT INHIBITORS; PD-1; IMMUNOSUPPRESSION; TACROLIMUS; TOLERANCE; PATHWAY;
D O I
10.1016/j.tranon.2022.101603
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
HCC is a highly lethal tumor, and orthotopic liver transplantation, as one of the radical treatment methods for HCC, has opened-up a new therapeutic approach for the treatment of primary liver cancer. However, tumor recurrence after liver transplantation is the main reason that affects the long-term survival of recipients. At present, the application of ICIs has brought dawn to patients with refractory HCC. However, because of the special immune tolerance state created by long-term oral immunosuppressants in patients with HCC after liver transplantation, the current focus is how to regulate the immune balance of such patients and simultaneously maximize the anti-tumor effect. This article reviews the relationship between liver cancer and immunity, im-mune tolerance of liver transplantation, immune microenvironment after liver transplantation for HCC, and the application of immunotherapy in the recurrence of liver transplantation for HCC.
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页数:7
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