Combinations of radiotherapy with immunotherapy in cervical cancer

被引:20
作者
Yang, Xiaojing [1 ]
Ren, Hanru [2 ]
Fu, Jie [1 ]
机构
[1] Shanghai Jiao Tong Univ, Dept Radiat Oncol, Affiliated Peoples Hosp 6, 600 Yishan Rd, Shanghai 200233, Peoples R China
[2] Fudan Univ, Shanghai Pudong Hosp, Dept Orthoped, Pudong Med Ctr, Shanghai 201300, Peoples R China
关键词
Immunotherapy; Radiotherapy; cervical cancer; IMMUNE CHECKPOINT INHIBITORS; RADIATION; RESPONSES; BLOCKADE; THERAPY; HYPOXIA; METASTASES; EFFICACY;
D O I
10.7150/jca.65074
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Immunotherapy serves as another effective cancer treatment apart from surgery, chemoradiotherapy, and targeted drug therapy. Radiotherapy combined with immunotherapy has significantly improved the effective cure rate for patients in several clinical trials. It subverted the traditional view that radiotherapy kills immune cells and has immunosuppressive effects, indicating a synergistic effect of radiotherapy and immunotherapy. In this article, we reviewed and summarized the molecular mechanism of the combined use of radiotherapy and immunotherapy, as well as the clinical treatment and safety of the combination of the two. We describe the rationale for the integration of radiotherapy and immunotherapy in patients with cervical cancer, present safety and efficacy data that support this combination strategy, and highlight unanswered question sand future research needs. Besides, this study can be referenced for clinicians to guide subsequent clinical medicine.
引用
收藏
页码:1480 / 1489
页数:10
相关论文
共 75 条
[1]   Radiotherapy and targeted therapy/immunotherapy [J].
Antoni, D. ;
Bockel, S. ;
Deutsch, E. ;
Mornex, F. .
CANCER RADIOTHERAPIE, 2016, 20 (6-7) :434-441
[2]   Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC [J].
Antonia, S. J. ;
Villegas, A. ;
Daniel, D. ;
Vicente, D. ;
Murakami, S. ;
Hui, R. ;
Kurata, T. ;
Chiappori, A. ;
Lee, K. H. ;
de Wit, M. ;
Cho, B. C. ;
Bourhaba, M. ;
Quantin, X. ;
Tokito, T. ;
Mekhail, T. ;
Planchard, D. ;
Kim, Y. -C. ;
Karapetis, C. S. ;
Hiret, S. ;
Ostoros, G. ;
Kubota, K. ;
Gray, J. E. ;
Paz-Ares, L. ;
Carpeno, J. de Castro ;
Faivre-Finn, C. ;
Reck, M. ;
Vansteenkiste, J. ;
Spigel, D. R. ;
Wadsworth, C. ;
Melillo, G. ;
Taboada, M. ;
Dennis, P. A. ;
Ozguroglu, M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2018, 379 (24) :2342-2350
[3]   Durvalumab after Chemoradiotherapy in Stage III Non-Small-Cell Lung Cancer [J].
Antonia, S. J. ;
Villegas, A. ;
Daniel, D. ;
Vicente, D. ;
Murakami, S. ;
Hui, R. ;
Yokoi, T. ;
Chiappori, A. ;
Lee, K. H. ;
de Wit, M. ;
Cho, B. C. ;
Bourhaba, M. ;
Quantin, X. ;
Tokito, T. ;
Mekhail, T. ;
Planchard, D. ;
Kim, Y. -C. ;
Karapetis, C. S. ;
Hiret, S. ;
Ostoros, G. ;
Kubota, K. ;
Gray, J. E. ;
Paz-Ares, L. ;
de Castro Carpeno, J. ;
Wadsworth, C. ;
Melillo, G. ;
Jiang, H. ;
Huang, Y. ;
Dennis, P. A. ;
Ozguroglu, M. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (20) :1919-1929
[4]   Sustained Complete Responses in Patients With Lymphoma Receiving Autologous Cytotoxic T Lymphocytes Targeting Epstein-Barr Virus Latent Membrane Proteins [J].
Bollard, Catherine M. ;
Gottschalk, Stephen ;
Torrano, Vicky ;
Diouf, Oumar ;
Ku, Stephanie ;
Hazrat, Yasmin ;
Carrum, George ;
Ramos, Carlos ;
Fayad, Luis ;
Shpall, Elizabeth J. ;
Pro, Barbara ;
Liu, Hao ;
Wu, Meng-Fen ;
Lee, Daniel ;
Sheehan, Andrea M. ;
Zu, Youli ;
Gee, Adrian P. ;
Brenner, Malcolm K. ;
Heslop, Helen E. ;
Rooney, Cliona M. .
JOURNAL OF CLINICAL ONCOLOGY, 2014, 32 (08) :798-+
[5]   Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries (vol 68, pg 394, 2018) [J].
Bray, F. ;
Ferlay, J. ;
Soerjomataram, I ;
Siegel, R. L. ;
Torre, L. A. ;
Jemal, A. .
CA-A CANCER JOURNAL FOR CLINICIANS, 2020, 70 (04) :313-313
[6]   Time to abandon single-site irradiation for inducing abscopal effects [J].
Brooks, Eric D. ;
Chang, Joe Y. .
NATURE REVIEWS CLINICAL ONCOLOGY, 2019, 16 (02) :123-135
[7]   A systematic evaluation of abscopal responses following radiotherapy in patients with metastatic melanoma treated with ipilimumab [J].
Chandra, Ravi A. ;
Wilhite, Tyler J. ;
Balboni, Tracy A. ;
Alexander, Brian M. ;
Spektor, Alexander ;
Ott, Patrick A. ;
Ng, Andrea K. ;
Hodi, F. Stephen ;
Schoenfeld, Jonathan D. .
ONCOIMMUNOLOGY, 2015, 4 (11)
[8]   SBRT combined with PD-1/PD-L1 inhibitors in NSCLC treatment: a focus on the mechanisms, advances, and future challenges [J].
Chen, Yu ;
Gao, Min ;
Huang, Zhaoqin ;
Yu, Jinming ;
Meng, Xiangjiao .
JOURNAL OF HEMATOLOGY & ONCOLOGY, 2020, 13 (01)
[9]   Stereotactic Ablative Radiotherapy Combined with Immune Checkpoint Inhibitors Reboots the Immune Response Assisted by Immunotherapy in Metastatic Lung Cancer: A Systematic Review [J].
Chicas-Sett, Rodolfo ;
Morales-Orue, Ignacio ;
Castilla-Martinez, Juan ;
Zafra-Martin, Juan ;
Kannemann, Andrea ;
Blanco, Jesus ;
Lloret, Marta ;
Lara, Pedro C. .
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2019, 20 (09)
[10]   Recent Developments in Radiotherapy [J].
Citrin, Deborah E. .
NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (11) :1065-1075