Immunotherapy in Renal Cell Carcinoma: The Future Is Now

被引:181
作者
Deleuze, Antoine [1 ,2 ]
Saout, Judikael [1 ]
Dugay, Frederic [1 ,3 ]
Peyronnet, Benoit [4 ]
Mathieu, Romain [1 ,4 ]
Verhoest, Gregory [4 ]
Bensalah, Karim [4 ]
Crouzet, Laurence [2 ]
Laguerre, Brigitte [2 ]
Belaud-Rotureau, Marc-Antoine [1 ,3 ]
Rioux-Leclercq, Nathalie [1 ,5 ]
Kammerer-Jacquet, Solene-Florence [1 ,5 ]
机构
[1] Univ Rennes, EHESP Ecole Hautes Etud Sante Publ, IRSET Inst Rech Sante Environm & Travail, Inserm,UMR 1085, F-35000 Rennes, France
[2] Ctr Eugene Marquis, Dept Med Oncol, F-35000 Rennes, France
[3] Univ Hosp, Dept Cytogenet, F-35000 Rennes, France
[4] Univ Hosp, Dept Urol, F-35000 Rennes, France
[5] Univ Hosp, Dept Pathol, F-35000 Rennes, France
关键词
immunotherapy; immune checkpoint inhibitors; renal cell carcinoma; PD-1; PD-L1; ongoing trials; biomarkers; emerging drugs; TUMOR-CELLS; PD-L1; EXPRESSION; INTERFERON-ALPHA; SUNITINIB; NIVOLUMAB; EVEROLIMUS; RESISTANCE; INHIBITION; RECEPTORS; THERAPIES;
D O I
10.3390/ijms21072532
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Renal cell carcinoma is the third type of urologic cancer and has a poor prognosis with 30% of metastatic patients at diagnosis. The antiangiogenics and targeted immunotherapies led to treatment remodeling emphasizing the role of the tumour microenvironment. However, long-term responses are rare with a high rate of resistance. New strategies are emerging to improve the efficacy and the emerging drugs are under evaluation in ongoing trials. With the different treatment options, there is an urgent need to identify biomarkers in order to predict the efficacy of drugs and to better stratify patients. Owing to the limitations of programmed death-ligand 1 (PD-L1), the most studied immunohistochemistry biomarkers, and of the tumor mutational burden, the identification of more reliable markers is an unmet need. New technologies could help in this purpose.
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页数:22
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