Is immunotherapy in the future of therapeutic management of sarcomas?

被引:24
作者
Clemente, Ottavia [1 ]
Ottaiano, Alessandro [2 ]
Di Lorenzo, Giuseppe [1 ]
Bracigliano, Alessandra [3 ]
Lamia, Sabrina [1 ]
Cannella, Lucia [1 ]
Pizzolorusso, Antonio [1 ]
Di Marzo, Massimiliano [4 ]
Santorsola, Mariachiara [2 ]
De Chiara, Annarosaria [5 ]
Fazioli, Flavio [6 ]
Tafuto, Salvatore [1 ]
机构
[1] IRCCS Fdn G Pascale, Sarcomas & Rare Tumors Unit, Ist Nazl Tumori, I-80131 Naples, Italy
[2] IRCCS Fdn G Pascale, Div Innovat Therapies, Ist Nazl Tumori, I-80131 Naples, Italy
[3] IRCCS Fdn G Pascale, Nucl Med Unit, Ist Nazl Tumori, I-80131 Naples, Italy
[4] IRCCS Fdn G Pascale, Dept Abdominal Oncol, Ist Nazl Tumori, I-80131 Naples, Italy
[5] IRCCS Fdn G Pascale, Ist Nazl Tumori, Histopathol Lymphomas & Sarcomas SSD, I-80131 Naples, Italy
[6] IRCCS Fdn G Pascale, Orthoped Oncol Unit, Ist Nazl Tumori, I-80131 Naples, Italy
关键词
Soft tissue sarcoma; Osteosarcoma; Immunotherapy; Anti-cancer vaccine; CAR-T therapy; SOFT-TISSUE SARCOMA; TUMOR-INFILTRATING LYMPHOCYTES; T-CELL-RECEPTOR; TARGETED ONCOLYTIC POXVIRUS; HUMORAL IMMUNE-RESPONSE; CANCER-TESTIS ANTIGEN; PHASE-I TRIAL; SYNOVIAL SARCOMA; BONE SARCOMA; OPEN-LABEL;
D O I
10.1186/s12967-021-02829-y
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Sarcomas are rare, ubiquitous and heterogeneous tumors usually treated with surgery, chemotherapy, target therapy, and radiotherapy. However, 25-50% of patients experience local relapses and/or distant metastases after chemotherapy with an overall survival about 12-18 months. Recently, immuno-therapy has revolutionized the cancer treatments with initial indications for non-small cell lung cancer (NSCLC) and melanoma (immune-checkpoint inhibitors).Here, we provide a narrative review on the topic as well as a critical description of the currently available trials on immunotherapy treatments in patients with sarcoma. Given the promising results obtained with anti-PD-1 monoclonal antibodies (pembrolizumab and nivolumab) and CAR-T cells, we strongly believe that these new immunotherapeutic approaches, along with an innovative characterization of tumor genetics, will provide an exciting opportunity to ameliorate the therapeutic management of sarcomas.
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页数:24
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