创新链/学科链/研发链/产业链

新药研发前沿动态 / 医药领域趋势进展

免疫检查点抑制剂的研究进展

Research Progress of Immune Checkpoint Inhibitors

  • 摘要: 免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)通过阻断免疫检查点与其配体的结合,解除免疫检查点引起的免疫功能抑制,从而重新激活免疫细胞发挥抗肿瘤作用。目前已有多个ICIs在抗肿瘤临床应用中取得显著成效,是肿瘤治疗领域的突破性进展。靶向细胞毒性T淋巴细胞相关抗原4(cytotoxic T lymphocyte-associated antigen-4,CTLA-4)、程序性死亡受体1(programmed death-1,PD-1)及程序性死亡受体配体1(programmed death-ligand 1,PD-L1)的抑制剂已成功用于黑色素瘤和非小细胞肺癌等多种恶性肿瘤的临床治疗。基于CTLA-4和PD-1/PD-L1抗体药物的巨大成功,掀起了ICIs研究的新浪潮。近年来发现了更多的免疫检查点如淋巴细胞激活基因3(lymphocyte activation gene-3,LAG-3)、T细胞免疫球蛋白黏蛋白3(T cell immunoglobulin and mucin domain-containing protein 3,TIM-3)和分化簇47(cluster of differentiation 47,CD47)等,针对这些蛋白的抑制剂正在开展临床前或临床研究。综述围绕目前广泛研究的免疫检查点及其抑制剂,介绍了各免疫检查点在肿瘤免疫中的作用及其抑制剂的临床研究进展。

     

    Abstract: Blocking the interaction of immune checkpoints and their ligands by immune checkpoint inhibitors (ICIs) may relieve immune cells from inhibition caused by immune checkpoints, thereby reinvigorating immune cells to exert anti-tumor effects. At present, numerous ICIs have witnessed remarkable progress in anti-tumor clinical application, which is a breakthrough in the field of tumor therapy. Inhibitors targeting cytotoxic T lymphocyte-associated antigen-4 (CTLA-4), programmed death-1 (PD-1) and programmed death-ligand 1 (PD-L1) have been successfully approved for the clinical treatment of various malignant tumors such as melanoma and non-small cell lung cancer. The great success of CTLA-4 and PD-1/PD-L1 antibody thus sets off a novel upsurge of research for ICIs. In recent years, more immune checkpoints such as lymphocyte activation gene-3 (LAG-3), T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3), and cluster of differentiation 47 (CD47) have been identified. To this end, preclinical or clinical researches on these proteins have been extensively undertaken. This article reviews the extensively investigated immune checkpoints and their inhibitors, and introduces the molecular mechanisms of each immune checkpoint in tumor immunity as well as the progress of their inhibitors under clinical research.

     

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