免疫系统
免疫逃逸
逃避(道德)
肿瘤微环境
肝内胆管癌
癌症研究
医学
免疫学
病理
作者
Xueyin Zhou,Bin Zhang,Jiahao Hu,Jieliang Shen,Zhehan Chen,Jinming Zhang,Bowen Wu,Enbo Zhou,Shuyou Peng,Tuck‐Whye Wong,Yan Li,Jiasheng Cao,Mingyu Chen
标识
DOI:10.59717/j.xinn-med.2024.100052
摘要
<p>Intrahepatic cholangiocarcinoma (ICC) is a rare hepatobiliary cancer that originates from the epithelium of the intrahepatic bile duct. The various treatments for ICC, such as chemotherapy, radiotherapy, and locoregional therapy, confer only modest improvements in survival rates. Immunotherapy, although revolutionary in cancer treatment, has found limited application in the treatment of ICCs due to the ��cold�� nature of these tumors, which is marked by scant T-cell infiltration. This characteristic makes immune checkpoint inhibitors (ICIs) unsuitable for the majority of ICC patients. Therefore, comprehensively understanding the mechanisms underlying these ��cold�� tumors is crucial for harnessing the potential of immunotherapy for treating ICC patients. This paper explores immune evasion mechanisms and the complex tumor immune microenvironment of ICC. This study provides a comprehensive overview of therapeutic strategies aimed at activating cold tumors and enhancing their immunogenicity. Furthermore, potential and promising targets for cancer vaccines and adoptive cellular therapy in the context of ICC are discussed. This endeavor strives to reveal new pathways for innovative immunotherapy strategies, with a focus on overcoming the key challenge of triggering an effective immune response in ICC patients.</p>
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