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¦Ñ´¤j±z¦n: «D±`ÁÂÁ±zªºÂIµû¡A§Æ±æ¤j®a³z¹L¨º½g¤å³¹ª¾¹DADI-PEG20¥i¥H©Ý®iPD-1/PD-L1Àøªkªº¦a¤è¦bþ¸Ì¡C ±µ¤U¨Ó¡A¦³¿³½ìªº¤H¥i¥H¬Ý¬Ý¥H¤U¨â½g¤å³¹: Activation of the PD-1/PD-L1 immune checkpoint confers tumor cell chemoresistance associated with increased metastasis www.impactjournals.com/oncotarget/index.php?journal=oncotarget&page=article&op=view&path[]=7235&path[]=20661 PD-L1 regulates cisplatin chemoresistance in head and neck squamous cell carcinoma(¥i±¤¬Ý¤£¨ì¥þ¤å) cancerres.aacrjournals.org/content/75/15_Supplement/5474 (¦Ñ´¤j¡A¤£¦n·N«ä¡AÁÙ¬O½Ð±zÂIµû¤@¤U) ±q²Ä¤@½g¤å³¹¶}©l¨ì³o¨â½g¤å³¹¡ATecentriq¡ÏADI-PEG 20+Pemetrexed+ CisplatinªºªvÀø¾÷¨î¬Ý¥X¨Ó¤F¶Ü?¶W±jªº!¤ñ³æ¯ÂÁpKÁÙ±j(¦ý¦n¹³n¾á¤ß°Æ§@¥Î)!°ß¤@¯Êªº¤@¶ô«÷¹Ï¬O¡ACis©ÎPem¨s³º¦³¨S¦³§í¨îanti-PEG IgG/IgMªº¥\¯à?¤p§Ì¯à¤O¤£¨¬¡A§ä¤£¨ì¡C§Æ±æ¦Ñ´¤j¯àÀ°À°¦£¡C ¦Ñ´¤j¡A±z¬ì¸Ìªº¤HnË·°¤F¡A¤p§Ì¯uªº¬Oªù¥~º~¡A¬O°áªÀ·|¬ì¾Çªº¡C§Ú°Ù³o¨Ç¤å³¹¡A°Ù±o¤ú³£§Ö±¼¥ú¤F¡AÁÙ¦n¦³¦Ñ´¤j±zªºµL¨p©^Äm¡AÅý§Ú¬ÝÀ´(¦³¥i¯àÁÙ¬O¦üÀ´«DÀ´)«Ü¦hÁ{§É¼Æ¾Úªº·N¸q¡C |
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123¤j¡÷«Ü´Î¡I«ÜÆgªº¨£¸Ñ¡I »aÃǤj JEM-journal of experimental medicine¬O¬¥§J»p°Ç¤j¾Çªº¥Zª«§a¡H §K¬Ì¾Ç¨t¦Cªº´Á¥Z±Æ¦W-7/151-¶È¦¸©óNature¨t¦CªºNature immunology! »aÃǤjµ´¹ï¬O°é¤º¤H(Âå¬É)¡A¦pªG¤£¬O¡A¨º¦Ñ´¯uªºn¥s¬ì¸Ìªº¤p¦Ñ§Ì̱¾À¡I°ª¤âÁ`¬O²`Âä£ÅS¡I ¤j®aÀ³¸Ón¦h¦V»aÃǤj«õÄ_¡I¦Ñ´¤@Ó¤H¯à¤O¦³¡A¯uªºn½Ð¦U¬É½å¹F¦bÁÈ¿ú¤§¾l¡A¦@¦P¼®¤O¬°¥xÆW ªº¥Í§Þ·~¡A¦h¦h«ü¾É¥Í§Þ§ë¸ê¤H¡A¥u¦³¥þ¥Áªº¥Í§Þ±`ÃÑ´£ª@¡A¥Í§Þªº§ë¸ê¤~·|§ó¼öµ¸¡B¥Í§Þ¤½¥q¤]¤~ §ó®e©ö¶Ò¨ì¿ú¡I ©Ò¥H¦b¦¹©IÆ~¥xÁÞ¤j¡BCliff¤jµ¥¤j¤j¡A¤£n¦A¼ç¤ô¤F¡I¦h¦h¥X¨Ó¬°¥Í§Þ§ë¸ê¤H¡B¬°¥xÆW¥Í§Þ·~ºÉ¤@¥÷¤ß¤O¡I ³o±ø¸ô¤£®e©ö¡A¦ý¬O§Ú̱o¨«¤U¥h¡A¶}¤}¨S¦³¦^ÀY½b¡A¥xÆW¥Í§Þ²£·~ªº¿³¤`¡A§A§Ú³£¦³³d¡I »aÃǤj±Àªº³o½g½×¤å²³æ¤@ÂI¨Ó»¡¡A´N¬Otumor cellªºPD-L1 expression¥i¤À¬°4ºØ±¡ªp 1. PD-L1 positive, T cell positive--------³oºØ³æ¤@¥Îanti-PD1´N¦³®Ä 2. PD-L1 negative, T cell positive--------³oºØ³æ¤@¥Îanti-PD1¨S®Ä¡I ¥²¶·Ápanti CTLA-4 or ¥iinduce IFN-alpha,beta or gammaªºÃÄ(ADI¬Oinduce IFN-alpha & beta) 3. PD-L1 positive, T cell negative--------³oºØ³æ¤@¥Îanti-PD1¥i¯à¤]´N¦³®Ä¤F¡I 4. PD-L1 negative, T cell negative--------¤Ñ¥Í°ò¦]°ÝÃD¡÷³oºØ¥u¯à¥ÎX¹©ªº¥P¤¦¤~¦³®Ä°Õ¡I^^ ©Ò¥Hanti-PD1/PD-L1ÁpADIªº¦n³B´N¬O°£¤Fì¥ýªº²Ä1,3²ÕªºPD-L1 expressionªº¤ñ¨Ò©Ô°ª¡AÀø®Ä·|§ó¦n¤§¥~¡A ²Ä2²ÕªºPD-L1 negative¤]·|¦]ADI induce IFN-alpha & beta¥iÅýPD-L1 expression & T-cell infiltration ¦Ó¥Í®Ä¡I¥iªvÀøªº±Ú¸s¤j¤jªº´£°ª¡÷±Ï¤HµL¼Æ¡A°Ó¾÷µL¡I ¨ä¹êÁÙ¦³«Ü¦h¬ã¨s¤]¦³«Ü¦h·sªºµo²{¡A¤]¥i¯à¬O±N¨Ó«Ü«nªº¾÷Âà¡I ¦p³o½gNature 2017 05¤ëªº¬ã¨s PD-1 expression by tumour-associated macrophages inhibits phagocytosis and tumour immunity anti-PD-1/PD-L1°£¤F½Õ°ÊT²ÓM¤§¥~¡AÁÙ¥i¥H¡u¸Ñ°£«ÊÂê¡v¸~½F¬ÛÃö¥¨¾½²ÓM¡]tumour-associated macrophages¡ATAMs¡^¡A «P¨Ï¥¦Ì¡u§]¾½¡vÀù¯g¡C ®û¼í¦b¸~½F²Õ´¤¤ªº¥¨¾½²ÓMºÙ¬°TAMs¡A¬O¸~½F·LÀô¹Ò¤¤³Ì¦hªº§K¬Ì²ÓM¡C¸~½Fµo¥Íªì´Á¡ATAMst³dÃѧO¨Ã²M°£¸~½F²ÓM¡C ¦ý¬OÀHµÛ¸~½F¯f±¡ªºµo¥Í»Pµo®i¡A¥¨¾½²ÓM¤S·|»²§UÀùÅܲÓMªºÂX´²©MÂಾ¡C ¶W¹L50%ªº¸~½F¡÷¨äTAMsªí±ªí¹F¦³PD-1¨üÅé¡APD-1¨üÅé·|§í¨îTAMsªº§ÜÀù¬¡©Ê¡C·íPD-1©ÎªÌPD-L1 ³Qanti-PD1/PD-L1«ÊÂê¡ATAMS³Q§í¨îªº§ÜÀù¬¡©Ê±o¨ì¸Ñ²æ¡A±q¦Ó«ì´_§]¾½¡B®ø·ÀÀù²ÓMªº¯à¤O¡C |
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¶Ì¾´¡A¤U¤@¥y¸ÜÀ³¸Ó¤~¬O¥þ½g¤å³¹ªº«ÂI§a¡G In the future, it is likely that rational decisions on the use of anti¡VPD-1/L1 antibody therapy alone or in combination will be based on the assessment of the presence or absence of tumor antigen¡Vspecific T cells that are inhibited by PD-L1 expression by cancer cells. ADI-PEG20¥i¥HÅý§K¬Ì¨t²ÎT²ÓM®û¼í¨ì¸~½F¤º¡A´N¦p¤å¤¤Á¿ªº¬O¥¼¨Óµû¦ôÁp¦X¥ÎÃĦ¨¤£¦¨¥\ªº«ÂI©Ò¦b¡C |
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»aÃÇ §A¬O¨Ó¯}²Ä¤G½bªº¶Ü¡H PD-L1 positivity is only desirable in the context of treatment targeting the PD-1¡VPD-L1 interaction, as in the absence of this therapy it may be a mechanisms of immune escape that is only beneficial to the cancer cells. |
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¦Ñ´¤j±z¦n¡A¦U¦ì¤j¤j¦n(¯S§On°ÝÔ¼ç«È¤j): 1.§Ú¬°¦Ñ´¤j·P¨ì¤£È¡C¦³¦Û¤v§V¤O¬ÝÂå¾Ç³ø§i¡B½×¤åªº§ë¸ê¤H³£ª¾¹D¡A¨º¨ÇªF¦è¦³¦hÃø¡A¦Ñ´¤j´£¨Ñªº¸ê°T¨ì©³¦³¦h¬Ã¶Q¡A°Z¬O°Ï°Ï´X¤Q¤¸ªÑ»ù¥i¤ñ?§ó¦óªp¡A®É¶¡¤~¬O³Ì¶Qªº³¡¤À¡C§Ú¦Û»{¬°¦pªG§Ú¦³¦Ñ´¤jªº¯à¤O©M°]¤O¡A§Ú¤~Ãi±o²z§AÌ¡A¦ý¦Ñ´¤j¤£p·´ÅA¨p§Q¤£Â_¤À¨É¡A¤ß¨ì©³n¦³¦h¼e¤~¯à¦p¦¹?§Ú»{¬°«Ü¦h¤H³£¤í¥L¤@Ó¹Dºp! 2.«e¨â¤T¤Ñ¥»·Qn¤À¨É¤@¨Ç§Þ³N±ªºªF¦è¡AÁö¬O©_§Þ²]¥©¡A¦ý°t¦X¦Ñ´¤j©Ò´£¨ÑªºÂרKª¾ÃÑ¡A¤]¨¬°÷§JªA®£Äߪº¡A»¡¤£©wÁÙ¥i¥H¶¶¤â²o¦Ï¤@¤U(¦Ñ´¤j¨º¤T¤Ñ¬åªº¦ì¸m¤Ó¹L¥©§®¡AÅýµu½u§ë¾÷ªÌ¦º±o³z¤@ÂI)¡CµM¦Ó¤@¨Ó¤ß¸Ì¶W¤£²n¡A¤G¨Ó§Þ³N±ªºªF¦è¦³®É¤@Á¿¯}®e©ö³Q¦³¤ß¤H¾Þ§Ë(¯Eô®ïŲ¤£»·)¡A´N¤£»¡¤F¡CÁÙ¬O½Ð¤j®a¬Ý¬Ý©PK½u©M¤ëK½uªºµ²ºc¡C 3.¬î·¬î«B·T·Ù¤H¡C·T¡A´NŪŪ®Ñ§a¡C´£¨Ñ¤@½gPD-L1ªº°ò¦ª¾ÃÑ¡A¦³¿³½ìªº¤H¥i¥HŪŪ¡C What does PD-L1 positive or negative mean? jem.rupress.org/content/early/2016/12/02/jem.20161462 (ÁÙ¬O½Ð¦Ñ´¤jÂIµû¤@¤U¡A¬O¦n¤åÁÙ¬OÄê¤å?¤p§Ì¹ê¦b¨S¯à¤O°Ï¤À) 4.°¨¸ô®ø®§:¬°¦ó¬Où¤ó?¥i¯à¬O¦bPD-1/PD-L1Àøªk¥«³õ¤W¡Aù¤ó¬O¼Ðº]¤£¥Î´úPD-L1ªº¡C ¤ß¸Ì¶W¤£²n¡A¼ç¤ô¥h¤F¡C |
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·|û¡Gªü¾ç10145307 µoªí®É¶¡:2017/10/15 ¤W¤È 12:08:21²Ä 1386 ½g¦^À³
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·|û¡GMBE10145047 µoªí®É¶¡:2017/10/14 ¤U¤È 11:55:48²Ä 1385 ½g¦^À³
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¨S¦³·N¥~,ÁÙ¯u¨S¦³©ú½Tªº´£ÂI,§Úªº²z¸Ñ¤jP¬O: 1.ªÑ»ù¤U¶^30%,¬O¤H¬°¾Þ±± 2.¨º¤T¤Ñªº»ù¶q,¤]¬O¤H¬°¾Þ±±,¦ý±z§PÂ_¬°·N¥~ªºÅå³ß ªü¾ç¤j,ªÑ»ù´N¬O¤H¬°¾Þ±±,§A§â¥¦¦©°£¤F,¤£ª¾ÁٳѤ°»ò ¤´µM·PÁ±zªº¦^ÂÐ,¬JµM§A§Ú³£¬O·sÃĪù¥~º~,¦^¤å»y®ð¦¬ÀĨÇ,Á`¬O¦nªº |
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