摘要
程序性死亡蛋白1(PD-1)作为免疫信号通路的检查点,是目前肿瘤免疫研究领域的热门,其与配体(PD-L1)的结合,是肿瘤中重要的负性调控机制.目前,PD-1/PD-L1抑制剂对乳腺癌的治疗效果还在探索阶段,充分理解乳腺肿瘤微环境中PD-1/PD-L1的作用机制,对于帮助其抑制剂充分发挥作用十分重要.文章将从PD-1、PD-L1分子的发现开始,描述其主要的信号通路,介绍PD-1/PD-L1抑制剂的常见种类和应用现状,尤其是在乳腺癌中的应用情况,总结近年来在乳腺肿瘤微环境中PD-1和PD-L1的相关基础研究,寻找PD-1/PD-L1抑制剂在乳腺癌治疗中的新策略.
Programmed cell death protein 1 (PD-1), as a checkpoint of the immune signaling pathway, is a hotspot in the field of immuno-oncology. Its binding with ligand (PD-L1) is an important negative regulatory mechanism. Application of PD-1/PD-L1 inhibitors in treatments of breast cancer is still being explored at present. Fully understanding the mechanism of PD-1/PD-L1 in the microenvironment of breast cancer will help their inhibitors play a full role. This review will start with the discovery of PD-1 and PD-L1, describe their main signaling pathways, introduce the common types and applications of PD-1/PD-L1 inhibitors, especially in breast cancer, summarize the basic research of PD-1 and PD-L1 in breast cancer microenvironment in recent years, and seek new strategies of PD-1/PD-L1 inhibitors in breast cancer treatment.
作者
吉芃
龚悦
胡欣
Ji Peng;Gong Yue;Hu Xin(Department of Breast Surgery, Key Laboratory of Breast Cancer in Shanghai, Fudan University Shanghai Cancer Center)
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2019年第6期401-405,共5页
Chinese Journal of Oncology
基金
国家自然科学基金面上项目(81572583.81672601)
科技部“精准医学”国家重点研发计划(MOST2016YFC0900300)
上海市科委国际合作项目(15410724000).
关键词
乳腺肿瘤
程序性死亡蛋白1
程序性死亡蛋白配体1
肿瘤微环境
Breast neoplasms
Programmed cell death protein 1 (PD-1)
Programmed death-ligand 1 (PD-L1)
Tumor microenvironment