国际妇产科学杂志 ›› 2018, Vol. 45 ›› Issue (3): 322-326.

• 综述 • 上一篇    下一篇

免疫检查点PD-1/PD-L1在卵巢癌诊治及预后方面的应用进展

张涛,汪希鹏   

  1. 201204上海,同济大学附属第一妇婴保健院妇科(张涛);上海交通大学医学院附属新华医院妇产科(汪希鹏)
  • 收稿日期:2018-01-22 修回日期:2018-04-21 出版日期:2018-06-15 发布日期:2018-06-22
  • 通讯作者: 汪希鹏,E-mail:xipengwang@hotmail.com E-mail:xipengwang@hotmail.com

The Application Progress of Immunological Checkpoint PD-1/PD-L1 in the Diagnosis,Treatment and Prognosis of Ovarian Cancer

ZHANG Tao,WANG Xi-peng   

  1. Department of Gynecology,Shanghai First Maternity and Infant Hospital Affiliated to Tongji University,Shanghai 201204,China(ZHANG Tao);Department of Obstetrics and Gynecology,Xinhua Hospital,Affiliated with Shanghai Jiao Tong University,School of Medicine,Shanghai 200092,China(WANG Xi-peng)
  • Received:2018-01-22 Revised:2018-04-21 Published:2018-06-15 Online:2018-06-22
  • Contact: WANG Xi-peng,E-mail:xipengwang@hotmail.com E-mail:xipengwang@hotmail.com

摘要: 卵巢癌是死亡率最高的妇科恶性肿瘤。因其起病隐匿,不易早期诊断,并具有易转移、易复发,且易耐药等特性,卵巢癌患者死亡率居高不下。免疫治疗在卵巢癌中的应用是近年来的研究热点,其通过增强患者自身免疫细胞功能或解除肿瘤局部免疫抑制微环境,起到杀伤肿瘤细胞的作用。程序性细胞死亡蛋白1(PD-1)及其配体PD-L1是重要的免疫调控信号分子,PD-1/PD-L1信号通路可影响T淋巴细胞浸润及功能,在肿瘤局部抑制性免疫微环境的形成中发挥重要作用。研究表明,阻断PD-1/PD-L1信号通路可以促进微环境中免疫细胞发挥原有抗肿瘤功能。现就PD-1/PD-L1分子在卵巢癌诊治、预后判断及该分子通路阻断在疾病临床治疗的应用方面进行综述。

关键词: 卵巢肿瘤, 免疫疗法, 抗药性, 肿瘤, PD-1/PD-L1

Abstract: Ovarian cancer is the most fatal gynecologic malignant tumor. Because of its insidious onset, difficulty diagnosis in early stage, and has the characteristics of easy early metastasis, easy recurrence and resistance to chemotherapeutic drugs, it makes the mortality of patients with ovarian cancer very high. The application of immunotherapy in ovarian cancer has been a research focus in recent years. It plays an important role in killing tumor cells by enhancing the function of the patients′ immune cells or relieving the local immunosuppressive microenvironment. PD-1 and its ligand PD-L1 are important immune regulatory signaling molecules. PD-1/PD-L1 signaling pathway can affect T lymphocyte infiltration and function, and play an important role in the formation of local inhibitory immune microenvironment. Studies have shown that blocking the PD-1/PD-L1 signaling pathway can restore immune function of immune cells in the microenvironment to play the original antitumor function. Now we review the prognosis of PD-1/PD-L1 molecules in ovarian cancer and the application of molecular pathway blocking in the clinical diagnosis and treatment of ovarian cancer.

Key words: Ovarian neoplasms, Immunotherapy, Drug resistance, neoplasm, PD-1/PD-L1