Recent developments in immunotherapy for gastrointestinal tract cancers.

J Hematol Oncol

Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, 52 Fucheng Road, Hai-Dian District, Beijing, 100142, China.

Published: August 2024

AI Article Synopsis

  • Immunotherapy for gastrointestinal (GI) tract cancers has gained significant importance, especially through the use of immune checkpoint inhibitors (ICIs) like PD-1 and PD-L1 antibodies.
  • Currently, a combination of anti-PD-1 with chemotherapy is the preferred first-line treatment for various advanced GI cancers, including gastric/gastroesophageal junction adenocarcinoma, dMMR/MSI-H colorectal cancer, and advanced esophageal cancer.
  • Despite these advancements, researchers are still working to enhance the precision and effectiveness of immunotherapy for GI tumors, while also exploring innovative approaches like CAR-T therapy targeting claudin18.2 for later-line treatments.

Article Abstract

The past few decades have witnessed the rise of immunotherapy for Gastrointestinal (GI) tract cancers. The role of immune checkpoint inhibitors (ICIs), particularly programmed death protein 1 (PD-1) and PD ligand-1 antibodies, has become increasingly pivotal in the treatment of advanced and perioperative GI tract cancers. Currently, anti-PD-1 plus chemotherapy is considered as first-line regimen for unselected advanced gastric/gastroesophageal junction adenocarcinoma (G/GEJC), mismatch repair deficient (dMMR)/microsatellite instability-high (MSI-H) colorectal cancer (CRC), and advanced esophageal cancer (EC). In addition, the encouraging performance of claudin18.2-redirected chimeric antigen receptor T-cell (CAR-T) therapy in later-line GI tract cancers brings new hope for cell therapy in solid tumour treatment. Nevertheless, immunotherapy for GI tumour remains yet precise, and researchers are dedicated to further maximising and optimising the efficacy. This review summarises the important research, latest progress, and future directions of immunotherapy for GI tract cancers including EC, G/GEJC, and CRC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11316403PMC
http://dx.doi.org/10.1186/s13045-024-01578-xDOI Listing

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