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作 者:蒋持怡 苏雁[1] Jiang Chiyi;Su Yan(Medical Oncology Department/Laboratory for Clinical Medicine,Capital Medical University/Key Laboratory of Major Diseases in Children,Ministry of Education/Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China)
机构地区:[1]国家儿童医学中心,首都医科大学附属北京儿童医院肿瘤内科,儿童肿瘤发病机制与创新药物研究联合实验室,儿科重大疾病研究教育部重点实验室,北京100045
出 处:《中华实用儿科临床杂志》2024年第9期701-706,共6页Chinese Journal of Applied Clinical Pediatrics
基 金:北京市自然科学基金(7222054);北京市研究型病房建设项目(BCRW202101)。
摘 要:目前儿童实体瘤的治疗模式包括化疗、手术、移植和放疗等。尽管多学科治疗积极发展,但高危转移性和/或复发性恶性肿瘤患儿的长期预后仍面临艰巨挑战。双唾液酸神经节苷脂(GD2)是一种肿瘤相关抗原,是癌症免疫治疗的主要理想靶点之一。近年来,抗GD2单克隆抗体的免疫治疗方案逐渐应用于高危神经母细胞瘤、骨肉瘤、软组织肉瘤等儿童肿瘤的临床诊疗。现就GD2与儿童实体瘤的生物学关系及抗GD2免疫疗法的临床研究现状进行综述,为国内开展该疗法诊治各类儿童恶性实体瘤提供理论和实践依据。Current treatment modalities for pediatric solid tumors include chemotherapy,surgery,transplantation,radiotherapy,etc.Despite the positive development of multidisciplinary treatment,the long-term prognosis of children with high-risk metastatic and/or recurrent malignant tumors remains challenging.Disialoganglioside(GD2),a tumor-associated antigen,is one of the main ideal targets for cancer immunotherapy.In recent years,immunotherapy with anti-GD2 monoclonal antibodies has been gradually applied in the clinical diagnosis and treatment of high-risk neuroblastoma,osteosarcoma,soft tissue sarcoma and other pediatric tumors.This article reviews the biological relationship between GD2 and pediatric solid tumors and the clinical research status of anti-GD2 immunotherapy,to provide theoretical and practical evidence for the diagnosis and treatment of various pediatric malignant solid tumors in China.
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