Radiation therapy in the era of immune treatment for hepatocellular carcinoma

Copyright © 2023 Chen, Zhang, Lin, Tan, Huang and Liang..

Immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment in recent years and provide new opportunities to treat hepatocellular carcinoma (HCC). To date, several ICIs have been approved by the FDA for advanced HCC in first-line or second-line therapy. Downstaging conversion therapy for potentially resectable HCC to provide opportunities for surgical intervention is challenging. ICIs have become a hot spot in this field due to their high response rate. However, HCC has various etiologies and can evade the immune system through multiple mechanisms, which limit the efficacy of ICI monotherapy and demand novel combination strategies. Radiation therapy (RT) is also a candidate for conversion therapy in HCC and is currently gaining increasing attention as a good combination partner with ICIs due to its ability to modulate the tumor microenvironment. In this review, we illustrate the current indications for ICIs and RT in HCC, the rationale for their synergistic combination, and the current clinical trials in combination therapy. We also speculate on predictive biomarkers and novel future strategies to further enhance the efficacy of this combination. This review aims to provide references for future research on radiation and immunotherapy to arrive at a promising new era of HCC treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Frontiers in immunology - 14(2023) vom: 28., Seite 1100079

Sprache:

Englisch

Beteiligte Personen:

Chen, Lingjuan [VerfasserIn]
Zhang, Ruiguang [VerfasserIn]
Lin, Zhenyu [VerfasserIn]
Tan, Qiaoyun [VerfasserIn]
Huang, Zhiyong [VerfasserIn]
Liang, Binyong [VerfasserIn]

Links:

Volltext

Themen:

Combination therapy
Hepatocellula carcinoma
Immune checkpoint inhibitor (ICI)
Journal Article
Radiation therapy
Research Support, Non-U.S. Gov't
Review
Tumor microenevironment

Anmerkungen:

Date Completed 07.02.2023

Date Revised 07.03.2023

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.3389/fimmu.2023.1100079

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM352522984