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Журнал «Практическая онкология» Том 6, №1, 2023

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Пухлиноінфільтруючі лімфоцити: нові виклики імунотерапії солідних пухлин

Авторы: Ніколаєва О.Ю.
Національний медичний університет ім. О.О. Богомольця, м. Київ, Україна

Рубрики: Онкология

Разделы: Справочник специалиста

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Резюме

Пухлиноінфільтруючі лімфоцити (tumor infiltrative lymphocytes, TIL) — це лімфоцити, що локалізуються у пухлинній тканині. Після ізоляції, скринінгу та ампліфікації in vitro вони вводяться назад в організм пацієнта і мають специфічний знищуючий ефект на пухлини. Оскільки TIL не були генетично модифіковані та походять з організму пацієнтів, побічних реакцій зазвичай виникає відносно мало, що є перевагою лікування за допомогою TIL. Останніми роками терапевтична дія TIL на солідні пухлини почала привертати все більше уваги онкологів. Однак через обмеження імунного мікрооточення та мутації антигенів розвиток TIL-терапії сповільнився. У статті розглядається загальний прогрес дослідження TIL, біологічні характеристики, методи посилення терапевтичного ефекту пухлиноінфільтруючих лімфоцитів, їх роль у різних пухлинах, дані останніх клінічних досліджень та перспективи цього виду терапії.

Tumor-infiltrating lymphocytes (TIL) are lymphocytes localized in tumor tissue. After isolation, screening and amplifying ex vivo, they are injected back into the patient’s body and have a specific tumor-killing effect. Because TIL have not been genetically modified and come from the patient’s body, there are usually relatively few adverse reactions, which is an advantage of TIL treatment. In recent years, the therapeutic effect of TIL on solid tumors has begun to attract more and more attention of oncologists. However, the development of TIL the­rapy has slowed down due to limitations of the immune microenvironment and antigen mutations. This article considers the overall progress in TIL investigation, biological characte­ristics, methods of enhancing the therapeutic effect of tumor-infiltra­ting lymphocytes, their role in various tumors, current achievements in clinical trials, and general perspectives of this type of therapy.


Ключевые слова

пухлиноінфільтруючі лімфоцити; імунотерапія; пухлина; солідні пухлини

tumor-infiltrating lymphocytes; immunotherapy; tumor; solid tumors


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