The association between tumour heterogeneity and immune evasion mechanisms in hepatocellular carcinoma and its clinical implications
- PMID: 38760445
- DOI: 10.1038/s41416-024-02684-w
The association between tumour heterogeneity and immune evasion mechanisms in hepatocellular carcinoma and its clinical implications
Abstract
Hepatocellular carcinoma (HCC) is the third leading cause of cancer-related mortality worldwide. The emergence of combination therapy, atezolizumab (anti-PDL1, immune checkpoint inhibitor) and bevacizumab (anti-VEGF) has revolutionised the management of HCC. Despite this breakthrough, the best overall response rate with first-line systemic therapy is only about 30%, owing to intra-tumoural heterogeneity, complex tumour microenvironment and the lack of predictive biomarkers. Many groups have attempted to classify HCC based on the immune microenvironment and have consistently observed better outcomes in immunologically "hot" HCC. We summarised possible mechanisms of tumour immune evasion based on the latest literature and the rationale for combination/sequential therapy to improve treatment response. Lastly, we proposed future strategies and therapies to overcome HCC immune evasion to further improve treatment outcomes of HCC.
© 2024. The Author(s).
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References
-
- Chew XH, Sultana R, Mathew EN, Ng DCE, Lo RHG, Toh HC, et al. Real-world data on clinical outcomes of patients with liver cancer: a prospective validation of the national cancer centre Singapore consensus guidelines for the management of hepatocellular carcinoma. Liver Cancer. 2021;10:224–39. - PubMed - PMC - DOI
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