Zusammenfassung
Aktuell befasst sich ein Großteil der Grundlagenforschung sowie auch der klinischen Forschung (klinische Studien) mit der immunologischen Tumortherapie. Hier spielen insbesondere Fragestellungen nach einer Prädiktion des Ansprechens auf eine immunonkologische Therapie und eine Kombination dieser Therapieform mit anderen (immunmodulierenden) Wirkstoffen eine wichtige Rolle. Ebenso wird die Frage nach einer Integration in ein multimodales Therapiekonzept (Stichworte: Remissions-Induktion, kombinierte Radio-Immun-Chemotherapie) ausgiebig bearbeitet. Zielgerichtete Verfahren sind aufgrund dessen etwas in den Hintergrund getreten. Sie spielen jedoch eine besondere Rolle im Bereich der Präzisionsonkologie nach vorangegangener Tumorsequenzierung oder bei der Herstellung spezifischer T-Zellen (CART (Chimeric Antigen Receptor T-Cell) und BiTE (Bi-Specific T-Cell Engagers). Ein anderes Verfahren sich T-Zellen zu Nutze zu machen, das in klinischen Studien erprobt wird, ist der Einsatz von tumor-infiltrierenden T-Zellen (TIL). Diese werden aus einer Tumorprobe isoliert, vermehrt und dem Patienten re-infundiert.
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Müller-Richter, U., Göbeler, M.E., Sayehli, C.M., Einsele, H. (2022). Perspektiven der medikamentösen Tumortherapie. In: Müller-Richter, U. (eds) Medikamentöse Tumortherapie von Kopf-Hals-Tumoren. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62808-9_13
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