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26                        学报   Journal of China Pharmaceutical University 2026, 57(1): 19 − 27  第 57 卷

               原呈递细胞活性并引发系统性抗肿瘤免疫。                                   future prospects[J]. Front Immunol, 2024, 15: 1485546.
                                                                [11]   Yang JH, Luo ZY, Ma JY, et al. A next-generation STING ago-
                4    展 望                                             nist MSA-2: from mechanism to application[J]. J Control Re-
                                                                     lease, 2024, 371: 273-287.
                    STING ISAC  作为一种新型免疫治疗策略,通                  [12]   Xu Y, Xiong Y. Targeting STING signaling for the optimal can-
               过靶向递送克服了小分子             STING  激动剂选择性低                cer immunotherapy[J]. Front Immunol, 2024, 15: 1482738.
                                                                [13]   Huang RL, Ning Q, Zhao JH, et al. Targeting STING for can-
               的瓶颈,已有多项临床前和早期临床试验展现出
                                                                     cer immunotherapy: from mechanisms to translation[J]. Int Im-
               STING ISAC  药物良好的抗肿瘤活性和安全性,未                          munopharmacol, 2022, 113(Pt A): 109304.
               来有望更多的 STING ISAC         药物进入临床试验并              [14]   Fu ZW, Li SJ, Han SF, et al. Antibody drug conjugate: the “bi-
                                                                     ological missile” for targeted cancer therapy[J]. Signal Trans-
               获批上市。然而 STING ISAC          药物的发展也面临
                                                                     duct Target Ther, 2022, 7: 93.
               一些挑战,目前亟须解决两大问题:一是靶点选择                           [15]   Bukhalid  RA,  Duvall  JR,  Cetinbas  NM,  et  al.  Abstract  6706:
               特异性不足可能导致正常组织               STING  通路非预期              Systemic administration of STING agonist antibody-drug conju-
                                                                     gates  elicit  potent  anti-tumor  immune  responses  with  minimal
               激活;二是不同肿瘤微环境中               STING  信号响应异
                                                                     induction  of  circulating  cytokines[J].  Cancer  Res,  2020,
               质性可能影响疗效,未来可通过开发肿瘤微环境响                                80(16_Supplement): 6706.
               应型连接子或双靶点递送策略进一步优化。                              [16]   Mahalingaiah  PK,  Ciurlionis  R,  Durbin  KR,  et  al.  Potential
                                                                     mechanisms of target-independent uptake and toxicity of anti-
                    总体而言,随着研究技术的不断进步和研究的
                                                                     body-drug conjugates[J]. Pharmacol Ther, 2019, 200: 110-125.
               深入, STING ISAC    药物有望成为肿瘤治疗领域一                  [17]   Nejadmoghaddam  MR,  Minai-Tehrani  A,  Ghahremanzadeh  R,
               大重要突破,为肿瘤患者带来希望。                                      et al. Antibody-drug conjugates: possibilities and challenges[J].
                                                                     Avicenna J Med Biotechnol, 2019, 11(1): 3-23.
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