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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.
[18] Maecker H, Jonnalagadda V, Bhakta S, et al. Exploration of the
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