Heigener David, Reck Martin
LungenClinic Grosshansdorf, Department of Thoracic Oncology, Airway Research Center North (ARCN), member of the German Center for Lung Research (DZL), Woehrendamm 80, 22927, Grosshansdorf, Germany.
Expert Rev Anticancer Ther. 2015 Jan;15(1):69-83. doi: 10.1586/14737140.2015.957187. Epub 2014 Sep 9.
Immune evasion is recognized as a key strategy for cancer survival and progression. With increased understanding of immune escape mechanisms, the development of immunotherapies to restore anti-tumor immune responses has flourished. Immuno-oncology (I-O) agents targeting checkpoints in the immune regulation cascade currently form the mainstay of approaches of cancer immunotherapy. Since initial success in melanoma, evidence for the notable effects of the I-O modality has been expanding, with numerous clinical studies underway or completed in a variety of solid tumors, including non-small cell lung cancer. This review highlights the rationale and potential role of immunotherapy in non-small cell lung cancer management, with a focus on immune checkpoint inhibitors. We also discuss the potential for I-O-based combination therapy.
免疫逃逸被认为是癌症生存和进展的关键策略。随着对免疫逃逸机制的深入了解,旨在恢复抗肿瘤免疫反应的免疫疗法蓬勃发展。目前,针对免疫调节级联中检查点的免疫肿瘤学(I-O)药物构成了癌症免疫治疗方法的主要支柱。自黑色素瘤取得初步成功以来,I-O模式显著疗效的证据不断增加,在包括非小细胞肺癌在内的多种实体瘤中,有众多临床研究正在进行或已经完成。本综述重点介绍免疫疗法在非小细胞肺癌治疗中的基本原理和潜在作用,尤其关注免疫检查点抑制剂。我们还将讨论基于I-O的联合治疗的潜力。