Lin Cheng, Chen Xiong, Liu Jingnan, Huang Yufang, Ou-Yang Xuenong
Nanjing Military Command Fuzhou General Hospital, Fuzhou 350025, China.
Zhongguo Fei Ai Za Zhi. 2014 Oct 20;17(10):734-40. doi: 10.3779/j.issn.1009-3419.2014.10.05.
Lung cancer is the leading cause of cancer-related mortality worldwide. Despiting the great progress on target agents, majority of people who do not harbor a mutation could not get benefit from them. Immunotherapy, through stimulating the body's immune system to improve the antitumor immunity effect, has been a new therapeutic method for non-small cell lung cancer (NSCLC). Study had been reported that immune checkpoint molecules, including programmed death-1 (PD-1)/PD-ligand (L) 1 axis, are closedly related with cancer generation and development, and play a key role on clinical significance of NSCLC. Activation of PD-1/PD-L1 pathway contributes to tumor immune escape, and block PD-1/PD-L1 pathway can enhance endogenous antimuor immunity. Currently increasing clinical trials suggested that immune checkpoint inhibitors, including anti-PD-1 and anti-PD-L1 monoclonal antibodies turned out to be beneficial and safe in NSCLC. Here, we provide a review on the progress of PD-1/PD-L1 pathway and immune checkpoint inhibitors in NSCLC.
肺癌是全球癌症相关死亡的主要原因。尽管靶向药物取得了巨大进展,但大多数没有基因突变的人无法从中获益。免疫疗法通过刺激人体免疫系统来提高抗肿瘤免疫效果,已成为非小细胞肺癌(NSCLC)的一种新的治疗方法。已有研究报道,包括程序性死亡-1(PD-1)/PD配体(L)1轴在内的免疫检查点分子与癌症的发生和发展密切相关,并在NSCLC的临床意义中起关键作用。PD-1/PD-L1通路的激活有助于肿瘤免疫逃逸,阻断PD-1/PD-L1通路可增强内源性抗肿瘤免疫力。目前越来越多的临床试验表明,包括抗PD-1和抗PD-L1单克隆抗体在内的免疫检查点抑制剂在NSCLC中显示出有益且安全的效果。在此,我们对NSCLC中PD-1/PD-L1通路和免疫检查点抑制剂的进展进行综述。