Kazaz Seher Nazlı, Öztop İlhan
Department of Medical Oncology, Kanuni Training and Research Hospital, Trabzon, Turkey.
Department of Medical Oncology, Dokuz Eylül University School of Medicine, İzmir, Turkey.
Turk Thorac J. 2017 Oct;18(4):101-107. doi: 10.5152/TurkThoracJ.2017.17006. Epub 2017 Jul 21.
More than half of non-small cell lung cancer (NSCLC) patients are at an advanced stage at the time of diagnosis, and they have a poor prognosis. Systemic treatment is the basic treatment approach for advanced-stage NSCLC, and chemotherapy and targeted treatments are commonly used based on the molecular characteristics. Although targeted therapies have led to a significant level of improvement in terms of survival, the results are still unsatisfactory. However, considerable attention has been focused to the immunotherapy with recent positive results reported by studies on this field. In this context, a certain portion of clinical studies have shown dramatic results, and these have involved inhibitors developed particularly against the immune checkpoint protein programmed death receptor-1 and its ligand (programmed death ligand-1). This review aims to present the significance of immune checkpoint inhibitors in NSCLC and to summarize the findings of relevant contemporary clinical studies.
超过一半的非小细胞肺癌(NSCLC)患者在确诊时已处于晚期,预后较差。全身治疗是晚期NSCLC的基本治疗方法,根据分子特征通常使用化疗和靶向治疗。尽管靶向治疗在生存方面有显著改善,但结果仍不尽人意。然而,随着该领域研究近期报道的阳性结果,免疫疗法受到了广泛关注。在这种背景下,一部分临床研究显示出显著效果,这些研究涉及特别针对免疫检查点蛋白程序性死亡受体-1及其配体(程序性死亡配体-1)开发的抑制剂。本综述旨在阐述免疫检查点抑制剂在NSCLC中的意义,并总结相关当代临床研究的结果。