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抗血管生成药物联合免疫疗法治疗晚期非小细胞肺癌患者的研究进展

[Research Progress of Anti-angiogenic Agents Combined with Immunotherapy 
in Patients with Advanced Non-small Cell Lung Cancer].

作者信息

Wang Jingyi, Peng Wenying, Jiang Meilin, Wu Lin

机构信息

The Second Department of Thoracic Oncology, the Affiliated Cancer Hospital of Xiangya School of Medicine, 
Central South University/Hunan Cancer Hospital, Changsha 410013, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2021 Mar 20;24(3):196-203. doi: 10.3779/j.issn.1009-3419.2021.101.05.

Abstract

Lung cancer has the highest incidence rate and mortality in China, even in the world, and non-small cell lung cancer (NSCLC) accounts for about 85%. The growth and metastasis of tumor depend on the generation of blood vessels, and anti-angiogenic therapy is playing an increasingly important role, however, no significant improvement was observed in the underwent anti-angiogenic agents used for patients alone. In recent years, the application of immune checkpoint inhibitor (ICI) has significantly improved the prognosis of some lung cancer patients, however, the objective response rate of patients receiving ICI alone is low. While anti-angiogenic agents and ICI both regulate the tumor immune microenvironment and have a potential synergistic mechanism, showing a bright prospect in the combined application of anti-tumor therapy. In this review, we focused on the research and application of anti-angiogenic agents in combination with ICI in advanced non-small cell lung cancer.

摘要

肺癌在中国乃至全球的发病率和死亡率均居首位,其中非小细胞肺癌(NSCLC)约占85%。肿瘤的生长和转移依赖于血管生成,抗血管生成治疗发挥着越来越重要的作用,然而,单独使用抗血管生成药物治疗患者并未观察到显著改善。近年来,免疫检查点抑制剂(ICI)的应用显著改善了部分肺癌患者的预后,然而,单独接受ICI治疗的患者客观缓解率较低。虽然抗血管生成药物和ICI均能调节肿瘤免疫微环境且具有潜在的协同作用机制,在抗肿瘤联合治疗中展现出光明前景。在本综述中,我们重点关注了抗血管生成药物与ICI联合应用于晚期非小细胞肺癌的研究及应用。

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