Taizhou Hospital, Zhejiang University School of Medicine, Taizhou, China.
Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Front Immunol. 2021 Jun 2;12:689132. doi: 10.3389/fimmu.2021.689132. eCollection 2021.
Immune checkpoint blockade (ICB) has become a standard treatment for non-small cell lung cancer (NSCLC). However, most patients with NSCLC do not benefit from these treatments. Abnormal vasculature is a hallmark of solid tumors and is involved in tumor immune escape. These abnormalities stem from the increase in the expression of pro-angiogenic factors, which is involved in the regulation of the function and migration of immune cells. Anti-angiogenic agents can normalize blood vessels, and thus transforming the tumor microenvironment from immunosuppressive to immune-supportive by increasing the infiltration and activation of immune cells. Therefore, the combination of immunotherapy with anti-angiogenesis is a promising strategy for cancer treatment. Here, we outline the current understanding of the mechanisms of vascular endothelial growth factor/vascular endothelial growth factor receptor (VEGF/VEGFR) signaling in tumor immune escape and progression, and summarize the preclinical studies and current clinical data of the combination of ICB and anti-angiogenic drugs in the treatment of advanced NSCLC.
免疫检查点阻断 (ICB) 已成为非小细胞肺癌 (NSCLC) 的标准治疗方法。然而,大多数 NSCLC 患者并未从中受益。异常的血管系统是实体瘤的标志之一,与肿瘤免疫逃逸有关。这些异常源于促血管生成因子表达的增加,这涉及到免疫细胞功能和迁移的调节。抗血管生成药物可以使血管正常化,从而通过增加免疫细胞的浸润和激活,将肿瘤微环境从免疫抑制转变为免疫支持。因此,免疫疗法与抗血管生成相结合是癌症治疗的一种有前途的策略。在这里,我们概述了血管内皮生长因子/血管内皮生长因子受体 (VEGF/VEGFR) 信号在肿瘤免疫逃逸和进展中的作用机制,并总结了 ICB 与抗血管生成药物联合治疗晚期 NSCLC 的临床前研究和现有临床数据。
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