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免疫检查点抑制剂治疗非小细胞肺癌脑转移:从理论基础到临床应用。

Immune checkpoint inhibitors for brain metastases in non-small-cell lung cancer: from rationale to clinical application.

机构信息

Department of Oncology, Xiangya Hospital, Central South University, Changsha, 410008, China.

Geneplus-Beijing, Beijing, 102205, China.

出版信息

Immunotherapy. 2021 Aug;13(12):1031-1051. doi: 10.2217/imt-2020-0262. Epub 2021 Jul 7.

Abstract

Brain metastases (BM) is common in non-small-cell lung cancer (NSCLC) patients. Immune checkpoint inhibitors (ICIs) have gradually become a routine treatment for NSCLC BM patients. Currently, three PD-1 inhibitors (pembrolizumab, nivolumab and cemiplimab), one PD-L1 inhibitor (atezolizumab) and one CTLA-4 inhibitor (ipilimumab) have been approved for the first-line treatment of metastatic NSCLC. It is still controversial whether PD-L1, tumor infiltrating lymphocytes, and tumor mutation burden can be used as predictive biomarkers for immune checkpoint inhibitors in NSCLC patients with BM. In addition, clinical data on NSCLC BM were inadequate. Here, we review the theoretical basis and clinical data for the application of ICIs in the therapy of NSCLC BM.

摘要

脑转移(BM)在非小细胞肺癌(NSCLC)患者中很常见。免疫检查点抑制剂(ICIs)已逐渐成为 NSCLC BM 患者的常规治疗方法。目前,三种 PD-1 抑制剂(pembrolizumab、nivolumab 和 cemiplimab)、一种 PD-L1 抑制剂(atezolizumab)和一种 CTLA-4 抑制剂(ipilimumab)已被批准用于转移性 NSCLC 的一线治疗。PD-L1、肿瘤浸润淋巴细胞和肿瘤突变负担是否可作为预测 NSCLC 脑转移患者免疫检查点抑制剂的生物标志物仍存在争议。此外,NSCLC BM 的临床数据不足。在这里,我们回顾了在 NSCLC BM 治疗中应用 ICI 的理论基础和临床数据。

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