Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Biochim Biophys Acta Rev Cancer. 2021 Dec;1876(2):188636. doi: 10.1016/j.bbcan.2021.188636. Epub 2021 Oct 14.
Non-small cell lung cancer (NSCLC) represents the most common and fatal type of primary lung malignancies. NSCLC is often diagnosed at later stages and requires systemic therapies. Despite recent advances in surgery, chemotherapy, and targeted molecular therapies the outcomes of NSCLC remain disproportionately poor. Immunotherapy is a rapidly developing area in NSCLC management and presents opportunities for potential improvements in clinical outcomes. Indeed, different immunotherapeutics have been approved for clinical use in various settings for NSCLC. Their promise is especially poignant in light of improved survival and quality of life outcomes. Herein, we comprehensively review emerging NSCLC therapeutics. We discuss the limitations of such strategies and summarize the present status of various immunotherapeutic agents in key patient populations. We also examine the data from ongoing studies in immunotherapy and consider future areas of study, including novel inhibition targets, therapeutic vaccination, tumor genome modification, and improvements to drug delivery systems.
非小细胞肺癌(NSCLC)是最常见和最致命的原发性肺癌类型。NSCLC 通常在晚期诊断,需要进行系统治疗。尽管在手术、化疗和靶向分子治疗方面取得了最近的进展,但 NSCLC 的治疗效果仍然不成比例地较差。免疫疗法是 NSCLC 管理中一个迅速发展的领域,为改善临床治疗效果提供了机会。事实上,不同的免疫疗法已被批准用于 NSCLC 的各种治疗环境中。鉴于免疫疗法提高了患者的生存率和生活质量,其前景尤其引人注目。在此,我们全面综述了新兴的 NSCLC 治疗方法。我们讨论了这些策略的局限性,并总结了各种免疫治疗药物在关键患者群体中的现状。我们还研究了免疫治疗方面正在进行的研究数据,并考虑了未来的研究领域,包括新的抑制靶点、治疗性疫苗、肿瘤基因组修饰和药物输送系统的改进。