Li Fajiu, Chen Ying, Wu Juanjuan, Li Chenghong, Chen Shi, Zhu Ziyang, Qin Wei, Liu Min, Hu Bingzhu, Liu Shuang, Zhong Wenzhao
Department of Pulmonary and Critical Care Medicine Affiliated Hospital of Jianghan University Wuhan Hubei China.
Guangdong Provincial Key Laboratory of Translational Medicine in Lung Cancer, Guangdong Lung Cancer Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences Guangzhou Guangdong China.
Chronic Dis Transl Med. 2022 May 25;8(2):100-111. doi: 10.1002/cdt3.19. eCollection 2022 Jun.
Immune checkpoint inhibitors (ICIs) have revolutionized the approach to advanced and locally advanced non-small-cell lung cancer (NSCLC). Antibodies blocking inhibitory immune checkpoints, such as programmed death 1 (PD-1) and its ligand (PD-L1), have remarkable antitumor efficacy and have been approved as a standard first- or second-line treatment in non-oncogene-addicted advanced NSCLC. The successful application of immunotherapy in advanced lung cancer has motivated researchers to further evaluate its clinical role as a neoadjuvant setting for resectable NSCLC and for improved long-term overall survival and curative rates. In this review, we discuss the efforts that incorporate ICIs into the treatment paradigm for surgically resectable lung cancer. We reviewed the early-phase results from neoadjuvant clinical trials, the landscape of the majority of ongoing phase III trials, and discuss the prospects of ICIs as a curative therapy for resectable lung cancer. We also summarized the potential biomarkers and beneficiaries involved in the current study, as well as the remaining unresolved challenges for neoadjuvant immunotherapy.
免疫检查点抑制剂(ICIs)彻底改变了晚期和局部晚期非小细胞肺癌(NSCLC)的治疗方法。阻断抑制性免疫检查点的抗体,如程序性死亡1(PD-1)及其配体(PD-L1),具有显著的抗肿瘤疗效,已被批准作为非致癌基因成瘾性晚期NSCLC的标准一线或二线治疗方案。免疫疗法在晚期肺癌中的成功应用促使研究人员进一步评估其作为可切除NSCLC新辅助治疗方案的临床作用,以提高长期总生存率和治愈率。在本综述中,我们讨论了将ICIs纳入可手术切除肺癌治疗模式的相关研究。我们回顾了新辅助临床试验的早期结果、大多数正在进行的III期试验的情况,并讨论了ICIs作为可切除肺癌治愈性疗法的前景。我们还总结了当前研究中涉及的潜在生物标志物和受益人群,以及新辅助免疫治疗尚未解决的挑战。