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转移性非小细胞肺癌的免疫治疗:治疗进展和生物标志物。

Immunotherapy for Metastatic Non-Small Cell Lung Cancer: Therapeutic Advances and Biomarkers.

机构信息

Department of Medical Oncology, Campus Bio-Medico University of Rome, Via Álvaro del Portillo, 21, 00128 Rome, Italy.

Division of Medical Oncology, San Camillo Forlanini Hospital, 00152 Roma, Italy.

出版信息

Curr Oncol. 2023 Feb 16;30(2):2366-2387. doi: 10.3390/curroncol30020181.

Abstract

Immunotherapy has revolutionized the treatment paradigm of non-small cell lung cancer and improved patients' prognosis. Immune checkpoint inhibitors have quickly become standard frontline treatment for metastatic non-oncogene addicted disease, either as a single agent or in combination strategies. However, only a few patients have long-term benefits, and most of them do not respond or develop progressive disease during treatment. Thus, the identification of reliable predictive and prognostic biomarkers remains crucial for patient selection and guiding therapeutic choices. In this review, we provide an overview of the current strategies, highlighting the main clinical challenges and novel potential biomarkers.

摘要

免疫疗法彻底改变了非小细胞肺癌的治疗模式,改善了患者的预后。免疫检查点抑制剂已迅速成为转移性非成瘾性疾病的标准一线治疗方法,无论是单药治疗还是联合治疗策略。然而,只有少数患者能长期受益,大多数患者在治疗过程中无应答或出现疾病进展。因此,识别可靠的预测和预后生物标志物对于患者选择和指导治疗选择仍然至关重要。在这篇综述中,我们概述了当前的策略,强调了主要的临床挑战和新的潜在生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8cee/9955173/0199f2803d59/curroncol-30-00181-g001.jpg

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