Tian Jin, Shi Zhiqi, Zhao Lili, Liu Peng, Sun Xiaojun, Long Lin, Zang Jianhua, Xiao Jun
Qingdao Hiser Hospital Affiliated of Qingdao University (Qingdao Traditional Chinese Medicine Hospital), Qingdao, Shandong, China.
The First Clinical College of Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
Clin Respir J. 2024 Dec;18(12):e70037. doi: 10.1111/crj.70037.
Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are the standard treatment choice for advanced non-small cell lung cancer (NSCLC) patients with EGFR mutations. EGFR-TKIs have made significant progress in the treatment of advanced NSCLC patients, but drug resistance issues still inevitably arise. The mechanism of drug resistance and subsequent treatment has been current research challenge and priority. Immune checkpoint inhibitors (ICIs) are a new choice for late-stage NSCLC patients without druggable molecular alterations. Currently, several studies have applied ICIs therapy for NSCLC patients with EGFR-TKIs resistance and explored the potential efficacy of ICIs. This review elaborates on the current status of immunotherapy after EGFR-TKIs resistance, including ICIs monotherapy, combined with EGFR-TKIs, chemotherapy, antiangiogenic drugs, and other therapies.
表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)是晚期非小细胞肺癌(NSCLC)伴有EGFR突变患者的标准治疗选择。EGFR-TKIs在晚期NSCLC患者的治疗中取得了显著进展,但耐药问题仍不可避免地出现。耐药机制及后续治疗一直是当前的研究挑战和重点。免疫检查点抑制剂(ICIs)是晚期NSCLC无可靶向分子改变患者的新选择。目前,多项研究已将ICIs疗法应用于对EGFR-TKIs耐药的NSCLC患者,并探索了ICIs的潜在疗效。本综述阐述了EGFR-TKIs耐药后免疫治疗的现状,包括ICIs单药治疗、与EGFR-TKIs联合、化疗、抗血管生成药物及其他疗法。