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[肺癌外周免疫评分的最新进展]

[Recent Advances in Peripheral Immunoscore in Lung Cancer].

作者信息

Xu Fan, Luo Bin, Tian Jianhui, Yang Yun, Cheng Zhenyang, Liu Youjun

机构信息

Department of Oncology, Shanghai Municipal Hospital of Traditional Chinese Medicine, 
Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China.

Research Center for Cancer, Shanghai Municipal Hospital of Traditional Chinese Medicine, 
Shanghai University of Traditional Chinese Medicine, Shanghai 200071, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2025 May 20;28(5):379-384. doi: 10.3779/j.issn.1009-3419.2025.102.21.

DOI:10.3779/j.issn.1009-3419.2025.102.21
PMID:40506492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12171615/
Abstract

Lung cancer is the malignant tumor with the highest morbidity and mortality. The tumor-node-metastasis (TNM) staging has gradually shown its limitations in the accurate prediction of lung cancer, so it is urgent to construct a new clinical predictive model to guide the prevention and treatment of lung cancer. In recent years, as a comprehensive evaluation system based on peripheral immune related parameters, the value of peripheral immunoscore in the construction of predictive model has gradually become prominent. By quantifying the quantity and proportion of immune components in peripheral blood, the score can dynamically reflect the overall immune function and tumor microenvironment characteristics of the body. This paper systematically summarizes the latest research progress of peripheral immunoscore in early diagnosis, drug efficacy prediction, early warning of adverse reactions and prognosis evaluation of lung cancer, aiming to tap its potential clinical application value and provide some ideas and directions for developing new lung cancer-related predictive models.
.

摘要

肺癌是发病率和死亡率最高的恶性肿瘤。肿瘤-淋巴结-转移(TNM)分期在肺癌的准确预测中逐渐显示出其局限性,因此迫切需要构建新的临床预测模型来指导肺癌的防治。近年来,作为一种基于外周免疫相关参数的综合评价体系,外周免疫评分在预测模型构建中的价值逐渐凸显。该评分通过量化外周血中免疫成分的数量和比例,能够动态反映机体的整体免疫功能和肿瘤微环境特征。本文系统总结了外周免疫评分在肺癌早期诊断、药物疗效预测、不良反应预警及预后评估等方面的最新研究进展,旨在挖掘其潜在的临床应用价值,为开发新的肺癌相关预测模型提供一些思路和方向。

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本文引用的文献

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Neoadjuvant versus perioperative chemo-immunotherapy according to pathological response in resectable NSCLC: a reconstructed individual patient data meta-analysis.可切除非小细胞肺癌中基于病理反应的新辅助化疗与围手术期化疗免疫治疗对比:一项重构个体患者数据的荟萃分析
J Natl Cancer Inst. 2025 Apr 11. doi: 10.1093/jnci/djaf090.
2
Association of the tumor microenvironment collagen score and immunoscore with colon cancer lymph node metastasis.肿瘤微环境胶原评分和免疫评分与结肠癌淋巴结转移的相关性
BMC Cancer. 2025 Mar 19;25(1):506. doi: 10.1186/s12885-025-13842-5.
3
Deep Learning Model for Predicting Immunotherapy Response in Advanced Non-Small Cell Lung Cancer.用于预测晚期非小细胞肺癌免疫治疗反应的深度学习模型
JAMA Oncol. 2025 Feb 1;11(2):109-118. doi: 10.1001/jamaoncol.2024.5356.
4
A clinical-information-free method for early diagnosis of lung cancer from the patients with pulmonary nodules based on backpropagation neural network model.一种基于反向传播神经网络模型、从肺结节患者中早期诊断肺癌的无临床信息方法。
Comput Struct Biotechnol J. 2024 May 11;24:404-411. doi: 10.1016/j.csbj.2024.05.010. eCollection 2024 Dec.
5
Prognostic models for immunotherapy in non-small cell lung cancer: A comprehensive review.非小细胞肺癌免疫治疗的预后模型:全面综述
Heliyon. 2024 Apr 17;10(8):e29840. doi: 10.1016/j.heliyon.2024.e29840. eCollection 2024 Apr 30.
6
Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.2022 年全球癌症统计数据:全球 185 个国家和地区 36 种癌症的发病率和死亡率全球估计数。
CA Cancer J Clin. 2024 May-Jun;74(3):229-263. doi: 10.3322/caac.21834. Epub 2024 Apr 4.
7
Liquid biopsy techniques and lung cancer: diagnosis, monitoring and evaluation.液体活检技术与肺癌:诊断、监测与评估。
J Exp Clin Cancer Res. 2024 Apr 1;43(1):96. doi: 10.1186/s13046-024-03026-7.
8
The Predictive Model Construction for Immune-Related Adverse Events in Non-Small Cell Lung Cancer Patients Receiving Immunotherapy.免疫治疗相关不良反应预测模型在非小细胞肺癌患者中的构建。
Technol Cancer Res Treat. 2023 Jan-Dec;22:15330338231206705. doi: 10.1177/15330338231206705.
9
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Cancer Commun (Lond). 2023 Dec;43(12):1381-1385. doi: 10.1002/cac2.12468. Epub 2023 Oct 30.
10
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Cancer Res. 2023 Oct 2;83(19):3305-3319. doi: 10.1158/0008-5472.CAN-23-0128.