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免疫治疗时代非小细胞肺癌的围手术期管理

Perioperative Management of Non-Small Cell Lung Cancer in the Era of Immunotherapy.

作者信息

Kumbasar Ulas, Dikmen Erkan, Dikmen Zeliha Gunnur, Tenekeci Ates, Mender Ilgen, Gryaznov Sergei, Bilgin Burak, Kilickap Saadettin

机构信息

Department of Thoracic Surgery, Faculty of Medicine, Hacettepe University, Ankara 06100, Türkiye.

Department of Medical Biochemistry, Faculty of Medicine, Hacettepe University, Ankara 06100, Türkiye.

出版信息

Cells. 2025 Jun 25;14(13):971. doi: 10.3390/cells14130971.


DOI:10.3390/cells14130971
PMID:40643492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12248553/
Abstract

Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related mortality worldwide. Nonetheless, deeper molecular understanding of NSCLC has resulted in novel therapeutic approaches, including targeted therapy and immunotherapy, which have improved patient prognosis and outcomes in recent years. Immune checkpoint inhibitors (ICIs), with or without chemotherapy, are now considered valuable components of treatment for NSCLC cases that do not have specific actionable genetic mutations. Patients with actionable genetic mutations are candidates for targeted therapies. The primary focus of this review is the rationale for using ICIs in the perioperative setting for patients with resectable NSCLC and in advanced disease settings. Furthermore, we compare the benefits of using ICIs with the challenges associated with their clinical implementation in resectable and advanced NSCLC. Finally, we emphasize the development of novel treatment strategies that potentially provide an optimal treatment choice for patients with advanced NSCLC.

摘要

非小细胞肺癌(NSCLC)是全球癌症相关死亡的主要原因。尽管如此,对NSCLC更深入的分子理解已带来了新的治疗方法,包括靶向治疗和免疫治疗,这些方法近年来改善了患者的预后和治疗结果。免疫检查点抑制剂(ICI),无论是否联合化疗,现在都被认为是无特定可操作基因突变的NSCLC病例治疗的重要组成部分。有可操作基因突变的患者是靶向治疗的候选者。本综述的主要重点是在可切除NSCLC患者的围手术期以及晚期疾病情况下使用ICI的理论依据。此外,我们比较了使用ICI的益处与在可切除和晚期NSCLC中临床应用相关的挑战。最后,我们强调了新型治疗策略的发展,这些策略可能为晚期NSCLC患者提供最佳治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e6/12248553/480ed09f8d21/cells-14-00971-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e6/12248553/f647a3eb1356/cells-14-00971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e6/12248553/480ed09f8d21/cells-14-00971-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e6/12248553/f647a3eb1356/cells-14-00971-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e6/12248553/480ed09f8d21/cells-14-00971-g002.jpg

相似文献

[1]
Perioperative Management of Non-Small Cell Lung Cancer in the Era of Immunotherapy.

Cells. 2025-6-25

[2]
The Emerging Role of Immunotherapy in Resectable Non-Small Cell Lung Cancer.

Ann Thorac Surg. 2024-7

[3]
Efficacy and safety of immune checkpoint inhibitors as neoadjuvant therapy in perioperative patients with non-small cell lung cancer: a network meta-analysis and systematic review based on randomized controlled trials.

Front Immunol. 2024

[4]
Immune checkpoint inhibitors plus platinum-based chemotherapy compared to platinum-based chemotherapy with or without bevacizumab for first-line treatment of older people with advanced non-small cell lung cancer.

Cochrane Database Syst Rev. 2024-8-13

[5]
Clinical Outcomes of Perioperative Immunotherapy in Resectable Non-Small Cell Lung Cancer.

JAMA Netw Open. 2025-6-2

[6]
Deep learning analysis of histopathological images predicts immunotherapy prognosis and reveals tumour microenvironment features in non-small cell lung cancer.

Br J Cancer. 2024-12

[7]
Immunotherapy (excluding checkpoint inhibitors) for stage I to III non-small cell lung cancer treated with surgery or radiotherapy with curative intent.

Cochrane Database Syst Rev. 2017-12-16

[8]
Systemic treatment patterns and adherence to guidelines in Japanese patients with metastatic non-small cell lung cancer.

Future Oncol. 2025-4

[9]
The efficacy and safety of neoadjuvant immunochemotherapy in resectable stage I-III non-small cell lung cancer: a systematic review and network meta-analysis.

Clin Transl Oncol. 2025-4

[10]
Comprehensive Review: Unveiling the Pro-Oncogenic Roles of IL-1ß and PD-1/PD-L1 in NSCLC Development and Targeting Their Pathways for Clinical Management.

Int J Mol Sci. 2023-7-17

本文引用的文献

[1]
Revolutionary Cancer Therapy for Personalization and Improved Efficacy: Strategies to Overcome Resistance to Immune Checkpoint Inhibitor Therapy.

Cancers (Basel). 2025-3-4

[2]
Is pathological response an adequate surrogate marker for survival in neoadjuvant therapy with immune checkpoint inhibitors?

ESMO Open. 2025-2

[3]
Perioperative or neo/adjuvant chemoimmunotherapy versus chemotherapy for resectable non-small cell lung cancer: a systematic review and network meta-analysis.

Syst Rev. 2025-1-24

[4]
Adjuvant Immunotherapy Should Be Used in Patients With Non-Small Cell Carcinoma With a Pathologic Complete Response to Neoadjuvant Immunotherapy.

J Thorac Oncol. 2025-1

[5]
Adjuvant Immunotherapy Should Not be Used in Patients With a Pathologic Complete Response to Neoadjuvant Chemoimmunotherapy.

J Thorac Oncol. 2025-1

[6]
Immunotherapy in operable non-small cell lung cancer: a systematic review and network meta-analysis of efficacy between neoadjuvant immunochemotherapy and perioperative immunotherapy.

J Thorac Dis. 2024-10-31

[7]
Perioperative sintilimab and neoadjuvant anlotinib plus chemotherapy for resectable non-small-cell lung cancer: a multicentre, open-label, single-arm, phase 2 trial (TD-NeoFOUR trial).

Signal Transduct Target Ther. 2024-10-28

[8]
Perioperative chemoimmunotherapy induces strong immune responses and long-term survival in patients with HLA class I-deficient non-small cell lung cancer.

J Immunother Cancer. 2024-10-20

[9]
Perioperative chemotherapy and nivolumab in non-small-cell lung cancer (NADIM): 5-year clinical outcomes from a multicentre, single-arm, phase 2 trial.

Lancet Oncol. 2024-11

[10]
Improved Event-Free Survival After Complete or Major Pathologic Response in Patients With Resectable NSCLC Treated With Neoadjuvant Chemoimmunotherapy Regardless of Adjuvant Treatment: A Systematic Review and Individual Patient Data Meta-Analysis.

J Thorac Oncol. 2025-3

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