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非小细胞肺癌免疫治疗现状

英文原题:Current status of immunotherapy for non-small cell lung cancer.

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Current status of immunotherapy for non-small cell lung cancer.

PubMed 2022/10/13(内容时间) Front Pharmacol Q1 · IF 5.4(JCR 2025)

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中文摘要

如今,肺癌仍然是世界上最致命的肿瘤疾病。其中,非小细胞肺癌(NSCLC)占所有肺癌的80% 85%,其5年生存率不足15%,形势十分严峻。过去几十年中,尽管传统治疗在临床上取得了一些进展,但由于其独特的生理条件以及肿瘤逃逸的频繁发生,NSCLC的总体生存率仍不乐观。近年来,免疫治疗已成为肺癌研究的新热点,包括抗体治疗和细胞治疗,这些方法相继得到开发和应用,尤其是免疫检查点抑制剂(ICI)。这些方法通过增强机体免疫能力并更有效地靶向肿瘤细胞,有效提高了NSCLC患者的总体生存率和客观缓解率,与传统化疗相比更具特异性且毒性更低,为NSCLC治疗提供了更多策略。本文综述了单克隆抗体、抗体药物偶联物、ICI、双特异性抗体、T细胞受体工程T细胞疗法(TCR-T)、CAR-T 细胞免疫治疗(CAR-T)的相关靶点、临床进展和不良反应,并从免疫相关背景出发报告其联合治疗,以期为NSCLC提供更好的治疗和前景。

展开英文摘要原文

Nowadays, lung cancer is still the deadliest oncological disease in the world. Among them, non-small cell lung cancer (NSCLC) accounts for 80% 85% of all lung cancers, and its 5-year survival rate is less than 15%, making the situation critical. In the past decades, despite some clinical advances in conventional treatments, the overall survival rate of NSCLC is still not optimistic due to its unique physiological conditions and the frequent occurrence of tumor escape. In recent years, immunotherapy has become a new hot spot in lung cancer research, including antibody therapy and cell therapy, which have been developed and utilized one after another, especially immune checkpoint inhibitor (ICI).

These approaches have effectively improved the overall survival rate and objective response rate of NSCLC patients by enhancing the immune capacity of the body and targeting tumor cells more effectively, which is more specific and less toxic compared with conventional chemotherapy, and providing more strategies for NSCLC treatment.

In this paper, we reviewed the relevant targets, clinical progress and adverse reaction in monoclonal antibodies, antibody-drug conjugates, ICI, bispecific antibodies, T-cell receptor engineered T cell therapy (TCR-T), Chimeric antigen receptor T-cell immunotherapy (CAR-T), and also report on their combination therapy from the immune-related background to provide better NSCLC treatment and prospective.

论文信息

作者
Yang T、Xiong Y、Zeng Y、Wang Y、Zeng J、Liu J、Xu S、Li LS
单位
Zunyi Medical University, Zunyi, China.China
文献类型
综述
期刊
Frontiers in pharmacology2022
原文标识
PubMed 36313314 · DOI 10.3389/fphar.2022.989461