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肺癌治疗新策略:免疫治疗、精准医学与人工智能改善预后的深度分析

英文原题:Novel Strategies for the Treatment of Lung Cancer: An In-depth Analysis of the Use of Immunotherapy, Precision Medicine, and Artificial Intelligence to Improve Prognoses.

PubMed 2025/01/01(内容时间) Curr Med Chem Q2 · IF 3.2(JCR 2025)

研究概要

尽管肺癌是全球癌症相关死亡的主要原因,但在对抗肺癌的斗争中,治疗障碍依然存在。

中文摘要

在抗击肺癌的斗争中,治疗障碍依然存在,尽管肺癌是全球癌症相关死亡的主要原因。即使常规医学尽了最大努力,结果仍不尽如人意,因此需要新的研究途径。本综述审视了免疫治疗、精准医学和 AI 如何被用于管理肺癌,展示了这些工具如何改变患者的局面并提高其生存机会。在抗击癌症方面,免疫治疗已显示出令人鼓舞的结果,尤其是在小细胞肺癌(SCLC)和非小细胞肺癌(NSCLC)病例中。改善 T 细胞抗肿瘤反应的一个关键组成部分是使用免疫检查点抑制剂,其中包括 PD-1/PD-L1 和 CTLA-4 阻断剂。癌症疫苗和 CAR T 细胞治疗是过继细胞治疗的两种例子,可能用于增强免疫系统消除肿瘤的能力。为了改善手术结果并减少复发,新辅助免疫治疗正在研究其术前缩小肿瘤的能力。精准医学根据个体基因谱和肿瘤特征定制治疗,提高治疗疗效并避免不良影响。对于某些类型的非小细胞肺癌(NSCLC),基于 EGFR、ALK 和 ROS1 等基因突变的靶向治疗已显示出极好的结果。在优化治疗方案方面,生物标志物驱动的方法确保选择最有可能从特定药物中获益的患者。人工智能(AI)正在通过提高诊断准确性、预后评估和治疗规划来革新肺癌护理。机器学习算法通过检查海量信息来检测趋势并预测结果,从而实现个体化治疗策略。AI驱动的影像工具能够实现疾病的早期诊断和进展监测,而预测模型则有助于评估治疗反应和潜在毒性。这些先进技术的融合有望克服传统治疗的局限性。将免疫治疗与靶向治疗相结合,并利用AI进行精准医学,提供了一种多模式方法,以应对肺癌的异质性和动态性。将这些新策略纳入临床实践需要跨学科合作和持续研究,以开发和验证其有效性。免疫治疗、精准医学和AI的协同应用构成了肺癌管理的范式转变。这些发现为个体化和适应性治疗提供了坚实基础,可能改变肺癌患者的预后。持续的研究和临床研究对于释放这些技术的全部潜力至关重要,为改善治疗效果和提高与这一棘手疾病作斗争的人们的生活质量铺平道路。

展开英文摘要原文

Therapeutic hurdles persist in the fight against lung cancer, although it is a leading cause of cancer-related deaths worldwide. Results are still not up to par, even with the best efforts of conventional medicine, thus new avenues of investigation are required. Examining how immunotherapy, precision medicine, and AI are being used to manage lung cancer, this review shows how these tools can change the game for patients and increase their chances of survival. In the fight against cancer, immunotherapy has demonstrated encouraging results, especially in cases of small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). A key component in improving T cell responses against tumours is the use of immune checkpoint inhibitors, which include PD-1/PD-L1 and CTLA-4 blockers. Cancer vaccines and CAR T-cell therapy are two examples of adoptive cell therapies that might be used to boost the immune system's ability to eliminate tumours. In order to improve surgical results and decrease recurrence, neoadjuvant immunotherapy is being investigated for its ability to preoperatively reduce tumours. Precision medicine tailors treatment based on individual genetic profiles and tumour features, boosting therapeutic efficacy and avoiding unwanted effects. For certain types of non-small cell lung cancer (NSCLC), targeted treatments based on mutations in genes including EGFR, ALK, and ROS1 have shown excellent results. When it comes to optimizing treatment regimens, biomarker-driven approaches guarantee that the patients most likely to benefit from particular medicines are selected. Artificial intelligence (AI) is revolutionizing lung cancer care through increased diagnostic accuracy, prognostic assessments, and therapy planning. Machine learning algorithms examine enormous information to detect trends and forecast outcomes, permitting individualized treatment techniques. AI-driven imaging tools enable early diagnosis and monitoring of disease progression, while predictive models assist in evaluating therapy responses and potential toxicity. The convergence of these advanced technologies holds promise for overcoming the constraints of conventional therapy. Combining immunotherapy with targeted treatments and utilizing AI for precision medicine delivers a multimodal approach that tackles the heterogeneous and dynamic nature of lung cancer. The incorporation of these new tactics into clinical practice demands cross-disciplinary collaboration and continuing study to develop and confirm their effectiveness. The synergistic application of immunotherapy, precision medicine, and AI constitutes a paradigm shift in lung cancer management. These discoveries provide a robust basis for individualized and adaptable therapy, potentially altering the prognosis for lung cancer patients. Ongoing research and clinical studies are vital to unlocking the full potential of these technologies, paving the way for enhanced therapeutic outcomes and improved quality of life for people battling this tough disease.

论文信息

作者
Kedar P、Bhattacharya S、Kanugo A、Prajapati BG
第一作者单位
Department of Pharmaceutics, School of Pharmacy & Technology Management, SVKM'S NMIMS Deemed-to-be University, Shirpur, Maharashtra, 425405, India.India
通讯作者单位
Shree S.K. Patel College of Pharmaceutical Education and Research, Ganpat University, Mehsana, Gujarat, 384012, India.India
文献类型
综述
期刊
Current medicinal chemistry2025
原文标识
PubMed 39817387 · DOI 10.2174/0109298673347323241119184648