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免疫检查点抑制剂在非小细胞肺癌治疗中面临的问题

Challenges of Immune Checkpoint Inhibitors in Treatment of Non-small Cell Lung Cancer

  • 摘要: 随着对免疫检查点逐渐深入的研究,免疫检查点抑制剂如针对程序性死亡分子1(PD-1)、程序性死亡分子配体1(PD-L1)以及细胞毒性T淋巴细胞抗原4(CTLA-4)抑制剂在临床研究中不断取得突破性进展。目前FDA虽已批准多个免疫检查点抑制剂上市,但免疫检查点抑制剂用于非小细胞肺癌治疗(NSCLC)仍面临很多的问题与不足。本文就免疫检查点信号通路如何介导肿瘤免疫逃逸、PD-L1作为PD-1/PD-L1单克隆抗体治疗NSCLC疗效预测生物标志物的价值及局限性、其他潜在的生物标记物以及免疫耐药机制等方面进行综述。

     

    Abstract: With the gradually in-depth research of immune checkpoint, the checkpoint inhibitors, such as programmed death-1(PD-1) inhibitors, programmed death–ligand 1(PD-L1) inhibitors and cytotoxic T lymphocyte-associated protein-4(CTLA-4) inhibitors, had made breakthroughs in clinical research. Although the FDA had approved several immune checkpoint inhibitors listed, there are still many problems and deficiencies in the use of checkpoint inhibitors for non-small cell lung cancer (NSCLC). This paper reviewed how immune checkpoint signaling pathway mediated tumor immune escape, the significance and limitations of PD-L1 as a biomarker for the prediction of therapeutic effect of PD-1 / PD-L1 monoclonal antibody on NSCLC, other potential biomarkers and the mechanisms of immune resistance.

     

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