Anti-PD1/PD-L1 Immunotherapy for Non-Small Cell Lung Cancer with Actionable Oncogenic Driver Mutations.

Anti-PD1/PD-L1 Immunotherapy for Non-Small Cell Lung Cancer with Actionable Oncogenic Driver Mutations.
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DOI:
10.3390/ijms22126288
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发表时间:
2021-06-11
影响因子:
5.6
通讯作者:
Guisier F
Guisier F
中科院分区:
生物学2区
文献类型:
--
作者:
Dantoing E;Piton N;Salaün M;Thiberville L;Guisier F

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在过去的十年中,抗PD 1/PD-L1免疫疗法已成为III-IV期非小细胞肺癌(NSCLC)的标准治疗。患者选择通常基于肿瘤细胞的PD-L1表达和/或肿瘤突变负荷。然而,EGFR、ALK、BRAF或MET等致癌驱动因子的突变会改变免疫肿瘤微环境,并可能促进抗PD 1/PD-L1耐药性。在这篇综述中,我们讨论了与这些突变相关的分子机制,这些突变塑造了免疫肿瘤微环境,并可能阻碍抗PD 1/PD-L1疗效。我们提供了关于抗PD 1/PD-L1在伴致癌驱动突变的NSCLC中疗效的当前临床数据概述。
Anti-PD1/PD-L1 immunotherapy has emerged as a standard of care for stage III-IV non-small cell lung cancer (NSCLC) over the past decade. Patient selection is usually based on PD-L1 expression by tumor cells and/or tumor mutational burden. However, mutations in oncogenic drivers such as EGFR, ALK, BRAF, or MET modify the immune tumor microenvironment and may promote anti-PD1/PD-L1 resistance. In this review, we discuss the molecular mechanisms associated with these mutations, which shape the immune tumor microenvironment and may impede anti-PD1/PD-L1 efficacy. We provide an overview of the current clinical data on anti-PD1/PD-L1 efficacy in NSCLC with oncogenic driver mutation.
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