通过联合治疗非小细胞肺癌的策略克服检查点抑制剂的耐药性。
Overcoming Resistance to Checkpoint Inhibitors with Combination Strategies in the Treatment of Non-Small Cell Lung Cancer.
发表日期:2024 Aug 22
作者:
Amanda Reyes, Ramya Muddasani, Erminia Massarelli
来源:
Cancers
摘要:
肺癌仍然是全球癌症相关死亡中比例最高的癌症。免疫检查点抑制剂等非小细胞肺癌治疗的进步极大地提高了生存率和长期疾病反应,即使在治疗和围手术期也是如此。不幸的是,耐药性的形成要么是对治疗的初始反应,要么更常见的是初始反应后的进展。已采用多种方式来解决这个问题。本综述将重点关注免疫检查点抑制剂的各种联合治疗,包括添加化疗、各种免疫疗法、放射、抗体药物偶联物、双特异性抗体、新抗原疫苗和肿瘤浸润淋巴细胞。我们讨论了这些药物与免疫检查点抑制剂联合使用时的状态,重点是肺癌。还回顾了早期毒性信号、耐受性和实施的可行性。我们最后讨论了治疗的后续步骤。
Lung cancer continues to contribute to the highest percentage of cancer-related deaths worldwide. Advancements in the treatment of non-small cell lung cancer like immune checkpoint inhibitors have dramatically improved survival and long-term disease response, even in curative and perioperative settings. Unfortunately, resistance develops either as an initial response to treatment or more commonly as a progression after the initial response. Several modalities have been utilized to combat this. This review will focus on the various combination treatments with immune checkpoint inhibitors including the addition of chemotherapy, various immunotherapies, radiation, antibody-drug conjugates, bispecific antibodies, neoantigen vaccines, and tumor-infiltrating lymphocytes. We discuss the status of these agents when used in combination with immune checkpoint inhibitors with an emphasis on lung cancer. The early toxicity signals, tolerability, and feasibility of implementation are also reviewed. We conclude with a discussion of the next steps in treatment.