PD-1/PD-L1免疫检查点抑制剂在肺癌临床研究中的进展
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南京医科大学第二附属医院肿瘤医学中心

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国家自然科学基金项目(面上项目,重点项目,重大项目),


Progress of PD-1 / PD-L1 immune checkpoint inhibitors in clinical trial of lung cancer
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Cancer Medical Center, the Second Affiliated Hospital of Nanjing Medical University

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    摘要:

    免疫治疗已经在肺癌治疗策略中占据重要地位,其中PD-1/PD-L1免疫检查点抑制剂成为该领域的研究热点。PD-1/PD-L1抑制剂可通过阻断PD-1/PD-L1通路重新激活宿主的抗肿瘤免疫应答,已有大量临床研究证明其可以显著改善多种类型癌症包括肺癌的临床终点,基于各项临床研究成果,目前已有四个PD-1/PD-L1抑制剂——Pembrolizumab、Nivolumab、Atezolizumab 、Durvalumab经FDA批准用于非小细胞肺癌或小细胞肺癌的一二线治疗或巩固治疗。本文将对PD-1/PD-L1抑制剂在肺癌临床研究中的进展,包括单药或联合用药的疗效、安全性、疗效预测标志物等方面进行综述,旨在为肺癌免疫治疗的临床应用提供依据。

    Abstract:

    Immunotherapy has been playing an important role in the treatment strategy of lung cancer, among which PD-1/PD-L1 immune checkpoint inhibitors have become a research hotspot in this field. PD-1/PD-L1 inhibitors can reactivate the host’s antitumor immune response by blocking the PD-1/PD-L1 pathway. Numerous clinical studies have shown that it can significantly improve the clinical endpoint of multiple types of cancers, including lung cancer. Based on the results of various clinical studies, there are four PD-1/PD-L1 inhibitors -- Pembrolizumab, Nivolumab, Atezolizumab and Durvalumab have been approved by the FDA for the first-line, second-line or consolidation treatment of non-small cell lung cancer or small cell lung cancer. This article reviews the progress of PD-1/PD-L1 inhibitors in clinical trials of lung cancer, including the efficacy, safety and predictive biomarkers of single or combined drugs, in order to provide evidence for the clinical application of lung cancer immunotherapy.

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  • 收稿日期:2020-02-12
  • 最后修改日期:2021-05-07
  • 录用日期:2021-07-23
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