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非小细胞肺癌免疫检查点抑制剂治疗进展

王硕 邓云天 彭欢 张向峰

王硕, 邓云天, 彭欢, 张向峰. 非小细胞肺癌免疫检查点抑制剂治疗进展[J]. 协和医学杂志, 2023, 14(2): 409-415. doi: 10.12290/xhyxzz.2022-0151
引用本文: 王硕, 邓云天, 彭欢, 张向峰. 非小细胞肺癌免疫检查点抑制剂治疗进展[J]. 协和医学杂志, 2023, 14(2): 409-415. doi: 10.12290/xhyxzz.2022-0151
WANG Shuo, DENG Yuntian, PENG Huan, ZHANG Xiangfeng. Progress in the Treatment of Non-small Cell Lung Cancer with Immune Checkpoint Inhibitors[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 409-415. doi: 10.12290/xhyxzz.2022-0151
Citation: WANG Shuo, DENG Yuntian, PENG Huan, ZHANG Xiangfeng. Progress in the Treatment of Non-small Cell Lung Cancer with Immune Checkpoint Inhibitors[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 409-415. doi: 10.12290/xhyxzz.2022-0151

非小细胞肺癌免疫检查点抑制剂治疗进展

doi: 10.12290/xhyxzz.2022-0151
详细信息
    通讯作者:

    张向峰, E-mail:xfzh20008@163.com

  • 中图分类号: R734; R453

Progress in the Treatment of Non-small Cell Lung Cancer with Immune Checkpoint Inhibitors

More Information
  • 摘要: 肺癌是全球范围内发病率及死亡率极高的恶性肿瘤,其中以非小细胞肺癌(non-small cell lung cancer,NSCLC)最为常见。NSCLC的传统治疗主要依靠化学药物,近年来免疫治疗成为NSCLC治疗的热点,并取得了令人瞩目的进展。大量新型生物免疫制剂被开发并应用于临床,其中免疫检查点抑制剂的应用最广、疗效最为肯定。本文将对近年NSCLC免疫治疗生物标志物研究现状及进展进行阐述,以期提高免疫治疗精准度,更好地指导NSCLC患者的个体化治疗。
    作者贡献:王硕负责文献检索、论文撰写及修订;邓云天、彭欢负责论文选题及修订;张向峰负责论文审校。
    利益冲突:所有作者均声明不存在利益冲突
  • [1] Garon EB, Rizvi NA, Hui RN, et al. Pembrolizumab for the Treatment of Non-small-cell Lung Cancer[J]. N Engl J Med, 2015, 372: 2018-2028. doi:  10.1056/NEJMoa1501824
    [2] Brahmer J, Reckamp KL, Baas P, et al. Nivolumab Versus Docetaxel in Advanced Squamous-Cell Non-Small-Cell Lung Cancer[J]. N Engl J Med, 2015, 373: 123-135. doi:  10.1056/NEJMoa1504627
    [3] 江昌, 易玲, 高翔, 等. 非小细胞肺癌免疫治疗生物标志物研究进展[J]. 中国肺癌杂志, 2022, 25: 46-53. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202201006.htm

    Jiang C, Yi L, Gao X, et al. Research Progress of Immunotherapy Biomarkers for Non-small Cell Lung Cancer[J]. Zhongguo Feiai Zazhi, 2022, 25: 46-53. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202201006.htm
    [4] Reck M, Ciuleanu TE, Cobo M, et al. First-line Nivolumab Plus Ipilimumab With Two Cycles of Chemotherapy Versus Chemotherapy Alone (Four Cycles) in Advanced Non-small-cell Lung Cancer: CheckMate 9LA 2-year Update[J]. ESMO Open, 2021, 6: 100273. doi:  10.1016/j.esmoop.2021.100273
    [5] Reck M, Rodríguez-Abreu D, Robinson AG, et al. Pembrolizumab Versus Chemotherapy for PD-L1-Positive Non-Small-Cell Lung Cancer[J]. N Engl J Med, 2016, 375: 1823-1833. doi:  10.1056/NEJMoa1606774
    [6] Pardoll DM. The Blockade of Immune Checkpoints in Cancer Immunotherapy[J]. Nat Rev Cancer, 2012, 12: 252-264. doi:  10.1038/nrc3239
    [7] Tekguc M, Wing JB, Osaki M, et al. Treg-expressed CTLA-4 Depletes CD80/CD86 by Trogocytosis, Releasing Free PD-L1 on Antigen-presenting Cells[J]. Proc Natl Acad Sci U S A, 2021, 118: e2023739118. doi:  10.1073/pnas.2023739118
    [8] Morad G, Helmink BA, Sharma P, et al. Hallmarks of Response, Resistance, and Toxicity to Immune Checkpoint Blockade[J]. Cell, 2021, 184: 5309-5337. doi:  10.1016/j.cell.2021.09.020
    [9] Reck M, Rodríguez-Abreu D, Robinson AG, et al. Five-Year Outcomes With Pembrolizumab Versus Chemotherapy for Metastatic Non-Small-Cell Lung Cancer With PD-L1 Tumor Proportion Score ≥ 50[J]. J Clin Oncol, 2021, 39: 2339-2349. doi:  10.1200/JCO.21.00174
    [10] Ma CL, Sun X, Shen D, et al. Ectopic Expression of LAG-3 in non-Small-cell Lung Cancer Cells and Its Clinical Significance[J]. J Clin Lab Anal, 2020, 34: e23244.
    [11] Datar I, Sanmamed MF, Wang J, et al. Expression Analysis and Significance of PD-1, LAG-3, and TIM-3 in Human Non-Small Cell Lung Cancer Using Spatially Resolved and Multiparametric Single-Cell Analysis[J]. Clin Cancer Res, 2019, 25: 4663-4673. doi:  10.1158/1078-0432.CCR-18-4142
    [12] Ding L, Getz G, Wheeler DA, et al. Somatic Mutations Affect Key Pathways in Lung Adenocarcinoma[J]. Nature, 2008, 455: 1069-1075. doi:  10.1038/nature07423
    [13] Levin SD, Taft DW, Brandt CS, et al. Vstm3 Is a Member of the CD28 Family and an Important Modulator of T-cell Function[J]. Eur J Immunol, 2011, 41: 902-915. doi:  10.1002/eji.201041136
    [14] Stanietsky N, Rovis TL, Glasner A, et al. Mouse TIGIT Inhibits NK-cell Cytotoxicity Upon Interaction With PVR[J]. Eur J Immunol, 2013, 43: 2138-2150. doi:  10.1002/eji.201243072
    [15] Dardalhon V, Schubart AS, Reddy J, et al. CD226 Is Specifically Expressed on the Surface of Th1 Cells and Regulates Their Expansion and Effector Functions[J]. J Immunol, 2005, 175: 1558-1565. doi:  10.4049/jimmunol.175.3.1558
    [16] Ocaña-Guzman R. Torre-Bouscoulet L, Sada-Ovalle I. TIM-3 Regulates Distinct Functions in Macrophages[J]. Front Immunol, 2016, 7: 229.
    [17] Zhou KJ, Guo S, Tong S, et al. Immunosuppression of Human Adipose-Derived Stem Cells on T cell Subsets via the Reduction of NF-kappaB Activation Mediated by PD-L1/PD-1 and Gal-9/TIM-3 Pathways[J]. Stem Cells Dev, 2018, 27: 1191-1202. doi:  10.1089/scd.2018.0033
    [18] He YY, Yu H, Rozeboom L, et al. LAG-3 Protein Expression in Non-Small Cell Lung Cancer and Its Relationship with PD-1/PD-L1 and Tumor-Infiltrating Lymphocytes[J]. J Thorac Oncol, 2017, 12: 814-823. doi:  10.1016/j.jtho.2017.01.019
    [19] Wennerberg E, Mukherjee S, Spada S, et al. Expression of the mono-ADP-ribosyltransferase ART1 by Tumor Cells Mediates Immune Resistance in Non-small Cell Lung Cancer[J]. Sci Transl Med, 2022, 14: eabe8195. doi:  10.1126/scitranslmed.abe8195
    [20] Wiede F, Lu KH, Du X, et al. PTP1B Is an Intracellular Checkpoint that Limits T-cell and CAR T-cell Antitumor Immunity[J]. Cancer Discov, 2022, 12: 752-773. doi:  10.1158/2159-8290.CD-21-0694
    [21] Kuske M, Haist M, Jung T, et al. Immunomodulatory Properties of Immune Checkpoint Inhibitors-More than Boosting T-Cell Responses?[J]. Cancers (Basel), 2022, 14: 1710. doi:  10.3390/cancers14071710
    [22] Mao SQ, Zhou F, Liu YW, et al. ICI Plus Chemotherapy Prolonged Survival Over ICI Alone in Patients With Previously Treated Advanced NSCLC[J]. Cancer Immunol Immunother, 2022, 71: 219-228. doi:  10.1007/s00262-021-02974-9
    [23] Ma XT, Zhang YJ, Wang S, et al. Immune Checkpoint Inhibitor (ICI) Combination Therapy Compared to Monotherapy in Advanced Solid Cancer: a Systematic Review[J]. J Cancer, 2021, 12: 1318-1333. doi:  10.7150/jca.49174
    [24] Brueckl WM, Ficker JH, Zeitler G. Clinically Relevant Prognostic and Predictive Markers for Immune-checkpoint-inhibitor (ICI) Therapy in Non-small Cell Lung Cancer (NSCLC)[J]. BMC Cancer, 2020, 20: 1185. doi:  10.1186/s12885-020-07690-8
    [25] Paz-Ares L, Ciuleanu TE, Cobo M, et al. First-line Nivolumab Plus Ipilimumab Combined With Two Cycles of Chemotherapy in Patients With Non-small-cell Lung Cancer (CheckMate 9LA): an International, Randomised, Open-label, Phase 3 Trial[J]. Lancet Oncol, 2021, 22: 198-211. doi:  10.1016/S1470-2045(20)30641-0
    [26] Muto S, Inomata S, Yamaguchi H, et al. CTLA-4 Expression in Tumor-infiltrating Lymphocytes Is Irrelevant to PD-L1 Expression in NSCLC[J]. Anticancer Res, 2021, 41: 6267-6272. doi:  10.21873/anticanres.15447
    [27] Formenti SC, Rudqvist NP, Golden E, et al. Radiotherapy induces responses of lung cancer to CTLA-4 blockade[J]. Nat Med, 2018, 12: 1845-1851.
    [28] Lynch TJ, Bondarenko I, Luft A, et al. Ipilimumab in Combination With Paclitaxel and Carboplatin as First-line Treatment in Stage ⅢB/Ⅳ Non-small-cell Lung Cancer: Results From a Randomized, Double-blind, Multicenter Phase Ⅱ Study[J]. J Clin Oncol, 2012, 30: 2046-2054. doi:  10.1200/JCO.2011.38.4032
    [29] Jiang CJ, Zhang L, Xu XP, et al. Engineering a Smart Agent for Enhanced Immunotherapy Effect by Simultaneously Blocking PD-L1 and CTLA-4[J]. Adv Sci (Weinh), 2021, 8: e2102500. doi:  10.1002/advs.202102500
    [30] Zhou YX, Lin Z, Zhang XY, et al. First-line Treatment for Patients With Advanced Non-small Cell Lung Carcinoma and High PD-L1 Expression: Pembrolizumab or Pembrolizumab Plus Chemotherapy[J]. J Immunother Cancer, 2019, 7: 120. doi:  10.1186/s40425-019-0600-6
    [31] Nassabein R, Gaudreau PO, Belkaid W, et al. A Phase Ⅰ/Ⅱ Study of Pembrolizumab in Combination With Nab-paclitaxel in Patients With Unresectable Stage Ⅲ or Stage Ⅳ non Small-cell Lung Carcinoma (NSCLC)[J]. Cancer Treat Res Commun, 2021, 28: 100421. doi:  10.1016/j.ctarc.2021.100421
    [32] Incorvaia L, Fanale D, Badalamenti G, et al. Programmed Death Ligand 1 (PD-L1) as a Predictive Biomarker for Pembrolizumab Therapy in Patients with Advanced Non-Small-Cell Lung Cancer (NSCLC)[J]. Adv Ther, 2019, 36: 2600-2617. doi:  10.1007/s12325-019-01057-7
    [33] Leighl NB, Hellmann MD, Hui R, et al. Pembrolizumab in Patients With Advanced Non-small-cell Lung Cancer (KEYNOTE-001): 3-year Results From an Open-label, Phase 1 Study[J]. Lancet Respir Med, 2019, 7: 347-357. doi:  10.1016/S2213-2600(18)30500-9
    [34] Mansfield AS, Herbst RS, de Castro G, et al. Outcomes With Pembrolizumab Monotherapy in Patients With Programmed Death-Ligand 1-Positive NSCLC With Brain Metastases: Pooled Analysis of KEYNOTE-001, 010, 024, and 042[J]. JTO Clin Res Rep, 2021, 2: 100205.
    [35] Oki R, Hirakawa Y, Kimura H, et al. Renal Effects after Pembrolizumab Treatment for Non-small Cell Lung Carcinoma[J]. Intern Med, 2020, 59: 977-981. doi:  10.2169/internalmedicine.3928-19
    [36] Shionoya Y, Hirohashi Y, Takahashi H, et al. Possible Pseudo-progression of Non-small Cell Lung Carcinoma in a Patient With Clinical Hyper-progression Associated With Trousseau Syndrome Who Was Treated With Pembrolizumab: A Case Report[J]. Anticancer Res, 2021, 41: 3699-3706. doi:  10.21873/anticanres.15161
    [37] Brahmer JR, Govindan R, Anders RA, et al. The Society for Immunotherapy of Cancer consensus statement on immunotherapy for the treatment of non-small cell lung cancer (NSCLC)[J]. J Immunother Cancer, 2018, 6: 75. doi:  10.1186/s40425-018-0382-2
    [38] Tobita S, Kinehara Y, Tamura Y, et al. Successful Continuous Nivolumab Therapy for Metastatic Non-small Cell Lung Cancer After Local Treatment of Oligometastatic Lesions[J]. Thorac Cancer, 2020, 11: 2357-2360. doi:  10.1111/1759-7714.13539
    [39] Figueiredo A, Almeida MA, Almodovar MT, et al. Real-world Data From the Portuguese Nivolumab Expanded Access Program (EAP) in Previously Treated Non Small Cell Lung Cancer (NSCLC)[J]. Pulmonology, 2020, 26: 10-17. doi:  10.1016/j.pulmoe.2019.06.001
    [40] Schmid S, Diem S, Li QY, et al. Organ-specific Response to Nivolumab in Patients With Non-small Cell Lung Cancer (NSCLC)[J]. Cancer Immunol Immunother, 2018, 67: 1825-1832. doi:  10.1007/s00262-018-2239-4
    [41] Hellmann MD, Paz-Ares L, Bernabe Caro R, et al. Nivolumab Plus Ipilimumab in Advanced Non-Small-Cell Lung Cancer[J]. N Engl J Med, 2019, 381: 2020-2031. doi:  10.1056/NEJMoa1910231
    [42] Paz-Ares LG, Ramalingam SS, Ciuleanu TE, et al. First-Line Nivolumab Plus Ipilimumab in Advanced NSCLC: 4-Year Outcomes From the Randomized, Open-Label, Phase 3 CheckMate 227 Part 1 Trial[J]. J Thorac Oncol, 2022, 17: 289-308. doi:  10.1016/j.jtho.2021.09.010
    [43] Vokes EE, Ready N, Felip E, et al. Nivolumab Versus Docetaxel in Previously Treated Advanced Non-small-cell Lung Cancer (CheckMate 017 and CheckMate 057): 3-year Update and Outcomes in Patients With Liver Metastases[J]. Ann Oncol, 2018, 29: 959-965. doi:  10.1093/annonc/mdy041
    [44] Naito T, Umemura S, Nakamura H, et al. Successful Treatment With Nivolumab for SMARCA4-deficient Non-small Cell Lung Carcinoma With a High Tumor Mutation Burden: a Case Report[J]. Thorac Cancer, 2019, 10: 1285-1288. doi:  10.1111/1759-7714.13070
    [45] Kim JS, Nam TS, Kim J, et al. Myasthenia Gravis and Myopathy After Nivolumab Treatment for Non-small Cell Lung Carcinoma: a Case Report[J]. Thorac Cancer, 2019, 10: 2045-2049. doi:  10.1111/1759-7714.13177
    [46] Antonia SJ, Villegas A, Daniel D, et al. Durvalumab After Chemoradiotherapy in Stage Ⅲ Non-Small-Cell Lung Cancer[J]. N Engl J Med, 2017, 377: 1919-1929. doi:  10.1056/NEJMoa1709937
    [47] Li DN, Lu WQ, Yang BW, et al. Atezolizumab Mono-therapy or Plus Chemotherapy in First-Line Treatment for Advanced Non-Small Cell Lung Cancer Patients: A Meta-Analysis[J]. Front Immunol, 2021, 12: 666909. doi:  10.3389/fimmu.2021.666909
    [48] Fehrenbacher L, Spira A, Ballinger M, et al. Atezoli-zumab Versus Docetaxel for Patients With Previously Treated Non-small-cell Lung Cancer (POPLAR): a Multicentre, Open-label, Phase 2 Randomised Controlled Trial[J]. Lancet, 2016, 387: 1837-1846. doi:  10.1016/S0140-6736(16)00587-0
    [49] Zhou Q, Chen M, Jiang O, et al. Sugemalimab Versus Placebo After Concurrent or Sequential Chemoradiotherapy in Patients With Locally Advanced, Unresectable, Stage Ⅲ Non-small-cell Lung Cancer in China (GEMSTONE-301): Interim Results of a Randomised, Double-blind, Multicentre, Phase 3 Trial[J]. Lancet Oncol, 2022, 23: 209-219. doi:  10.1016/S1470-2045(21)00630-6
    [50] Zhou CC, Wang ZP, Sun YP, et al. Sugemalimab Versus Placebo, in Combination With Platinum-based Chemotherapy, as First-line Treatment of Metastatic Non-small-cell Lung Cancer (GEMSTONE-302): Interim and Final Analyses of a Double-blind, Randomised, Phase 3 Clinical Trial[J]. Lancet Oncol, 2022, 23: 220-233. doi:  10.1016/S1470-2045(21)00650-1
    [51] Boyer M, Şendur MAN, Rodríguez-Abreu D, et al. Pembrolizumab Plus Ipilimumab or Placebo for Metastatic Non-Small-Cell Lung Cancer With PD-L1 Tumor Proportion Score ≥ 50%: Randomized, Double-Blind Phase Ⅲ KEYNOTE-598 Study[J]. J Clin Oncol, 2021, 39: 2327-2338. doi:  10.1200/JCO.20.03579
    [52] Zhou J, Yu X, Hou LK, et al. Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor Remodels Tumor Microenvironment by Upregulating LAG-3 in Advanced Non-small-cell Lung Cancer[J]. Lung Cancer, 2021, 153: 143-149. doi:  10.1016/j.lungcan.2021.01.010
    [53] Anon. Tiragolumab Impresses in Multiple Trials[J]. Cancer Discov, 2020, 10: 1086-1087.
    [54] Houssaini MS, Damou M, Ismaili N. Advances in the Management of Non-small Cell Lung Cancer (NSCLC): A New Practice Changing Data From asco 2020 Annual Meeting[J]. Cancer Treat Res Commun, 2020, 25: 100239. doi:  10.1016/j.ctarc.2020.100239
    [55] Horvath L, Pircher A. ASCO 2020 Non-small Lung Cancer (NSCLC) Personal Highlights[J]. Memo, 2021, 14: 66-69. doi:  10.1007/s12254-020-00673-2
    [56] Niu J, Maurice-Dror C, Lee DH, et al. First-in-human Phase 1 Study of the anti-TIGIT Antibody Vibostolimab as Monotherapy or With Pembrolizumab for Advanced Solid Tumors, Including Non-small-cell Lung Cancer[J]. Ann Oncol, 2022, 33: 169-180. doi:  10.1016/j.annonc.2021.11.002
    [57] Anon. An Anti-TIGIT Antibody with a PD-1 Inhibitor Shows Promise in Solid Tumors[J]. Cancer Discov, 2022, 12: 14.
    [58] Gomes de Morais AL, Cerdá S, de Miguel M. New Checkpoint Inhibitors on the Road: Targeting TIM-3 in Solid Tumors[J]. Curr Oncol Rep, 2022, 24: 651-658. doi:  10.1007/s11912-022-01218-y
    [59] Curigliano G, Gelderblom H, Mach N, et al. Phase I/Ib Clinical Trial of Sabatolimab, an Anti-TIM-3 Antibody, Alone and in Combination with Spartalizumab, an Anti-PD-1 Antibody, in Advanced Solid Tumors[J]. Clin Cancer Res, 2021, 27: 3620-3629. doi:  10.1158/1078-0432.CCR-20-4746
    [60] Khunger M, Hernandez AV, Pasupuleti V, et al. Programmed Cell Death 1 (PD-1) Ligand (PD-L1) Expression in Solid Tumors As a Predictive Biomarker of Benefit From PD-1/PD-L1 Axis Inhibitors: A Systematic Review and Meta-Analysis[J]. JCO Precis Oncol, 2017, 1: 1-15.
    [61] Yun J, Lee SH, Kim SY, et al. Antitumor Activity of Amivantamab(JNJ-61186372), an EGFR-MET Bispecific Anti-body, in Diverse Models of EGFR Exon 20 Insertion-Driven NSCLC[J]. Cancer Discov, 2020, 10: 1194-1209. doi:  10.1158/2159-8290.CD-20-0116
    [62] Park K, Haura EB, Leighl NB, et al. Amivantamab in EGFR Exon 20 Insertion-Mutated Non-Small-Cell Lung Cancer Progressing on Platinum Chemotherapy: Initial Results From the CHRYSALIS Phase I Study[J]. J Clin Oncol, 2021, 39: 3391-3402. doi:  10.1200/JCO.21.00662
    [63] Syed YY. Amivantamab: First Approval[J]. Drugs, 2021, 81: 1349-1353. doi:  10.1007/s40265-021-01561-7
    [64] 中国临床肿瘤学会指南工作委员会. 小细胞肺癌诊疗指南2021[M]. 北京: 人民卫生出版社, 2021.
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出版历程
  • 收稿日期:  2022-03-26
  • 录用日期:  2022-05-27
  • 网络出版日期:  2022-08-09
  • 刊出日期:  2023-03-30

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