免疫检查点抑制剂在表皮生长因子受体突变非小细胞肺癌中的研究进展

Research progress of immune checkpoint inhibitors based biotherapeutics in epidermal growth factor receptor mutant of non-small cell lung cancer

  • 摘要: 对于表皮生长因子受体(EGFR)突变的患者,EGFR酪氨酸激酶抑制剂(EGFR-TKI)继发性耐药是不可避免的。免疫检查点抑制剂(ICIs)是目前癌症治疗的主要手段,包括抗程序性细胞死亡受体-1(PD-1)、程序性细胞死亡配体-1(PD-L1)和细胞毒性T淋巴细胞相关蛋白4(CTLA-4)的单克隆抗体,可显著改善非小细胞肺癌(NSCLC)患者的生存和生活质量。但携带EGFR突变的NSCLC患者对于ICIs反应较差。研究表明EGFR信号通路可能影响抗肿瘤免疫反应和肿瘤免疫微环境。本文就EGFR信号通路在肿瘤免疫微环境中对抗肿瘤免疫应答的影响、相关预后指标、EGFR突变患者的免疫治疗现状及目前的临床研究进行综述。

     

    Abstract: In patients with epidermal growth factor receptor (EGFR) mutation, secondary resistance to EGFR tyrosine kinase inhibitors (EGFR-TKI) is inevitable. Immune checkpoint inhibitors (ICIs) are currently the mainstay of cancer therapy, including monoclonal antibodies against programmed cell death 1 (PD-1), programmed cell death ligand-1 (PD-L1) and cytotoxic T lymphocyte-associated protein 4 (CTLA-4), which can significantly improve survival and quality of life in patients with non-small cell lung cancer (NSCLC). However, NSCLC patients with EGFR mutations have a poor response to ICIs. Studies have shown that EGFR signaling pathway may influence anti-tumor immune response and tumor immune microenvironment. This paper reviewed the effects of EGFR signaling pathway on tumor immune response in tumor immune microenvironment, related prognostic indicators, current status of immunotherapy for patients with EGFR mutation and current clinical studies.

     

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