Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments

Non-small cell lung cancer (NSCLC) is the most common lung cancer diagnosis, among which epidermal growth factor receptor (EGFR), Kirsten rat sarcoma (KRAS), and anaplastic lymphoma kinase (ALK) mutations are the common genetic drivers. Their relative tyrosine kinase inhibitors (TKIs) have shown a b...

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Main Authors: Shanshan Chen, Jingyi Tang, Fen Liu, Wei Li, Ting Yan, Dangang Shangguan, Nong Yang, Dehua Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1094764/full
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author Shanshan Chen
Jingyi Tang
Fen Liu
Wei Li
Ting Yan
Dangang Shangguan
Nong Yang
Dehua Liao
author_facet Shanshan Chen
Jingyi Tang
Fen Liu
Wei Li
Ting Yan
Dangang Shangguan
Nong Yang
Dehua Liao
author_sort Shanshan Chen
collection DOAJ
description Non-small cell lung cancer (NSCLC) is the most common lung cancer diagnosis, among which epidermal growth factor receptor (EGFR), Kirsten rat sarcoma (KRAS), and anaplastic lymphoma kinase (ALK) mutations are the common genetic drivers. Their relative tyrosine kinase inhibitors (TKIs) have shown a better response for oncogene-driven NSCLC than chemotherapy. However, the development of resistance is inevitable following the treatments, which need a new strategy urgently. Although immunotherapy, a hot topic for cancer therapy, has shown an excellent response for other cancers, few responses for oncogene-driven NSCLC have been presented from the existing evidence, including clinical studies. Recently, the tumor microenvironment (TME) is increasingly thought to be a key parameter for the efficacy of cancer treatment such as targeted therapy or immunotherapy, while evidence has also shown that the TME could be affected by multi-factors, such as TKIs. Here, we discuss changes in the TME in NSCLC after TKI treatments, especially for EGFR-TKIs, to offer information for a new therapy of oncogene-driven NSCLC.
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spelling doaj.art-36f6e74b29df45748b908c92054a5c4e2023-03-06T04:41:39ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.10947641094764Changes of tumor microenvironment in non-small cell lung cancer after TKI treatmentsShanshan Chen0Jingyi Tang1Fen Liu2Wei Li3Ting Yan4Dangang Shangguan5Nong Yang6Dehua Liao7Department of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaLung Cancer and Gastrointestinal Unit, Department of Medical Oncology, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaDepartment of Pharmacy, Hunan Cancer Hospital, the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, ChinaNon-small cell lung cancer (NSCLC) is the most common lung cancer diagnosis, among which epidermal growth factor receptor (EGFR), Kirsten rat sarcoma (KRAS), and anaplastic lymphoma kinase (ALK) mutations are the common genetic drivers. Their relative tyrosine kinase inhibitors (TKIs) have shown a better response for oncogene-driven NSCLC than chemotherapy. However, the development of resistance is inevitable following the treatments, which need a new strategy urgently. Although immunotherapy, a hot topic for cancer therapy, has shown an excellent response for other cancers, few responses for oncogene-driven NSCLC have been presented from the existing evidence, including clinical studies. Recently, the tumor microenvironment (TME) is increasingly thought to be a key parameter for the efficacy of cancer treatment such as targeted therapy or immunotherapy, while evidence has also shown that the TME could be affected by multi-factors, such as TKIs. Here, we discuss changes in the TME in NSCLC after TKI treatments, especially for EGFR-TKIs, to offer information for a new therapy of oncogene-driven NSCLC.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1094764/fullnon-small cell lung cancerdriver mutationtyrosine kinase inhibitortumor microenvironmentICIs - immune checkpoint inhibitors
spellingShingle Shanshan Chen
Jingyi Tang
Fen Liu
Wei Li
Ting Yan
Dangang Shangguan
Nong Yang
Dehua Liao
Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
Frontiers in Immunology
non-small cell lung cancer
driver mutation
tyrosine kinase inhibitor
tumor microenvironment
ICIs - immune checkpoint inhibitors
title Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
title_full Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
title_fullStr Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
title_full_unstemmed Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
title_short Changes of tumor microenvironment in non-small cell lung cancer after TKI treatments
title_sort changes of tumor microenvironment in non small cell lung cancer after tki treatments
topic non-small cell lung cancer
driver mutation
tyrosine kinase inhibitor
tumor microenvironment
ICIs - immune checkpoint inhibitors
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1094764/full
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