Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance

Lung cancer is the leading cause of cancer deaths in the world. At present, immunotherapy has made a great breakthrough in lung cancer treatment. A variety of immune checkpoint inhibitors have been applied into clinical practice, including antibodies targeting the programmed cell death-1, programmed...

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Main Authors: Fanming Kong, Ziwei Wang, Dongying Liao, Jinhui Zuo, Hongxia Xie, Xiaojiang Li, Yingjie Jia
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.739191/full
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author Fanming Kong
Fanming Kong
Ziwei Wang
Ziwei Wang
Dongying Liao
Dongying Liao
Jinhui Zuo
Jinhui Zuo
Hongxia Xie
Hongxia Xie
Xiaojiang Li
Xiaojiang Li
Yingjie Jia
Yingjie Jia
author_facet Fanming Kong
Fanming Kong
Ziwei Wang
Ziwei Wang
Dongying Liao
Dongying Liao
Jinhui Zuo
Jinhui Zuo
Hongxia Xie
Hongxia Xie
Xiaojiang Li
Xiaojiang Li
Yingjie Jia
Yingjie Jia
author_sort Fanming Kong
collection DOAJ
description Lung cancer is the leading cause of cancer deaths in the world. At present, immunotherapy has made a great breakthrough in lung cancer treatment. A variety of immune checkpoint inhibitors have been applied into clinical practice, including antibodies targeting the programmed cell death-1, programmed cell death-ligand 1, and cytotoxic T-lymphocyte antigen 4. However, in the actual clinical process, about 30%–50% of patients still do not receive long-term benefits. Abnormal antigen presentation, functional gene mutation, tumor microenvironment, and other factors can lead to primary or secondary resistance. In this paper, we reviewed the immune mechanism of immune checkpoint inhibitor resistance, various combination strategies, and prediction of biomarkers to overcome resistance in order to accurately screen out the advantageous population, expand the beneficiary population, and enable precise and individualized medicine.
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spelling doaj.art-8b41b319fbc447fda91a0366fb29e4ce2022-12-21T22:00:29ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-08-011110.3389/fonc.2021.739191739191Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug ResistanceFanming Kong0Fanming Kong1Ziwei Wang2Ziwei Wang3Dongying Liao4Dongying Liao5Jinhui Zuo6Jinhui Zuo7Hongxia Xie8Hongxia Xie9Xiaojiang Li10Xiaojiang Li11Yingjie Jia12Yingjie Jia13Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaDepartment of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaNational Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, ChinaLung cancer is the leading cause of cancer deaths in the world. At present, immunotherapy has made a great breakthrough in lung cancer treatment. A variety of immune checkpoint inhibitors have been applied into clinical practice, including antibodies targeting the programmed cell death-1, programmed cell death-ligand 1, and cytotoxic T-lymphocyte antigen 4. However, in the actual clinical process, about 30%–50% of patients still do not receive long-term benefits. Abnormal antigen presentation, functional gene mutation, tumor microenvironment, and other factors can lead to primary or secondary resistance. In this paper, we reviewed the immune mechanism of immune checkpoint inhibitor resistance, various combination strategies, and prediction of biomarkers to overcome resistance in order to accurately screen out the advantageous population, expand the beneficiary population, and enable precise and individualized medicine.https://www.frontiersin.org/articles/10.3389/fonc.2021.739191/fullnon-small cell lung cancerimmunotherapydrug resistancestrategybiomarkers
spellingShingle Fanming Kong
Fanming Kong
Ziwei Wang
Ziwei Wang
Dongying Liao
Dongying Liao
Jinhui Zuo
Jinhui Zuo
Hongxia Xie
Hongxia Xie
Xiaojiang Li
Xiaojiang Li
Yingjie Jia
Yingjie Jia
Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
Frontiers in Oncology
non-small cell lung cancer
immunotherapy
drug resistance
strategy
biomarkers
title Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
title_full Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
title_fullStr Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
title_full_unstemmed Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
title_short Non-Small Cell Lung Cancer: Challenge and Improvement of Immune Drug Resistance
title_sort non small cell lung cancer challenge and improvement of immune drug resistance
topic non-small cell lung cancer
immunotherapy
drug resistance
strategy
biomarkers
url https://www.frontiersin.org/articles/10.3389/fonc.2021.739191/full
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