The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective

The emergence of immunotherapy, particularly programmed cell death 1 (PD-1) and programmed cell death ligand-1 (PD-L1) produced profound transformations for treating non-small cell lung cancer (NSCLC). Nevertheless, not all NSCLC patients can benefit from immunotherapy in clinical practice. In addit...

Full description

Bibliographic Details
Main Authors: Shuai Liang, Hanyu Wang, Haixia Tian, Zhicheng Xu, Min Wu, Dong Hua, Chengming Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1249980/full
_version_ 1797688847318908928
author Shuai Liang
Hanyu Wang
Haixia Tian
Zhicheng Xu
Min Wu
Dong Hua
Dong Hua
Chengming Li
author_facet Shuai Liang
Hanyu Wang
Haixia Tian
Zhicheng Xu
Min Wu
Dong Hua
Dong Hua
Chengming Li
author_sort Shuai Liang
collection DOAJ
description The emergence of immunotherapy, particularly programmed cell death 1 (PD-1) and programmed cell death ligand-1 (PD-L1) produced profound transformations for treating non-small cell lung cancer (NSCLC). Nevertheless, not all NSCLC patients can benefit from immunotherapy in clinical practice. In addition to limited response rates, exorbitant treatment costs, and the substantial threats involved with immune-related adverse events, the intricate interplay between long-term survival outcomes and early disease progression, including early immune hyperprogression, remains unclear. Consequently, there is an urgent imperative to identify robust predictive and prognostic biological markers, which not only possess the potential to accurately forecast the therapeutic efficacy of immunotherapy in NSCLC but also facilitate the identification of patient subgroups amenable to personalized treatment approaches. Furthermore, this advancement in patient stratification based on certain biological markers can also provide invaluable support for the management of immunotherapy in NSCLC patients. Hence, in this review, we comprehensively examine the current landscape of individual biological markers, including PD-L1 expression, tumor mutational burden, hematological biological markers, and gene mutations, while also exploring the potential of combined biological markers encompassing radiological and radiomic markers, as well as prediction models that have the potential to better predict responders to immunotherapy in NSCLC with an emphasis on some directions that warrant further investigation which can also deepen the understanding of clinicians and provide a reference for clinical practice.
first_indexed 2024-03-12T01:37:31Z
format Article
id doaj.art-c00e77a15920400aa529e05af2e3fbe8
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-03-12T01:37:31Z
publishDate 2023-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-c00e77a15920400aa529e05af2e3fbe82023-09-11T05:39:14ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-09-011410.3389/fimmu.2023.12499801249980The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspectiveShuai Liang0Hanyu Wang1Haixia Tian2Zhicheng Xu3Min Wu4Dong Hua5Dong Hua6Chengming Li7Department of Oncology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Oncology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi, ChinaDepartment of Oncology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi, ChinaSuzhou Cancer Center Core Laboratory, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, ChinaDepartment of Oncology, The Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi, ChinaWuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, ChinaThe emergence of immunotherapy, particularly programmed cell death 1 (PD-1) and programmed cell death ligand-1 (PD-L1) produced profound transformations for treating non-small cell lung cancer (NSCLC). Nevertheless, not all NSCLC patients can benefit from immunotherapy in clinical practice. In addition to limited response rates, exorbitant treatment costs, and the substantial threats involved with immune-related adverse events, the intricate interplay between long-term survival outcomes and early disease progression, including early immune hyperprogression, remains unclear. Consequently, there is an urgent imperative to identify robust predictive and prognostic biological markers, which not only possess the potential to accurately forecast the therapeutic efficacy of immunotherapy in NSCLC but also facilitate the identification of patient subgroups amenable to personalized treatment approaches. Furthermore, this advancement in patient stratification based on certain biological markers can also provide invaluable support for the management of immunotherapy in NSCLC patients. Hence, in this review, we comprehensively examine the current landscape of individual biological markers, including PD-L1 expression, tumor mutational burden, hematological biological markers, and gene mutations, while also exploring the potential of combined biological markers encompassing radiological and radiomic markers, as well as prediction models that have the potential to better predict responders to immunotherapy in NSCLC with an emphasis on some directions that warrant further investigation which can also deepen the understanding of clinicians and provide a reference for clinical practice.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1249980/fullnon-small cell lung cancer (NSCLC)immunotherapyprognostic biological markersanti-PD-(L)1review
spellingShingle Shuai Liang
Hanyu Wang
Haixia Tian
Zhicheng Xu
Min Wu
Dong Hua
Dong Hua
Chengming Li
The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
Frontiers in Immunology
non-small cell lung cancer (NSCLC)
immunotherapy
prognostic biological markers
anti-PD-(L)1
review
title The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
title_full The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
title_fullStr The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
title_full_unstemmed The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
title_short The prognostic biological markers of immunotherapy for non-small cell lung cancer: current landscape and future perspective
title_sort prognostic biological markers of immunotherapy for non small cell lung cancer current landscape and future perspective
topic non-small cell lung cancer (NSCLC)
immunotherapy
prognostic biological markers
anti-PD-(L)1
review
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1249980/full
work_keys_str_mv AT shuailiang theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT hanyuwang theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT haixiatian theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT zhichengxu theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT minwu theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT donghua theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT donghua theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT chengmingli theprognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT shuailiang prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT hanyuwang prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT haixiatian prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT zhichengxu prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT minwu prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT donghua prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT donghua prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective
AT chengmingli prognosticbiologicalmarkersofimmunotherapyfornonsmallcelllungcancercurrentlandscapeandfutureperspective