临床肿瘤学杂志

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免疫检查点PD-1/PD-L1通路在小细胞肺癌中的作用

张明辉,王燕,李国良,王艳   

  1. 哈尔滨医科大学附属肿瘤医院肿瘤内科
  • 收稿日期:2016-10-10 修回日期:2016-12-22 出版日期:2017-03-31 发布日期:2018-06-06
  • 通讯作者: 王艳

The role of immune checkpoint PD-1/PD-L1 in small cell lung cancer

ZHANG Minghui,WANG Yan, LI Guoliang,WANG Yan.   

  1. Department of Medical Oncology, Harbin Medical University Cancer Hospital
  • Received:2016-10-10 Revised:2016-12-22 Online:2017-03-31 Published:2018-06-06
  • Contact: WANG Yan

摘要: 小细胞肺癌(SCLC)主要的特点为生长迅速且早期易发生广泛转移。尽管SCLC对于化疗和放疗敏感,但几乎所有的患者均在治疗后发生复发转移,预后差。免疫检测点抑制剂,尤其程序化细胞死亡受体-1(PD-1)/程序化细胞死亡配体-1(PD-L1)拮抗剂在SCLC的临床前和临床研究中均获得了良好效果,并且能够延长患者生存。免疫检测点疗法作为一种新兴的方法在未来可能会改变SCLC治疗模式。此外,有限的数据显示出PD-L1表达可能成为筛选获益人群一个有效的生物标记物。本文总结PD-L1作为标记物的发展历程,并同时阐述PD-1/PD-L1抑制剂在SCLC治疗中的进展。

Abstract: Smallcell lung cancer(SCLC)is characterized by its rapid growth and early development of widespread metastases. Although patients with SCLC are highly responsive to chemotherapy and radiation therapy, longterm prognosis remains poor, with relapse and disease metastasis occurring in almost all cases. Immune checkpoint blockade, especially blockade of programmed death-1(PD-1)receptor and its ligand PD-L1, achieved robust responses and improved survival for patients with SCLC in preclinical and clinical studies. The blockade of PD-1/PD-L1 pathway as a novel therapeutic approach may change the treatment paradigm of SCLC in the future. Data on clinical activity by programmed cell death-1 ligand expression in SCLC are not widely available. In addition, limited data indicate that PD-L1 expression may be an ideal biomarker for patient selection. Here, we summarize the brief history of PD-L1 as a biomarker and describe the critical role of PD-1/PD-L1 inhibitors in SCLC.

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