Systematic review: Soluble immunological biomarkers in advanced non-small-cell lung cancer (NSCLC)

被引:21
作者
Mildner, Finn [1 ,3 ]
Sopper, Sieghart [1 ,3 ]
Amann, Arno [1 ,3 ]
Pircher, Andreas [1 ]
Pall, Georg [1 ]
Koeck, Stefan [1 ,3 ]
Naismith, Erin [1 ]
Wolf, Dominik [1 ,2 ,3 ]
Gamerith, Gabriele [1 ,3 ]
机构
[1] Med Univ Innsbruck, Internal Med Hematol & Oncol 5, Anichstr 35, A-6020 Innsbruck, Austria
[2] Univ Hosp Bonn UKB, Internal Med Oncol Hematol Immunoncol Rheumatol 3, Venusberg Campus 1, D-53127 Bonn, Germany
[3] Tiroler Krebsforsch Inst TKFI, Innrain 66, A-6020 Innsbruck, Austria
关键词
Immunotherapy; Liquid biopsy; NSCLC; Biomarker; Longitudinal monitoring; Tumor-immune microenvironment; CIRCULATING TUMOR-CELLS; PERIPHERAL-BLOOD; PD-L1; EXPRESSION; LIQUID BIOPSY; IMMUNE-CHECKPOINTS; METASTATIC NSCLC; OPEN-LABEL; T-CELLS; MUTATION; DNA;
D O I
10.1016/j.critrevonc.2020.102948
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In the highly dynamic field of advanced malignancies, biomarkers from liquid samples are urgently needed to improve treatment tailoring. However, the heterogenic data lack direct comparison of assays, vectors and re-levant validations are rarely found. Therefore, we classified the available studies based on three categories: Measured vectors, applied technique and detected biomarker. High blood tumor mutational burden and low baseline levels of soluble programmed cell death 1 ligand 1 (PD-L1) appear to predict treatment responses to immunotherapy. A high PD-1(+) CD4(+) T-cell count was asso-ciated with poor overall survival, PD-1(+)CD8(+) T-cells connect to a favorable outcome. Circulating tumor cells expressing PD-L1 were mainly associated with poor overall survival and treatment failure. Conclusion: Measurement of immunological factors as liquid biomarkers is feasible and has shown promising results. The use of coherent nomenclatures, cross-platform assay comparisons and validations through appropriate powered clinical trials are urgently required to push this auspicious field.
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页数:12
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