Predictive biomarkers of response for immune checkpoint inhibitors in non-small-cell lung cancer

被引:165
作者
Prelaj, Arsela [1 ,2 ]
Tay, Rebecca [1 ]
Ferrara, Roberto [3 ]
Chaput, Nathalie [3 ,4 ]
Besse, Benjamin [5 ,6 ]
Califano, Raffaele [1 ,7 ,8 ]
机构
[1] Christie NHS Fdn Trust, Wilmslow Rd, Manchester M20 4BX, Lancs, England
[2] Sapienza Univ Rome, Dept Radiol Pathol & Oncol Sci, Rome, Italy
[3] Gustave Roussy, Lab Immunomonitoring Oncol, CNRS, INSERM,UMS 3655,US 23, Villejuif, France
[4] Univ Paris Saclay, Fac Pharm, Chatenay Malabry, France
[5] Gustave Roussy, Canc Med Dept, Villejuif, France
[6] Paris Sud Univ, Orsay, France
[7] Manchester Univ NHS Fdn Trust, Dept Med Oncol, Manchester, Lancs, England
[8] Univ Manchester, Div Canc Sci, Manchester, Lancs, England
关键词
NSCLC; Immunotherapy; Predictive biomarkers; Lung cancer; PD-L1; Tumour mutational burden; Tumour microenvironment; Microsatellite instability; TO-LYMPHOCYTE RATIO; TUMOR-INFILTRATING LYMPHOCYTES; SUPPRESSOR-CELLS; PERIPHERAL-BLOOD; MUTATIONAL BURDEN; PD-1; BLOCKADE; SOLID TUMORS; OPEN-LABEL; INDEPENDENT PREDICTOR; COLORECTAL-CANCER;
D O I
10.1016/j.ejca.2018.11.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Immune checkpoint blockade has been a pivotal development in the management of advanced non-small-cell lung cancer (NSCLC). Although durable antitumour activity and improved survival have been observed in a subset of patients, there is a need for additional predictive biomarkers to improve patient selection and avoid toxicity in potential non-responders. This review will address the use and limitations of tumour programmed death-ligand 1 expression as a predictive biomarker and review emerging biomarker strategies specifically related to NSCLC including genetic alterations (tumour mutation burden, loss and gain activated mutations), tumour-related factors (tumour microenvironment) and factors related to the host immune system. Novel approaches in biomarker detection such as peripheral blood monitoring will also be reviewed. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:144 / 159
页数:16
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