Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China

Lung cancer causes significant morbidity and mortality in China and worldwide. In China, lung cancer accounts for nearly one-fourth of all cancer deaths. Non-small cell lung cancer (NSCLC) is the predominant type of lung cancer, accounting for approximately 80%–85% of all lung cancer cases. Immunoth...

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Autores principales: Anwen Xiong, Jiali Wang, Caicun Zhou
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Lenguaje:EN
Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/85401136b19c4d6bb7c8f3bf245ae86f
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spelling oai:doaj.org-article:85401136b19c4d6bb7c8f3bf245ae86f2021-11-30T20:58:15ZImmunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China2234-943X10.3389/fonc.2021.757993https://doaj.org/article/85401136b19c4d6bb7c8f3bf245ae86f2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fonc.2021.757993/fullhttps://doaj.org/toc/2234-943XLung cancer causes significant morbidity and mortality in China and worldwide. In China, lung cancer accounts for nearly one-fourth of all cancer deaths. Non-small cell lung cancer (NSCLC) is the predominant type of lung cancer, accounting for approximately 80%–85% of all lung cancer cases. Immunotherapy with immune checkpoint inhibitors (ICIs) is revolutionizing the treatment of NSCLC. Immune checkpoint molecules, including PD-1/PD-L1 and CTLA-4, can suppress immune responses by delivering negative signals to T cells. By interfering with these immunosuppressive axes, ICIs unleash antitumor immune responses, ultimately eliminating cancer cells. ICIs have demonstrated promising antitumor efficacy in NSCLC, and mounting evidence supports the use of ICIs in treatment-naïve patients with advanced NSCLC. A comprehensive overview of current and emerging ICIs for the first-line treatment of NSCLC in China will facilitate a better understanding of NSCLC immunotherapy using ICIs and optimize the clinical use of ICIs in previously untreated Chinese patients with NSCLC. Herein, we review the efficacy and safety of currently approved and investigational ICIs as the first-line treatment of NSCLC in China. We also discuss the challenges limiting more widespread use of ICIs and future directions in the first-line treatment of NSCLC using ICIs.Anwen XiongJiali WangCaicun ZhouFrontiers Media S.A.articlenon-small cell lung cancer (NSCLC)immunotherapyimmune checkpoint inhibitors (ICI)pembrolizumabChinaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENFrontiers in Oncology, Vol 11 (2021)
institution DOAJ
collection DOAJ
language EN
topic non-small cell lung cancer (NSCLC)
immunotherapy
immune checkpoint inhibitors (ICI)
pembrolizumab
China
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle non-small cell lung cancer (NSCLC)
immunotherapy
immune checkpoint inhibitors (ICI)
pembrolizumab
China
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Anwen Xiong
Jiali Wang
Caicun Zhou
Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
description Lung cancer causes significant morbidity and mortality in China and worldwide. In China, lung cancer accounts for nearly one-fourth of all cancer deaths. Non-small cell lung cancer (NSCLC) is the predominant type of lung cancer, accounting for approximately 80%–85% of all lung cancer cases. Immunotherapy with immune checkpoint inhibitors (ICIs) is revolutionizing the treatment of NSCLC. Immune checkpoint molecules, including PD-1/PD-L1 and CTLA-4, can suppress immune responses by delivering negative signals to T cells. By interfering with these immunosuppressive axes, ICIs unleash antitumor immune responses, ultimately eliminating cancer cells. ICIs have demonstrated promising antitumor efficacy in NSCLC, and mounting evidence supports the use of ICIs in treatment-naïve patients with advanced NSCLC. A comprehensive overview of current and emerging ICIs for the first-line treatment of NSCLC in China will facilitate a better understanding of NSCLC immunotherapy using ICIs and optimize the clinical use of ICIs in previously untreated Chinese patients with NSCLC. Herein, we review the efficacy and safety of currently approved and investigational ICIs as the first-line treatment of NSCLC in China. We also discuss the challenges limiting more widespread use of ICIs and future directions in the first-line treatment of NSCLC using ICIs.
format article
author Anwen Xiong
Jiali Wang
Caicun Zhou
author_facet Anwen Xiong
Jiali Wang
Caicun Zhou
author_sort Anwen Xiong
title Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
title_short Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
title_full Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
title_fullStr Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
title_full_unstemmed Immunotherapy in the First-Line Treatment of NSCLC: Current Status and Future Directions in China
title_sort immunotherapy in the first-line treatment of nsclc: current status and future directions in china
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/85401136b19c4d6bb7c8f3bf245ae86f
work_keys_str_mv AT anwenxiong immunotherapyinthefirstlinetreatmentofnsclccurrentstatusandfuturedirectionsinchina
AT jialiwang immunotherapyinthefirstlinetreatmentofnsclccurrentstatusandfuturedirectionsinchina
AT caicunzhou immunotherapyinthefirstlinetreatmentofnsclccurrentstatusandfuturedirectionsinchina
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