The role of PD-1/PD-L1 inhibitors in the treatment for non-small cell lung cancer (NSCLC)

Authors

  • Che Li
  • Manyi Xu

DOI:

https://doi.org/10.54097/hset.v8i.1108

Keywords:

PD-1/PD-L1 Inhibitor, Non-small Cell Lung Cancer (NSCLC), Nivolumab, Pembrolizumab, Atezolizumab, Durvalumab.

Abstract

Non-small cell lung cancer (NSCLC) is a frequent cancer that affects people around the world. Checkpoint inhibitors are the most intensively studied treatment methods at present. Activation of PD-1/PD-L1 is accountable for suppressing the activation, proliferation, and cytotoxic secretion of T cells. By giving PD-1 /PD-L1 inhibitors, an individual's immune system can be boosted to some extent. Nivolumab, pembrolizumab, atezolizumab, and durvalumab have shown to be effective for NSCLC patients in clinical trials. The effectiveness of PD-1/PD-L1 inhibitors combining with SBRT, chemotherapy, or other checkpoint inhibitors to treat NSCLC has also been demonstrated. However, PD-1/PD-L1 inhibitors also have drawbacks, such as non-specific recognition misses, and immune-related adverse events. This article mainly discusses the role of PD-1/PD-L1 inhibitors in the treatment for NSCLC.

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References

R. L. Siegel, K. D. Miller, and A. Jemal, “Cancer statistics, 2019,” CA. Cancer J. Clin., vol. 69, no. 1, pp. 7–34, 2019, doi: 10.3322/caac.21551.

C. Gridelli et al., “Non-small-cell lung cancer,” Nat. Rev. Dis. Prim., vol. 1, pp. 1–16, 2015, doi: 10.1038/nrdp.2015.9.

D. R. Robinson et al., “Integrative clinical genomics of metastatic cancer,” Nature, vol. 548, no. 7667, pp. 297–303, 2017, doi: 10.1038/nature23306.

I. Mellman, G. Coukos, and G. Dranoff, “Cancer immunotherapy comes of age,” Nature, vol. 480, no. 7378, pp. 480–489, 2011, doi: 10.1038/nature10673.

Y. Han, D. Liu, and L. Li, “PD-1/PD-L1 pathway: current researches in cancer.,” Am. J. Cancer Res., vol. 10, no. 3, pp. 727–742, 2020, [Online]. Available: http://www.ncbi.nlm.nih.gov/pubmed/32266087.

L. Guo, H. Zhang, and B. Chen, “Nivolumab as Programmed Death-1 (PD-1) Inhibitor for Targeted Immunotherapy in Tumor,” J. Cancer, vol. 8, no. 3, pp. 410–416, 2017, doi: 10.7150/jca.17144.

N. Patsoukis, Q. Wang, L. Strauss, and V. A. Boussiotis, “Revisiting the PD-1 pathway,” Sci. Adv., vol. 6, no. 38, Sep. 2020, doi: 10.1126/sciadv.abd2712.

Jain, Prantesh et al. “Role of immune-checkpoint inhibitors in lung cancer.” Therapeutic advances in respiratory disease vol. 12 (2018): 1753465817750075. doi:10.1177/1753465817750075

Guo, Liting et al. “Nivolumab as Programmed Death-1 (PD-1) Inhibitor for Targeted Immunotherapy in Tumor.” Journal of Cancer vol. 8,3 410-416. 10 Feb. 2017, doi:10.7150/jca.17144

X. Shen and B. Zhao, “Efficacy of PD-1 or PD-L1 inhibitors and PD-L1 expression status in cancer: Meta-analysis,” BMJ, vol. 362, pp. 1–9, 2018, doi: 10.1136/bmj.k3529.

Chen, Yu et al. “SBRT combined with PD-1/PD-L1 inhibitors in NSCLC treatment: a focus on the mechanisms, advances, and future challenges.” Journal of hematology & oncology vol. 13,1 105. 28 Jul. 2020, doi:10.1186/s13045-020-00940-z

Timmerman, Robert et al. “Stereotactic body radiation therapy for inoperable early stage lung cancer.” JAMA vol. 303,11 (2010): 1070-6. doi:10.1001/jama.2010.261

Reits, Eric A et al. “Radiation modulates the peptide repertoire, enhances MHC class I expression, and induces successful antitumor immunotherapy.” The Journal of experimental medicine vol. 203,5 (2006): 1259-71. doi:10.1084/jem.20052494

Weichselbaum, Ralph R et al. “Radiotherapy and immunotherapy: a beneficial liaison?.” Nature reviews. Clinical oncology vol. 14,6 (2017): 365-379. doi:10.1038/nrclinonc.2016.211

Frey, Benjamin et al. “Immunomodulation by ionizing radiation-impact for design of radio-immunotherapies and for treatment of inflammatory diseases.” Immunological reviews vol. 280,1 (2017): 231-248. doi:10.1111/imr.12572

Deng, Liufu et al. “Irradiation and anti-PD-L1 treatment synergistically promote antitumor immunity in mice.” The Journal of clinical investigation vol. 124,2 (2014): 687-95. doi:10.1172/JCI67313

Luke, Jason J et al. “Safety and Clinical Activity of Pembrolizumab and Multisite Stereotactic Body Radiotherapy in Patients With Advanced Solid Tumors.” Journal of clinical oncology : official journal of the American Society of Clinical Oncology vol. 36,16 (2018): 1611-1618. doi:10.1200/JCO.2017.76.2229

Theelen, Willemijn S M E et al. “Effect of Pembrolizumab After Stereotactic Body Radiotherapy vs Pembrolizumab Alone on Tumor Response in Patients With Advanced Non-Small Cell Lung Cancer: Results of the PEMBRO-RT Phase 2 Randomized Clinical Trial.” JAMA oncology vol. 5,9 (2019): 1276-1282. doi:10.1001/jamaoncol.2019.1478

Wu, Junjie, and David J Waxman. “Immunogenic chemotherapy: Dose and schedule dependence and combination with immunotherapy.” Cancer letters vol. 419 (2018): 210-221. doi:10.1016/j.canlet.2018.01.050

S. L. Topalian et al., “Safety, Activity, and Immune Correlates of Anti–PD-1 Antibody in Cancer,” N. Engl. J. Med., vol. 366, no. 26, pp. 2443–2454, Jun. 2012, doi: 10.1056/NEJMoa1200690.

M. Sznol et al., “Survival and long-term follow-up of safety and response in patients (pts) with advanced melanoma (MEL) in a phase I trial of nivolumab (anti-PD-1; BMS-936558; ONO-4538).,” J. Clin. Oncol., vol. 31, no. 18_suppl, pp. CRA9006–CRA9006, Jun. 2013, doi: 10.1200/jco.2013.31.18_suppl.cra9006.

M. C. Andrews et al., “Gut microbiota signatures are associated with toxicity to combined CTLA-4 and PD-1 blockade,” Nat. Med., vol. 27, no. 8, pp. 1432–1441, 2021, doi: 10.1038/s41591-021-01406-6.

M. J. Friedrich, “Immunotherapy 2.0: Improving the Response to Checkpoint Inhibitors,” JAMA - J. Am. Med. Assoc., vol. 321, no. 2, pp. 131–133, 2019, doi: 10.1001/jama.2018.18306.

A. L. Shergold, R. Millar, and R. J. B. Nibbs, “Understanding and overcoming the resistance of cancer to PD-1/PD-L1 blockade,” Pharmacol. Res., vol. 145, p. 104258, 2019, doi: 10.1016/j.phrs.2019.104258.

M. M. Gubin et al., “Checkpoint blockade cancer immunotherapy targets tumour-specific mutant antigens,” Nature, vol. 515, no. 7528, pp. 577–581, 2014, doi: 10.1038/nature13988.

L. C. Platanias, “Mechanisms of type-I- and type-II-interferon-mediated signalling,” Nat. Rev. Immunol., vol. 5, no. 5, pp. 375–386, 2005, doi: 10.1038/nri1604.

E. A. Akbay et al., “Activation of the PD-1 pathway contributes to immune escape in EGFR-driven lung tumors,” Cancer Discov., vol. 3, no. 12, pp. 1355–1363, 2013, doi: 10.1158/2159-8290.CD-13-0310.

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Published

17-08-2022

How to Cite

Li, C., & Xu, M. (2022). The role of PD-1/PD-L1 inhibitors in the treatment for non-small cell lung cancer (NSCLC). Highlights in Science, Engineering and Technology, 8, 41-49. https://doi.org/10.54097/hset.v8i.1108