Sheng Jiamin, Yu Xiaoqing, Li Hui, Fan Yun
Wenzhou Medical University, Wenzhou 325035, China.
Institute of Cancer and Basic Medicine (ICBM), Chinese Academy of Sciences, Hangzhou 310022, China.
Zhongguo Fei Ai Za Zhi. 2020 Nov 20;23(11):976-982. doi: 10.3779/j.issn.1009-3419.2020.102.31. Epub 2020 Aug 10.
Brain metastasis (BM) is a common complication in non-small cell lung cancer (NSCLC), which associates with poor prognosis. Recently, immune checkpoint inhibitors (ICIs) has revolutionized the treatment of tumors. Programmed death-1 (PD-1)/programmed death ligand 1 (PD-L1) inhibitors could produce antitumor effect by activating the autoimmune system. The immunotherapy has already show to have a promising outcome for NSCLC patients with BM, while its specific curative effect and the most ideal mode of the treatment remain to be explored. Here we reviewed the tumor microenvironment (TME) in BM lesions and summarized the role of PD-1/PD-L1 inhibitors in cerebral and its current status in clinical studies. .
脑转移(BM)是非小细胞肺癌(NSCLC)的常见并发症,与预后不良相关。近年来,免疫检查点抑制剂(ICIs)彻底改变了肿瘤的治疗方式。程序性死亡蛋白1(PD-1)/程序性死亡配体1(PD-L1)抑制剂可通过激活自身免疫系统产生抗肿瘤作用。免疫疗法已显示对NSCLC脑转移患者有良好疗效,但其具体疗效及最理想的治疗模式仍有待探索。在此,我们综述了脑转移瘤病变中的肿瘤微环境(TME),总结了PD-1/PD-L1抑制剂在脑转移中的作用及其在临床研究中的现状。