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Chinese Medical Journal ; (24): 2444-2455, 2020.
Article Dans Anglais | WPRIM | ID: wpr-877859

Résumé

In recent years, the research of immune checkpoint inhibitors has made a great breakthrough in lung cancer treatment. Currently, a variety of immune checkpoint inhibitors have been applied into clinical practice, including antibodies targeting the programmed cell death-1, programmed cell death-ligand 1, and cytotoxic T-lymphocyte antigen 4, and so on. However, not all patients can benefit from the treatment. Abnormal antigen presentation, functional gene mutation, tumor microenvironment, and other factors can lead to primary or secondary resistance. In this paper, we reviewed the molecular mechanism of immune checkpoint inhibitor resistance and various combination strategies to overcome resistance, in order to expand the beneficial population and enable precision medicine.


Sujets)
Humains , Antigène CD274 , Antigène CTLA-4 , Résistance aux substances , Inhibiteurs de points de contrôle immunitaires , Immunothérapie , Tumeurs du poumon/traitement médicamenteux , Microenvironnement tumoral
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