关键词: biomarker immunocheckpoint inhibitor non-small-cell lung cancer tumor mutational burden

Mesh : Antineoplastic Agents, Immunological / therapeutic use Biomarkers, Tumor / antagonists & inhibitors blood genetics Carcinoma, Non-Small-Cell Lung / diagnosis drug therapy genetics pathology Circulating Tumor DNA / blood genetics Humans Immunotherapy Lung Neoplasms / diagnosis drug therapy genetics pathology Mutation Prognosis Tumor Microenvironment / genetics

来  源:   DOI:10.2217/fon-2019-0650   PDF(Sci-hub)

Abstract:
Immunocheckpoint inhibitors (ICIs) which target PD-1 and CTLA-4 have dramatically changed the history of non-small-cell lung cancer treatment. Multiple biomarkers especially tumor mutational burden (TMB) have been raised to be potential predictors of response to ICIs. However, great value of TMB has been observed in patients who receive ICIs monotherapy instead of ICIs combination therapy from latest exploratory studies. Thus, the innovative concept of TMB needs to be identified. This study uncovers specific aspects of TMB including signatures of TMB, factors related with variation, racial differences, heterogeneity between tissue TMB and blood-based TMB. Additionally, more and more factors are found valuable in clinical trials, suggesting that more markers should be further investigated as interesting candidates for response prediction beyond TMB.
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