Skip to main content
Erschienen in: Journal of Cancer Research and Clinical Oncology 1/2020

07.12.2019 | Review – Clinical Oncology

Separating or combining immune checkpoint inhibitors (ICIs) and radiotherapy in the treatment of NSCLC brain metastases

verfasst von: Wang Li, Hong Yu

Erschienen in: Journal of Cancer Research and Clinical Oncology | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Abstract

With the advancement of imaging technology, systemic disease control rate and survival rate, the morbidity of brain metastases (BMs) from non-small cell lung cancer (NSCLC) has been riding on a steady upward trend (40%), but management of BMs from NSCLC remains obscure. Systemic therapy is anticipated to offer novel therapeutic avenues in the management of NSCLC BMs, and radiotherapy (RT) and immunotherapy have their own advantages. Recently, it was confirmed that immune checkpoint inhibitors (ICIs) and RT could mutually promote the efficacy in the treatment of BMs from NSCLC. In this paper, we provide a review on current understandings and practices of separating or combining ICIs and RT, which could provide a reference for the coming laboratory and clinical studies and contribute to the development of new approaches in NSCLC BMs.
Literatur
Zurück zum Zitat Borgelt B et al (1980) The palliation of brain metastases: final results of the first two studies by the Radiation Therapy Oncology Group. Int J Radiat Oncol Biol Phys 6:1–9CrossRefPubMed Borgelt B et al (1980) The palliation of brain metastases: final results of the first two studies by the Radiation Therapy Oncology Group. Int J Radiat Oncol Biol Phys 6:1–9CrossRefPubMed
Zurück zum Zitat Britschgi C, Riesterer O, Burger IA, Guckenberger M, Curioni-Fontecedro A (2018) Report of an abscopal effect induced by stereotactic body radiotherapy and nivolumab in a patient with metastatic non-small cell lung cancer. Radiat Oncol (London, England) 13:102. https://doi.org/10.1186/s13014-018-1049-3 CrossRef Britschgi C, Riesterer O, Burger IA, Guckenberger M, Curioni-Fontecedro A (2018) Report of an abscopal effect induced by stereotactic body radiotherapy and nivolumab in a patient with metastatic non-small cell lung cancer. Radiat Oncol (London, England) 13:102. https://​doi.​org/​10.​1186/​s13014-018-1049-3 CrossRef
Zurück zum Zitat Freeman GJ et al (2000) Engagement of the PD-1 immunoinhibitory receptor by a novel B7 family member leads to negative regulation of lymphocyte activation. J Exp Med 192:1027–1034CrossRefPubMedPubMedCentral Freeman GJ et al (2000) Engagement of the PD-1 immunoinhibitory receptor by a novel B7 family member leads to negative regulation of lymphocyte activation. J Exp Med 192:1027–1034CrossRefPubMedPubMedCentral
Zurück zum Zitat Mulvenna P et al (2016) Dexamethasone and supportive care with or without whole brain radiotherapy in treating patients with non-small cell lung cancer with brain metastases unsuitable for resection or stereotactic radiotherapy (QUARTZ): results from a phase 3, non-inferiority, randomised trial. Lancet (London, England) 388:2004–2014. https://doi.org/10.1016/s0140-6736(16)30825-x CrossRef Mulvenna P et al (2016) Dexamethasone and supportive care with or without whole brain radiotherapy in treating patients with non-small cell lung cancer with brain metastases unsuitable for resection or stereotactic radiotherapy (QUARTZ): results from a phase 3, non-inferiority, randomised trial. Lancet (London, England) 388:2004–2014. https://​doi.​org/​10.​1016/​s0140-6736(16)30825-x CrossRef
Metadaten
Titel
Separating or combining immune checkpoint inhibitors (ICIs) and radiotherapy in the treatment of NSCLC brain metastases
verfasst von
Wang Li
Hong Yu
Publikationsdatum
07.12.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
Journal of Cancer Research and Clinical Oncology / Ausgabe 1/2020
Print ISSN: 0171-5216
Elektronische ISSN: 1432-1335
DOI
https://doi.org/10.1007/s00432-019-03094-9

Weitere Artikel der Ausgabe 1/2020

Journal of Cancer Research and Clinical Oncology 1/2020 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.