Combinational immunotherapy based on immune checkpoints inhibitors in small cell lung cancer: is this the beginning to reverse the refractory situation?

Abstract:

:Small cell lung cancer (SCLC), a particular neuroendocrine tumor, occupies 13% of lung cancers, with the highest mortality among cancers. Immune checkpoints inhibitors (ICIs) based on programmed cell death protein-1 (PD-1)/programmed cell death one ligand (PD-L1) inhibitors and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors have been one of the most favorable therapies in SCLC. Simultaneously, not all the patients respond to ICIs due to the lack of biomarkers to predict the immunotherapeutic effect. Multiple combinational approaches are under exploration, including the integrated or successive assessment of additional immunotherapeutic agents, chemotherapy, radiotherapy, and targeted therapy with ICIs. The current review offers a general view of the rationale for clinical studies exploring the experimental result of combinational immunotherapy based on ICIs, with both available results and ongoing trials. Moreover, the development of more predictive biomarkers, specific clinical trial designs, enhancement of the efficacy, and decreasing the financial toxicity will become the trend of future research and clinical applications of ICIs. Understanding the evolving immuno-oncology is increasingly relevant and crucial to solve those problems and define therapeutic strategies and potential target populations of combinational immunotherapy. Ultimately, emerging combinational immunotherapy will transform SCLC into a chronic disease to help patients survive from tumors.

journal_name

J Thorac Dis

authors

Guo H,He Y,Chen P,Wang L,Li W,Chen B,Liu Y,Wang H,Zhao S,Zhou C

doi

10.21037/jtd-20-1689

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

6070-6089

issue

10

eissn

2072-1439

issn

2077-6624

pii

jtd-12-10-6070

journal_volume

12

pub_type

杂志文章,评审
  • Air leak after lung resection: pathophysiology and patients' implications.

    abstract::Protocols for the management of air leaks are critical aspects in the postoperative course of patients following lung resections. Many investigations in the last decade are focusing on the chest tube modalities or preventative measures, however, little is known about the pathophysiology of air leak and the patient per...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.11.08

    authors: Pompili C,Miserocchi G

    更新日期:2016-02-01 00:00:00

  • Efficacy of epidermal growth factor receptor-tyrosine kinase inhibitors for Chinese patients with squamous cell carcinoma of lung harboring EGFR mutation.

    abstract:OBJECTIVE:Epidermal growth factor receptor (EGFR) mutation mostly occurred in lung adenocarcinoma, rarely in squamous cell carcinoma (SQCC). EGFR mutation rate in SQCC varied in previous reports, and the efficacy of EGFR tyrosine kinase inhibitors (TKIs) in SQCC harboring EGFR mutation has not yet been fully evaluated....

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.09.15

    authors: Fang W,Zhang J,Liang W,Huang Y,Yan Y,Wu X,Hu Z,Ma Y,Zhao H,Zhao Y,Yang Y,Xue C,Zhang J,Zhang L

    更新日期:2013-10-01 00:00:00

  • Fertility counseling of young breast cancer patients.

    abstract::Approximately 6% of women with breast cancer are diagnosed before the age of 40. Young age is an independent predictor of adverse outcome and most young breast cancer patients receive systemic treatment with chemotherapy, hormonal therapy or both. The loss or impairment of fertility is a potential side effect of antin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.05.22

    authors: Lambertini M,Anserini P,Levaggi A,Poggio F,Del Mastro L

    更新日期:2013-06-01 00:00:00

  • Severity of coronary artery disease and retinal microvascular signs in patients with diagnosed versus undiagnosed diabetes: cross-sectional study.

    abstract:BACKGROUND:There is increasing evidence that a considerable proportion of patients with diabetes remain undiagnosed and untreated, however, it is unclear whether this is associated with more severe coronary artery disease (CAD) and microvasculature changes compared with diagnosed patients. We assessed CAD extent and se...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.05.61

    authors: Phan K,Mitchell P,Liew G,Plant AJ,Wang SB,Xu J,Chiha J,Thiagalingam A,Burlutsky G,Gopinath B

    更新日期:2016-07-01 00:00:00

  • Role of bronchoprovocation tests in identifying exercise-induced bronchoconstriction in a non-athletic population: a pilot study.

    abstract:BACKGROUND:Studies on diagnostic tests for exercise-induced bronchoconstriction (EIB) have centered around the asthmatic and elite athletic population. Traditionally, the exercise challenge test (ET) was recommended to assess EIB. We aimed to compare the performance of surrogate testing, mainly the hypertonic saline (H...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.02.70

    authors: Tan JHY,Chew WM,Lapperre TS,Tan GL,Loo CM,Koh MS

    更新日期:2017-03-01 00:00:00

  • Antiplatelet and anticoagulant for prevention of reocclusion in patients with atrial fibrillation undergoing endovascular treatment for low extremity ischemia.

    abstract:Background:The purpose of this study is to report the efficacy of the mono antiplatelet plus anticoagulation therapy for prevention of reocclusion in patients with atrial fibrillation (AF) undergoing endovascular treatment for lower extremity ischemia. Methods:From March 2014 to July 2016, 32 (21 males; range, 68-84 y...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.02.63

    authors: Yuan L,Chen C,Li Z,Zhu G,Bao J,Zhao Z,Lu Q,Jing Z

    更新日期:2018-03-01 00:00:00

  • Veno-arterial extracorporeal membrane oxygenation without therapeutic anticoagulation for intra-operative cardiopulmonary support during lung transplantation.

    abstract::Cardiopulmonary support is frequently required during lung transplantation. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has been recently shown to be an acceptable and, perhaps, safer alternative to cardiopulmonary bypass machine (CBM) for lung transplantation. However, therapeutic anticoagulation used...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2017.06.11

    authors: Bharat A,DeCamp MM

    更新日期:2017-07-01 00:00:00

  • Galactomannan detection in bronchoalveolar lavage fluid corrected by urea dilution for the diagnosis of invasive pulmonary aspergillosis among nonneutropenic patients.

    abstract:Background:To investigate the diagnostic performance of galactomannan (GM) detection in bronchoalveolar lavage fluid (BALF) corrected by urea dilution and modification of the AspICU clinical algorithm. Methods:GM detection in serum and BALF samples was performed in nonneutropenic patients on the day of clinically susp...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.01.07

    authors: Yu Y,Zhu C,Shen H,Liu C,Guo R,Gao Y,Wu W,Lu L

    更新日期:2019-02-01 00:00:00

  • Severe gastroparesis causing postoperative respiratory complications in a heart-lung recipient.

    abstract::Heart-lung transplantation is reserved for selected patients who have end-stage cardiac and pulmonary disease. Gastroparesis, which is associated with aspiration, is commonly seen after transplantation. Here, we present a case in which gastric contents aspiration leads to Pseudomonas aeruginosa pulmonary infection, 11...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:

    authors: Tao Y,Yan Z,Sha J,Zhu Z,Lei H

    更新日期:2010-06-01 00:00:00

  • Risk factors for obstructive sleep apnea-related hypertension in police officers in Southern China.

    abstract:Background:Obstructive sleep apnea (OSA) is an independent risk factor for hypertension. OSA-related hypertension is common and treatment of OSA can reduce blood pressure (BP). However, few studies have been conducted on this type of hypertension in the Chinese occupational population. Methods:We conducted a field inv...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.09.83

    authors: Pan M,Ou Q,Chen B,Hong Z,Liu H

    更新日期:2019-10-01 00:00:00

  • The nationwide program of allergic disease prevention as an implementation of GARD guidelines in Poland.

    abstract:Background:In 2006, the Global Alliance against Chronic Respiratory Diseases (GARD) was established. The GARD strategy is based mainly on activities aimed at implementing preventive tasks at a local and global level. In Poland, the National Health Program (NHP) is the strategic document describing the tasks of governme...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.08.97

    authors: Raciborski F,Samoliński B,Krzych-Fałta E,Grąbczewska A,Furman F,Bieszczad M,Morkisz P,Witkowska P,Bousquet J,Gujski M

    更新日期:2018-09-01 00:00:00

  • Sleep-disordered breathing and stroke: chicken or egg?

    abstract::The bidirectional interaction between sleep-disordered breathing (SDB) and stroke has been the subject of many studies. On the one hand, different forms of SDB, and especially obstructive sleep apnea, increase the risk of stroke either directly or indirectly by influencing other known cardiovascular risk factors such ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.12.66

    authors: Alexiev F,Brill AK,Ott SR,Duss S,Schmidt M,Bassetti CL

    更新日期:2018-12-01 00:00:00

  • Influenza seasonality and predominant subtypes of influenza virus in Guangdong, China, 2004-2012.

    abstract:BACKGROUND:Influenza surveillance is carried out in Guangdong province, southern China. A better understanding of influenza seasonality and predominant Subtypes of influenza virus in Guangdong can help to improve evidence-based prevention and control strategies for influenza in the future. MATERIALS AND METHODS:THERE ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2013.08.09

    authors: Lin J,Kang M,Zhong H,Zhang X,Yang F,Ni H,Huang P,Hong T,Ke C,He J

    更新日期:2013-08-01 00:00:00

  • Thyroid cancer diagnosis in the era of precision imaging.

    abstract::Thyroid cancer affects 1.3% of the population with increasing rates of incidence over the last decade (approximately 2% per year). Although the overall prognosis is good in the differentiated subtypes, there has been a slow but steady increase in rate of deaths associated with thyroid cancer (approximately 0.7% per ye...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.08.37

    authors: Bonjoc KJ,Young H,Warner S,Gernon T,Maghami E,Chaudhry A

    更新日期:2020-09-01 00:00:00

  • Posterior mediastinal tuberculous lymphadenitis with dysphagia as the main symptom: a case report and literature review.

    abstract:INTRODUCTION:Mediastinal tuberculous lymphadenitis (MTL) is mostly seen in primary tuberculosis in children, uncommon observed in adults. It usually presents the toxic symptoms of tuberculosis but rarely with symptoms characteristic of esophageal compression, such as dysphagia. Such patients can easily be misdiagnosed ...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2013.09.03

    authors: Xiong L,Mao X,Li C,Liu Z,Zhang Z

    更新日期:2013-10-01 00:00:00

  • Occupational adverse effects and protective factors in bronchoscopy.

    abstract::The application of bronchoscopy has resolved a series of diagnostic and treatment challenges in pulmonary diseases. However, the occupational adverse effects experienced by healthcare workers in interventional pulmonology should receive increasing attention. Various aspects of adverse effects in bronchoscopy are often...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.03.73

    authors: Chen K,Bai C

    更新日期:2019-04-01 00:00:00

  • Adjuvant or neoadjuvant chemotherapy for NSCLC.

    abstract::In functionally fit patients with localized disease surgical resection remains the treatment of choice. There is also good evidence to support the use of chemotherapy in stages II-III. However, whether to use neoadjuvant or adjuvant therapy has been the topic of much debate. With its strong evidence base, adjuvant che...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.04.26

    authors: McElnay P,Lim E

    更新日期:2014-05-01 00:00:00

  • Results of neoadjuvant therapy followed by esophagectomy for patients with locally advanced thoracic esophageal squamous cell carcinoma.

    abstract:BACKGROUND:For patients diagnosed with locally advanced esophageal cancer, neoadjuvant therapy followed by surgery is the most common approach. However, randomized trials resulted in inconsistent conclusions. We conducted this retrospective study to evaluate the influence of neoadjuvant therapy on postoperative events ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.02.19

    authors: Lin D,Ma L,Ye T,Pan Y,Shao L,Song Z,Jiang S,Chen H,Xiang J

    更新日期:2017-02-01 00:00:00

  • Transbronchial cryobiopsy for diffuse parenchymal lung disease: a state-of-the-art review of procedural techniques, current evidence, and future challenges.

    abstract::Transbronchial lung biopsy with a cryoprobe, or cryobiopsy, is a promising new bronchoscopic biopsy technique capable of obtaining larger and better-preserved samples than previously possible using traditional biopsy forceps. Over two dozen case series and several small randomized trials are now available describing e...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.06.96

    authors: Lentz RJ,Argento AC,Colby TV,Rickman OB,Maldonado F

    更新日期:2017-07-01 00:00:00

  • Domiciliary use of transcutaneous electrical stimulation for patients with obstructive sleep apnoea: a conceptual framework for the TESLA home programme.

    abstract::Obstructive sleep apnoea (OSA) is a global health problem of increasing prevalence. Effective treatments are available with continuous positive airway pressure (CPAP) therapy and mandibular advancement devices (MAD). However, there is limited long-term adherence to therapy, as CPAP and MAD require permanent usage to a...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2019.05.04

    authors: He B,Al-Sherif M,Nido M,Tas R,Beach M,Schwarz EI,Cheng M,Ishak A,Lee K,Shah N,Kent B,Eze-John P,Ratneswaran C,Rafferty G,Williams AJ,Hart N,Luo Y,Moxham J,Pengo M,Steier J

    更新日期:2019-05-01 00:00:00

  • Root reconstruction for proximal repair in acute type A aortic dissection.

    abstract:Background:Retrospective compared the results of root reconstruction and root replacement for acute type A aortic dissection (ATAAD) patients and observed the rate of aortic insufficiency (AI) and aortic root dilation in the midterm follow-up period. Methods:From 2008-2016, 427 ATAAD patients received surgical therapy...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.10.62

    authors: Xue Y,Zhou Q,Pan J,Cao H,Fan F,Zhu X,Chong H,Wang D

    更新日期:2019-11-01 00:00:00

  • Independent factors related to preoperative acute lung injury in 130 adults undergoing Stanford type-A acute aortic dissection surgery: a single-center cross-sectional clinical study.

    abstract:Background:Previous retrospective study suggested that acute lung injury (ALI) is frequent (78.49%) in patients undergoing aortic dissection surgery, and accompanied by a number of untoward consequences, and even induces death. Methods:This prospective single-center cross-sectional study, registered in the ClinicalTri...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.06.140

    authors: Pan X,Lu J,Cheng W,Yang Y,Zhu J,Jin M

    更新日期:2018-07-01 00:00:00

  • Nuss procedure for repair of pectus excavatum after failed Ravitch procedure in adults: indications and caveats.

    abstract:BACKGROUND:Recurrence of pectus excavatum (PE) is not an uncommon problem after open repair using the Ravitch technique. The optimal approach for redo surgery is still under debate, especially in adults with less chest wall pliability. Aim of this study was to investigate the usefulness and efficacy of the minimally in...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.06.60

    authors: Kocher GJ,Gstrein N,Jaroszewski DE,Ewais MM,Schmid RA

    更新日期:2016-08-01 00:00:00

  • Preoperative evaluation for lung cancer resection.

    abstract::During the last decades lung cancer is the leading cause of death worldwide for both sexes. Even though cigarette smoking has been proved to be the main causative factor, many other agents (e.g., occupational exposure to asbestos or heavy metals, indoor exposure to radon gas radiation, particulate air pollution) have ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2014.03.06

    authors: Spyratos D,Zarogoulidis P,Porpodis K,Angelis N,Papaiwannou A,Kioumis I,Pitsiou G,Pataka A,Tsakiridis K,Mpakas A,Arikas S,Katsikogiannis N,Kougioumtzi I,Tsiouda T,Machairiotis N,Siminelakis S,Argyriou M,Kotsakou M,Kess

    更新日期:2014-03-01 00:00:00

  • Video assistant thoracoscopic (VATS) lobectomy: right lower lobe.

    abstract::The 60-year-old female had a nodule in the right lower lobe of the lung, which was identified as a tumor by CT and PET-CT. Then the right lower lobectomy was performed. The posterior trocar placement, different from other surgery, is in the 5th intercostals space in the anterior latissimus dorsi, which can be built by...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.3978/j.issn.2072-1439.2013.06.29

    authors: Zhao T,Chen H,Yang L,Jin H,Li Z,Zhang J

    更新日期:2013-08-01 00:00:00

  • Lipid management for coronary heart disease patients: an appraisal of updated international guidelines applying Appraisal of Guidelines for Research and Evaluation II-clinical practice guideline appraisal for lipid management in coronary heart disease.

    abstract:Background:Clinical practice guidelines (CPGs) provide many recommendations for hyperlipidemia management, but some of them are still debatable. Methods:We applied the six-domain Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate the quality of guidelines with lipid management rec...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.07.71

    authors: Zhou H,Zhang S,Sun X,Yang D,Zhuang X,Guo Y,Hu X,Du Z,Zhang M,Liao X

    更新日期:2019-08-01 00:00:00

  • Heart V5 predicts cardiac events in unresectable lung cancer patients undergoing chemoradiation.

    abstract:Background:Recent studies incorporating dose escalated radiation identified heart dose as a predictor of cardiac toxicity in unresectable lung cancer patients. Whether conventionally dosed radiation impacts cardiac events remains unclear. Methods:Stage III lung cancer patients undergoing definitive chemoradiation to 6...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.06.29

    authors: Ni L,Koshy M,Connell P,Pitroda S,Golden DW,Al-Hallaq H,Hubert G,Kauffman G,McCall A,Malik R

    更新日期:2019-06-01 00:00:00

  • Clinical characteristics and prognosis of ground-glass opacity nodules in young patients.

    abstract:Background:The detection rate of ground-glass opacity (GGO) in young patients has increased year by year with the increasingly widespread use of high-resolution computed tomography (HRCT) and the increased resolution of HRCT imaging. However, no scholars have reported the clinical characteristics and prognosis of GGO i...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.01.32

    authors: Wang J,Ma H,Ni CJ,He JK,Ma HT,Ge JF

    更新日期:2019-02-01 00:00:00

  • Delamanid and bedaquiline to treat multidrug-resistant and extensively drug-resistant tuberculosis in children: a systematic review.

    abstract::The new drugs delamanid and bedaquiline are increasingly used to treat multidrug-resistant (MDR-) and extensively drug-resistant tuberculosis (XDR-TB). As evidence is lacking, the World Health Organization recommends their use under specific conditions in adults, delamanid only being recommended in children ≥6 years o...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2017.06.16

    authors: D'Ambrosio L,Centis R,Tiberi S,Tadolini M,Dalcolmo M,Rendon A,Esposito S,Migliori GB

    更新日期:2017-07-01 00:00:00

  • Current views on tumor mutational burden in patients with non-small cell lung cancer treated by immune checkpoint inhibitors.

    abstract::In the last few years, the treatment of patients with non-small cell lung cancer (NSCLC) has impressively benefitted from immunotherapy, in particular from the inhibition of immune checkpoints such as programmed cell death-1 (PD-1) and programmed cell death ligand-1 (PD-L1). However, despite the significant survival b...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.11.102

    authors: Berland L,Heeke S,Humbert O,Macocco A,Long-Mira E,Lassalle S,Lespinet-Fabre V,Lalvée S,Bordone O,Cohen C,Leroy S,Hofman V,Hofman P,Ilié M

    更新日期:2019-01-01 00:00:00