2015
DOI: 10.1186/s12967-014-0373-0
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PD-1/PD-L1 pathway in non-small-cell lung cancer and its relation with EGFR mutation

Abstract: Immunotherapy has become a crucial modality for non-small-cell lung cancer treatment. Recently, two immune checkpoints, PD-1 and PD-L1, have emerged as important targets for immunotherapy. Their antitumor efficacy has been confirmed by in vitro and in vivo studies. But the correlation between PD-1/PD-L1 expression and EGFR expression was controversial and needs more evidences to support the combination of PD-1/PD-L1 inhibitors and tyrosine kinase inhibitors.

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Cited by 69 publications
(42 citation statements)
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“…Coincidentally, NSCLC patients with these clinicopathologic factors were inclined to have EGFR‐activating mutations. Consistently, high PD‐L1 expression was likely to be associated with the presence of EGFR‐activating mutations in NSCLC, and increased PD‐L1 expression can be considered an independently negative prognosis indicator for NSCLC . In our study, the cell surface expression of PD‐L1 was high in both the HCC827 sensitive cell line and the H1975 resistant cell line, both of which had an EGFR‐activating mutation (a E476‐A750 deletion mutation in exon 19 for the HCC827 cell line and a L858R point mutation in exon 21 for the H1975 cell line).…”
Section: Discussionsupporting
confidence: 76%
“…Coincidentally, NSCLC patients with these clinicopathologic factors were inclined to have EGFR‐activating mutations. Consistently, high PD‐L1 expression was likely to be associated with the presence of EGFR‐activating mutations in NSCLC, and increased PD‐L1 expression can be considered an independently negative prognosis indicator for NSCLC . In our study, the cell surface expression of PD‐L1 was high in both the HCC827 sensitive cell line and the H1975 resistant cell line, both of which had an EGFR‐activating mutation (a E476‐A750 deletion mutation in exon 19 for the HCC827 cell line and a L858R point mutation in exon 21 for the H1975 cell line).…”
Section: Discussionsupporting
confidence: 76%
“…45 ICI strategies have shown significant success in clinical studies of nonsmall-cell lung cancer, renal cell carcinoma, and melanoma, even though the responses are limited to 10-20%. 46,47 Several studies reported that the majority of intratumoral Tregs upregulate immune checkpoint molecules 17,[48][49][50] , making Tregs as a key target for ICI. Despite the clinical success to date, the exact mechanism of ICI is still elusive.…”
Section: Targeting Tregs For Cancer Immunotherapymentioning
confidence: 99%
“…48,49 A new class of drugs target PD-1 or PD-L1 and are reported to have activity against some malignancies including non-small cell lung cancers. 50,51 These drugs are useful for treatment of patients when standard chemotherapy has become ineffective. Nivolumab and pembrolizumab have been approved for treatment of non-small cell lung cancer, including both squamous cell carcinoma and adenocarcinoma.…”
Section: Committee IVmentioning
confidence: 99%