%A Zhang Bixia, Ding Jianghua %T Immunotherapy for EGFR-mutant non-small cell lung cancer after EGFR-TKI acquired resistance %0 Journal Article %D 2023 %J Journal of International Oncology %R 10.3760/cma.j.cn371439-20220719-00020 %P 97-101 %V 50 %N 2 %U {https://gjzlx.sdfmu.edu.cn/CN/abstract/article_11260.shtml} %8 2023-02-08 %X

Epidermal growth factor receptor (EGFR)-mutant advanced non-small cell lung cancer (NSCLC) was previously regarded as a cold tumor according to tumor immune microenvironment (TIME). However,recent studies have found that EGFR-tyrosine kinase inhibitors (EGFR-TKIs) treatment can transform the host immunity from immunosuppressive to immunosupportive state,bringing new hope for immunotherapy. There are four main therapeutic strategies for patients after EGFR-TKIs acquired resistance: immunotherapy alone (Im),immunotherapy plus chemotherapy (Im+C),immunotherapy plus antiangiogenic drugs (Im+A),and immunotherapy combined with antiangiogenic drugs and chemotherapy (Im+A+C). Among them,the efficacy of Im is extremely limited,being significantly lower than that of chemotherapy alone,while there is still scarce evidence for the efficacy of Im+A with few clinical studies. The combination of Im+C and Im+A+C shows better efficacy than chemotherapy alone. Im+A+C has a superior clinical outcome to Im+C. Additionally,the EGFR L858R mutation subgroup benefits more from Im+C than the EGFR 19 del mutation subgroup. The T790M-negative subgroup has a greater benefit from Im+A+C than the T790M-positive subgroup. In general,the strategy of combining immunotherapy with chemotherapy and/or an antiangiogenic drug represents a novel and promising method for treating EGFR-mutant NSCLC after EGFR-TKI failure.