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Updated: Feb 26, 2026

Using 22C3 Anti-PD-L1 Antibody Concentrate on Biopsy and Cytology Samples from Non-small Cell Lung Cancer Patients
Published on: September 25, 2018
Atezolizumab for the treatment of non-small cell lung cancer
Fernando C Santini1,2, Charles M Rudin2
1a Division of Medical Oncology , Instituto do Câncer do Estado de São Paulo, Hospital Sírio Libanês , São Paulo , Brazil.
Introduction:
The immune system can restrain or promote cancer development and growth. Antibodies targeting immune checkpoints have revolutionized cancer treatment. Among the best responses have been in non-small cell lung cancer (NSCLC) which is largely caused by chronic exposure to carcinogens; associated with high neoantigen creation and sensitization to immune recognition. Atezolizumab was the first approved antibody that targets the PD-1 ligand (PD-L1). Areas covered: This drug profile article covers the basics of the cancer-immunity cycle and reviews some aspects of innate and adaptive immunology. We discuss the discovery of PD-L1 and PD-L2 while highlight the potential differences in targeting PD-L1 versus PD-1. In addition, we briefly summarized the available pre-clinical and clinical data of atezolizumab use in NSCLC. A special section covers the challenges of PD-L1 immunohistochemistry assay. Expert commentary: PD-1:PD-L1 blockade has taken the lead in the immunotherapeutics field and represents the backbone of developing combination immunotherapies. Atezolizumab represents a step forward in the treatment of advanced NSCLC, nonetheless PD1:PD-L1 blockade in early-stage lung cancer is still a matter of debate.
Insights
Atezolizumab, targeting programmed cell death ligand 1 (PD-L1), offers a new treatment for advanced non-small cell lung cancer (NSCLC). While effective, its use in early-stage lung cancer requires further investigation.
Area of Science:
- Immunology and Oncology
- Cancer Immunotherapy
Background:
- The immune system plays a dual role in cancer development and progression.
- Immune checkpoint inhibitors have transformed cancer treatment, particularly in non-small cell lung cancer (NSCLC).
- Atezolizumab, a PD-L1 targeting antibody, is a key development in this field.
Purpose of the Study:
- To provide a drug profile of atezolizumab for NSCLC treatment.
- To review the cancer-immunity cycle and relevant immunology.
- To discuss the differences between targeting PD-L1 versus PD-1.
Main Methods:
- Review of pre-clinical and clinical data for atezolizumab in NSCLC.
- Discussion of PD-L1 and PD-L2 discovery and their roles.
- Analysis of challenges associated with PD-L1 immunohistochemistry assays.
Main Results:
- PD-1:PD-L1 blockade is a cornerstone of modern cancer immunotherapy.
- Atezolizumab shows promise in treating advanced NSCLC.
- The efficacy of PD1:PD-L1 blockade in early-stage lung cancer remains under discussion.
Conclusions:
- Atezolizumab represents a significant advancement in advanced NSCLC treatment.
- Further research is needed to clarify the role of PD1:PD-L1 blockade in early-stage lung cancer.
- Understanding PD-L1 expression and assays is crucial for effective immunotherapy.
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