Emerging options and future strategies in immunotherapy for advanced lung squamous-cell carcinoma

Y Wang1, R Rosell2, F R Hirsch3

  • 1Department of Thoracic Surgery, Shengjing Hospital of China Medical University, Shenyang, China; Princess Margaret Cancer Centre, University Health Network, Toronto, Canada.

Insights

Advanced lung squamous cell carcinoma (LUSC) treatment faces challenges. Novel immunotherapies, including multi-specific antibodies and AI-driven approaches, show promise for improving patient outcomes and overcoming resistance to current therapies.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • Advanced-stage lung squamous cell carcinoma (LUSC) presents significant therapeutic challenges.
  • Immune checkpoint inhibitors (ICIs) have improved LUSC treatment, but durable responses are limited to a subset of patients.

Purpose of the Study:

  • To review emerging immunotherapy strategies for advanced-stage LUSC.
  • To outline a roadmap for next-generation immunotherapies in LUSC treatment.

Main Methods:

  • Literature review of current and emerging immunotherapies for LUSC.
  • Exploration of advances in multi-omics and artificial intelligence for personalized immunotherapy.
  • Analysis of novel therapeutic modalities including multi-specific antibodies, fusion proteins, antibody-drug conjugates, adoptive cell therapies, and cancer vaccines.

Main Results:

  • Emerging immunotherapies demonstrate early promise for LUSC patients.
  • Multi-omics and AI offer potential for precise immunotherapy by analyzing the tumor immune microenvironment and predicting treatment response.
  • Next-generation strategies focus on multi-target therapies and refined patient selection.

Conclusions:

  • The future of LUSC treatment involves combining multi-target biological therapies with innovative technologies.
  • Boosting immune cytotoxicity and improving patient selection are key to advancing LUSC immunotherapy.
  • A roadmap for next-generation immunotherapies is crucial for overcoming therapeutic challenges in LUSC.

Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
1.7K
Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
936
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
8.6K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.8K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.7K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K