A bibliometric visualization of resistance to lung cancer immunotherapy: a decade of research progress (2014-2024)

Zhuo Yang1, Lanlan Yang1, Yuli Wang1

  • 1Clinical Medical Center of Oncology, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Frontiers in Oncology
|November 26, 2025
PubMed
Abstract

Insights

This bibliometric analysis reveals key research trends in lung cancer immunotherapy drug resistance, highlighting a shift towards understanding molecular mechanisms like the tumor microenvironment. The findings aid researchers and clinicians in advancing treatment strategies for better patient outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Bibliometrics

Background:

  • Lung cancer is a leading cause of cancer death globally.
  • Immunotherapy improves survival but faces resistance challenges.
  • A comprehensive bibliometric analysis of lung cancer immunotherapy drug resistance is currently lacking.

Purpose of the Study:

  • To conduct a bibliometric analysis of lung cancer immunotherapy drug resistance.
  • To illuminate the knowledge structure and identify research hotspots in this field.

Main Methods:

  • Publications from Web of Science and PubMed (2014-2024) were analyzed.
  • Data was processed using NoteExpress, VOSviewer, CiteSpace, and R's 'bibliometrix' package.
  • Analysis focused on publication trends, country, institution, and keyword evolution.

Main Results:

  • Publication output shows an upward trend, peaking in 2024.
  • China leads in publications; the USA has a higher citation impact.
  • Keywords evolved from clinical trials and drugs to immune checkpoints (PD-1/PD-L1) and molecular mechanisms (tumor microenvironment, autophagy, ferroptosis).

Conclusions:

  • This study provides an overview of research topics and emerging trends in lung cancer immunotherapy drug resistance.
  • It helps researchers identify pivotal directions and supports clinical practice by informing treatment strategies.
  • Insights facilitate better patient outcomes by optimizing immunotherapy application.

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