From Mechanisms to Therapeutic Innovation in Non-Small Cell Lung Cancer: A Knowledge-Depth Translational Mapping with

Aimi Syamima Abdul Manap1

  • 1Department of Biomedical Science, College of Veterinary Medicine, King Faisal University, Al-Ahsa 31982, Saudi Arabia.

Abstract

Insights

Non-small-cell lung cancer research is shifting towards immunotherapy. This study maps key themes, revealing epithelial-mesenchymal transition (EMT) as a central resistance mechanism and a target for novel therapeutic strategies.

Area of Science:

  • Oncology
  • Immunology
  • Bioinformatics

Background:

  • Non-small-cell lung cancer (NSCLC) research is evolving from intrinsic tumor mechanisms to immune-based therapies.
  • Translating NSCLC research findings into effective clinical strategies remains a challenge.

Purpose of the Study:

  • To analyze the evolution of NSCLC research themes and identify key mechanistic-therapeutic links.
  • To map the landscape of NSCLC research, focusing on immunotherapy and resistance mechanisms.

Main Methods:

  • Bibliometric analysis of 1200 publications from 2009-2025 using Web of Science.
  • Performance analysis, keyword mapping, thematic evolution, and co-citation clustering with Bibliometrix and CiteSpace.
  • ELISA validation of key biomarkers under epithelial-mesenchymal transition (EMT) inducing conditions.

Main Results:

  • Scientific output increased significantly post-2018, coinciding with immunotherapy expansion.
  • Three major themes emerged: molecular mechanisms, biomarkers, and therapeutics, with immunotherapy and tumor microenvironment as dominant drivers.
  • Epithelial-mesenchymal transition (EMT) was identified as a persistent mechanistic hub and a key factor in resistance, with associated biomarkers like TGF-β1, IL-6, CCL2, and PD-L1 showing significant increases.

Conclusions:

  • An integrative, quantitative framework links NSCLC mechanistic insights to therapeutic innovation.
  • The study provides experimental support for targeting EMT-related pathways in NSCLC treatment.