表 2.
外周血免疫细胞与非小细胞肺癌免疫治疗反应的关系
Levels of peripheral immune cells correlated with immunotherapy response in NSCLC
Cell type | Biomarkers | Clinical benefit | Reference |
ALC: absolute lymphocyte count; ANC: absolute neutrophil count; AEC: absolute eosinophil count, NLR: neutrophil-to-lymphocyte ratio; dNLR: derive neutrophil-to-lymphocyte ratio; PLR: platelet-to-lymphocyte ratio; PD-1: programmed death-1; TIM-3: T-cell immunoglobulin mucin 3; PR: partial response; SD: stable disease; cm/Eff: central memory/effector memory; TCR: T cell receptor; ICOS: inducible co-stimulator; M-MDSC: monocytic-myeloid-derived suppressor cell; Gr-MDSCs/PMN-MDSCs: granulocytic/polymorphonucear-myeloid-derived suppressor cells. | |||
Blood routine examination | Baseline ANC < 7, 500/μL, ALC≥1, 000/μL, AEC≥150/μL, NLR < 5 | OS, PFS | [27-29] |
Cells | Baseline NLR < 6.4, PLR < 441.8, dNLR≤3 | OS | [31, 30] |
Post-treatment NLR < 5 at week 6 | OS, PFS | [32] | |
CD8+ T cells | High baseline expression of immune checkpoints (PD-1) | OS, PFS | [33] |
Low baseline expression of PD-1 | |||
Decreased expression of PD-1 after treatment | OS, PFS | [35] | |
Without increased expression of immune checkpoints (TIM-3+) after treatment | PFS | [36] | |
High proliferation of PD-1+CD8+ T cells after anti-PD-1 therapy | PR/SD, DCB, PFS | [37, 38] | |
High baseline TCR diversity in PD-1+CD8+ T cells | PFS | [39] | |
Increased TCR diversity in T cells(including CD8+ T)at 2 weeks after treatment | OS | [40] | |
Low baseline frequency of CD28-CD57+KLRG1+ | OS | [42] | |
Expression of CD28 and ICOS after anti-PD-1 therapy | PR/SD | [37] | |
Lack CD28, ICOS and CD40L | PR/SD | [44] | |
Higher baseline memory CD8+ T cells (CM/Eff T cell ratio) | PFS | [45] | |
CD4+ T cells | High baseline expression of immune checkpoints (PD-1) | PFS | [46] |
Higher baseline frequency of functional CD27-CD28-CD4+ T cells | PFS | [47] | |
High frequencies of Treg cells one week after anti-PD-1 therapy | OS, PFS | [48] | |
NK cells | Higher frequency and overall activity of NK cells | PR, SD | [49] |
High baseline number of NK cells | OS, PFS | [33] | |
Low baseline number of NK cells | OS, PFS | [34] | |
MDSCs | Low baseline frequency of PMN-MDSCs and M-MDSCs | OS, PFS | [50] |
Low numbers of M-MDSC 2 weeks after nivolumab therapy | OS | [51] | |
High baseline levels of Gr-MDSC | OS, PFS | [52] | |
Combination cells | Higher baseline (%CD62LlowCD4+ T cells)2/(%Treg cells) ratio PFS and OS | OS, PFS | [53] |
Higher (%Treg cells)/(%LOX-1+ PMN-MDSCs) ratio after the first nivolumab infusion | PFS | [54] | |
(%NK cells)/(%Lox1+ PMN-MDSC) ratio≥5.75)after the first cycle of anti-PD-1 therapy | ORR, OS, PFS | [55] |