Skip to main content
. 2021 Jul 20;24(7):503–512. [Article in Chinese] doi: 10.3779/j.issn.1009-3419.2021.102.24

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]