2022
DOI: 10.3390/cancers14163943
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EGFR Inhibition Strongly Modulates the Tumour Immune Microenvironment in EGFR-Driven Non-Small-Cell Lung Cancer

Abstract: EGFR-driven non-small-cell lung cancer (NSCLC) patients are currently treated with TKIs targeting EGFR, such as erlotinib or osimertinib. Despite a promising initial response to TKI treatment, most patients gain resistance to oncogene-targeted therapy, and tumours progress. With the development of inhibitors against immune checkpoints, such as PD-1, that mediate an immunosuppressive microenvironment, immunotherapy approaches attempt to restore a proinflammatory immune response in tumours. However, this strateg… Show more

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Cited by 15 publications
(9 citation statements)
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“…For instance, Al-Wahaibi and colleagues synthesized indole-2-carboxamides and prove its antiproliferative and apoptotic activities through EGFR/CDK2 inhibition 49 . The inhibition of EGFR was also associated with tumor microenvironment modulation in non-small cell lung cancer 50 . The inhibition of ESR1 also represses tumor growth in diverse cancer, including breast cancer 51,52 .…”
Section: Discussionmentioning
confidence: 97%
“…For instance, Al-Wahaibi and colleagues synthesized indole-2-carboxamides and prove its antiproliferative and apoptotic activities through EGFR/CDK2 inhibition 49 . The inhibition of EGFR was also associated with tumor microenvironment modulation in non-small cell lung cancer 50 . The inhibition of ESR1 also represses tumor growth in diverse cancer, including breast cancer 51,52 .…”
Section: Discussionmentioning
confidence: 97%
“…EGFR mutations induce an un-inflamed TME with less T cell infiltration and increased numbers of Tregs, which results in a more suppressive immune environment (53). EGFR inhibition through TKI treatment is known to enhance MHC class I and II antigen presentation, induce more robust infiltration by immune cells and increases local proliferation of T cells in tumors, which leads to increased activation of immune cells and T-cell mediated tumor killing (54,55). Thus, TKI treatment before (or at the same time) with E mut VAX may potentially offer a better clinical benefit than treatment with TKI after E mut VAX.…”
Section: Discussionmentioning
confidence: 99%
“…Furthermore, panitumumab reduced the gene expression of immunosuppressive cytokines, including TGFB1, TGFB2, TGFB3, CCL2, and IL1B [ 38 ]. EGFR targeted therapy has been shown to modulate the TME in lung cancer [ 39 , 40 ].…”
Section: Discussionmentioning
confidence: 99%