国际肿瘤学杂志 ›› 2024, Vol. 51 ›› Issue (12): 785-788.doi: 10.3760/cma.j.cn371439-20240805-00133

• 综述 • 上一篇    下一篇

C-反应蛋白与非小细胞肺癌免疫治疗预后的研究进展

伏彩红1, 辛元春2, 顾峰1, 吴玉强1, 李慧慧1, 马琴1, 刘喜婷1(), 杨磊1   

  1. 1甘肃省肿瘤医院呼吸肿瘤内科,兰州 730000
    2甘肃省肿瘤医院放疗科,兰州 730000
  • 收稿日期:2024-08-05 修回日期:2024-08-30 出版日期:2024-12-08 发布日期:2025-01-07
  • 通讯作者: 刘喜婷 E-mail:liuxiting@163.com
  • 基金资助:
    甘肃省卫生健康行业科研计划(GSWSKY2022-53)

Research progress in C-reactive protein and the prognosis of immunotherapy for non-small cell lung cancer

Fu Caihong1, Xin Yuanchun2, Gu Feng1, Wu Yuqiang1, Li Huihui1, Ma Qin1, Liu Xiting1(), Yang Lei1   

  1. 1Department of Respiratory Oncology, Gansu Provincial Cancer Hospital, Lanzhou 730000, China
    2Department of Radiotherapy, Gansu Provincial Cancer Hospital, Lanzhou 730000, China
  • Received:2024-08-05 Revised:2024-08-30 Online:2024-12-08 Published:2025-01-07
  • Contact: Liu Xiting E-mail:liuxiting@163.com
  • Supported by:
    Gansu Provincial Health Industry Scientific Research Project(GSWSKY2022-53)

摘要:

免疫治疗已成为驱动基因阴性晚期非小细胞肺癌(NSCLC)的一线标准治疗方案,但并非所有的患者均能从免疫治疗中获益,甚至可发生严重的不良反应,确定免疫治疗临床反应预测因子至关重要。多项研究表明,基线C-反应蛋白(CRP)升高或治疗过程中CRP持续升高可能提示患者预后不良,并且高CRP可能与不良反应有一定的相关性,CRP在NSCLC免疫治疗过程中的动态变化可能成为患者预后的一个重要预测因素。

关键词: 癌,非小细胞肺, C反应蛋白质, 免疫疗法, 预后

Abstract:

Immunotherapy has become the first-line standard treatment option for driver gene-negative advanced non-small cell lung cancer (NSCLC). But not all patients can benefit from immunotherapy, and can even have serious adverse reactions. It is crucial to identify the predictors of clinical response to immunotherapy. Several studies have shown that elevated baseline C-reactive protein (CRP) or persistent elevation of CRP during the treatment process may indicate a poorer prognosis for patients,and high CRP may be correlated with adverse reactions. Attention to the dynamic changes of CRP during immunotherapy for NSCLC may become an important predictor of prognosis.

Key words: Carcinoma, non-small cell lung, C-reactive protein, Immunotherapy, Prognosis