Novel Strategies for the Treatment of Lung Cancer: An In-depth Analysis of the Use of Immunotherapy, Precision Medicine, and Artificial Intelligence to Improve Prognoses.

IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Current medicinal chemistry Pub Date : 2025-01-14 DOI:10.2174/0109298673347323241119184648
Pawan Kedar, Sankha Bhattacharya, Abhishek Kanugo, Bhupendra G Prajapati
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Abstract

Therapeutic hurdles persist in the fight against lung cancer, although it is a leading cause of cancer-related deaths worldwide. Results are still not up to par, even with the best efforts of conventional medicine, thus new avenues of investigation are required. Examining how immunotherapy, precision medicine, and AI are being used to manage lung cancer, this review shows how these tools can change the game for patients and increase their chances of survival. In the fight against cancer, immunotherapy has demonstrated encouraging results, especially in cases of small cell lung cancer [SCLC] and non-small cell lung cancer [NSCLC]. A key component in improving T cell responses against tumours is the use of immune checkpoint inhibitors, which include PD-1/PD-L1 and CTLA-4 blockers. Cancer vaccines and CAR T-cell therapy are two examples of adoptive cell therapies that might be used to boost the immune system's ability to eliminate tumours. In order to improve surgical results and decrease recurrence, neoadjuvant immunotherapy is being investigated for its ability to preoperatively reduce tumours. Precision medicine tailors treatment based on individual genetic profiles and tumour features, boosting therapeutic efficacy and avoiding unwanted effects. For certain types of non-small cell lung cancer [NSCLC], targeted treatments based on mutations in genes including EGFR, ALK, and ROS1 have shown excellent results. When it comes to optimizing treatment regimens, biomarker-driven approaches guarantee that the patients most likely to benefit from particular medicines are selected. Artificial intelligence [AI] is revolutionizing lung cancer care through increased diagnostic accuracy, prognostic assessments, and therapy planning. Machine learning algorithms examine enormous information to detect trends and forecast outcomes, permitting individualized treatment techniques. AI-driven imaging tools enable early diagnosis and monitoring of disease progression, while predictive models assist in evaluating therapy responses and potential toxicity. The convergence of these advanced technologies holds promise for overcoming the constraints of conventional therapy. Combining immunotherapy with targeted treatments and utilizing AI for precision medicine delivers a multimodal approach that tackles the heterogeneous and dynamic nature of lung cancer. The incorporation of these new tactics into clinical practice demands cross-disciplinary collaboration and continuing study to develop and confirm their effectiveness. The synergistic application of immunotherapy, precision medicine, and AI constitutes a paradigm shift in lung cancer management. These discoveries provide a robust basis for individualized and adaptable therapy, potentially altering the prognosis for lung cancer patients. Ongoing research and clinical studies are vital to unlocking the full potential of these technologies, paving the way for enhanced therapeutic outcomes and improved quality of life for people battling this tough disease.

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肺癌治疗的新策略:免疫疗法、精准医学和人工智能改善预后的深入分析。
尽管肺癌是全球癌症相关死亡的主要原因,但在与肺癌的斗争中,治疗障碍仍然存在。即使在传统医学的最大努力下,结果仍未达到标准,因此需要新的研究途径。研究了免疫疗法、精准医学和人工智能如何用于治疗肺癌,这篇综述展示了这些工具如何改变患者的游戏规则并增加他们的生存机会。在与癌症的斗争中,免疫疗法已经显示出令人鼓舞的结果,特别是在小细胞肺癌(SCLC)和非小细胞肺癌(NSCLC)的病例中。改善T细胞对肿瘤反应的一个关键组成部分是使用免疫检查点抑制剂,包括PD-1/PD-L1和CTLA-4阻滞剂。癌症疫苗和CAR - t细胞疗法是过继细胞疗法的两个例子,它们可能被用来增强免疫系统消除肿瘤的能力。为了提高手术效果和减少复发,新辅助免疫疗法正在研究其术前减少肿瘤的能力。精准医疗根据个体基因图谱和肿瘤特征定制治疗方案,提高治疗效果,避免不必要的影响。对于某些类型的非小细胞肺癌(NSCLC),基于EGFR、ALK和ROS1等基因突变的靶向治疗已经显示出良好的效果。当涉及到优化治疗方案时,生物标志物驱动的方法保证了最有可能从特定药物中受益的患者被选中。人工智能(AI)通过提高诊断准确性、预后评估和治疗计划,正在彻底改变肺癌治疗。机器学习算法检查大量信息以检测趋势和预测结果,从而实现个性化治疗技术。人工智能驱动的成像工具能够早期诊断和监测疾病进展,而预测模型有助于评估治疗反应和潜在毒性。这些先进技术的融合有望克服传统疗法的限制。将免疫治疗与靶向治疗相结合,并利用人工智能进行精准医疗,提供了一种多模式的方法,可以解决肺癌的异质性和动态性。将这些新策略纳入临床实践需要跨学科合作和持续研究,以发展和确认其有效性。免疫疗法、精准医学和人工智能的协同应用构成了肺癌管理的范式转变。这些发现为个性化和适应性治疗提供了坚实的基础,可能会改变肺癌患者的预后。正在进行的研究和临床研究对于释放这些技术的全部潜力,为增强治疗结果和改善与这一棘手疾病作斗争的人们的生活质量铺平道路至关重要。
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来源期刊
Current medicinal chemistry
Current medicinal chemistry 医学-生化与分子生物学
CiteScore
8.60
自引率
2.40%
发文量
468
审稿时长
3 months
期刊介绍: Aims & Scope Current Medicinal Chemistry covers all the latest and outstanding developments in medicinal chemistry and rational drug design. Each issue contains a series of timely in-depth reviews and guest edited thematic issues written by leaders in the field covering a range of the current topics in medicinal chemistry. The journal also publishes reviews on recent patents. Current Medicinal Chemistry is an essential journal for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important developments.
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