Evidence map›Paper›PMID 40747794›Full record

ReviewImmunotherapy2025

Overcoming immunotherapy resistance in non-small cell lung cancer: a narrative review of related factors.

Liliana Gutiérrez-Babativa, Nicolle Wagner-Gutiérrez, Leonardo Rojas, Jairo Zuluaga, Oscar Arrieta, Andrés F Cardona

Abstract readReview
In one paragraph

Review in Immunotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Liliana Gutiérrez-BabativaEarly Clinical Trials Unit, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center - CTIC, Bogotá, Colombia.
Nicolle Wagner-GutiérrezSchool of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Leonardo RojasThoracic Oncology Unit, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center - CTIC, Bogotá, Colombia.
Jairo ZuluagaThoracic Oncology Unit, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center - CTIC, Bogotá, Colombia.
Oscar ArrietaThoracic Oncology Unit/General Direction, Instituto Nacional de Cancerología - INCaN, Mexico City, Mexico.ORCID 0000-0002-1164-3779
Andrés F CardonaThoracic Oncology Unit, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Center - CTIC, Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-small cell lung cancer (NSCLC) accounts for over 80% of lung cancer cases and is often diagnosed at advanced stages. Resistance to immunotherapy in NSCLC involves genetic mutations, tumor microenvironment (TME) characteristics, treatment history, and age-related factors. Despite increasing use of immune checkpoint inhibitors (ICIs), resistance mechanisms remain poorly understood. Key genetic alterations associated with resistance include STK11, KEAP1, and EGFR mutations, particularly with low tumor mutational burden (TMB). The immunosuppressive tumor microenvironment, characterized by regulatory T cells and myeloid-derived suppressor cells, can hinder ICI efficacy. Metabolic alterations and deficient antigen presentation contribute to resistance. Prior treatments can alter the tumor microenvironment, affecting subsequent immunotherapy responses. Age-related factors, including immunosenescence, influence resistance, with older patients having higher TMB and more immunogenic microenvironments. Strategies to overcome resistance include combination therapies, biomarker-driven approaches, and targeting novel pathways. Combining ICIs with chemotherapy or radiation can enhance antitumor responses. Biomarker approaches, such as TMB and PD-L1 expression assessment, help tailor therapies. Exploring novel targets like RIG-I and STING pathways may provide additional solutions. Understanding these factors is crucial for developing personalized strategies to overcome immunotherapy resistance in NSCLC.

Indexed as

Carcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmImmune Checkpoint InhibitorsImmunotherapyLung NeoplasmsAnimalsBiomarkers, TumorHumansTumor MicroenvironmentBiomarkers, TumorImmune Checkpoint Inhibitorsage-related factorsgenetic mutationsimmunotherapy resistanceKEAP1Non-small cell lung cancer (NSCLC)STK11tumor microenvironmenttumor mutational burden (TMB)

Identifiers

PMID40747794
PMCPMC12427437

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.