Evidence map›Paper›PMID 41009806›Full record

ReviewInternational journal of molecular sciences2025

Unraveling Resistance in Lung Cancer Immunotherapy: Clinical Milestones, Mechanistic Insights, and Future Strategies.

Maria Vitale, Raffaella Pagliaro, Giuseppe Viscardi, Lucio Pastore, Giuseppe Castaldo, Fabio Perrotta, Susan F Campbell, Andrea Bianco, Filippo Scialò

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

9 authors.

Maria VitaleCEINGE-Biotecnologie Avanzate Franco Salvatore, 80145 Naples, Italy.ORCID 0000-0002-4399-3132
Raffaella PagliaroDepartment of Translational Medical Sciences, University of Campania L. Vanvitelli, 80131 Naples, Italy.ORCID 0009-0006-2902-3558
Giuseppe ViscardiDepartment of Pneumology and Oncology, Monaldi Hospital, AORN dei Colli, 80131 Naples, Italy.ORCID 0000-0003-4473-9387
Lucio PastoreDepartment of Molecular Medicine and Medical Biotechnologies, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0001-6894-9317
Giuseppe CastaldoDepartment of Molecular Medicine and Medical Biotechnologies, University of Naples Federico II, 80131 Naples, Italy.
Fabio PerrottaDepartment of Translational Medical Sciences, University of Campania L. Vanvitelli, 80131 Naples, Italy.
Susan F CampbellDepartment of Translational Medical Sciences, University of Campania L. Vanvitelli, 80131 Naples, Italy.ORCID 0009-0005-3667-9902
Andrea BiancoDepartment of Translational Medical Sciences, University of Campania L. Vanvitelli, 80131 Naples, Italy.ORCID 0000-0002-4692-5901
Filippo ScialòDepartment of Molecular Medicine and Medical Biotechnologies, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0002-1121-7315

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decade, immunotherapy has revolutionized lung cancer treatments, particularly in non-small cell lung cancer, where immune checkpoint inhibitors have achieved significant clinical success. However, high percentages of patients do not respond initially or eventually develop a resistance to these therapies. This review explores the evolution and challenges of immunotherapy in lung cancer, highlighting its clinical milestones and intrinsic and extrinsic resistance mechanisms. We investigate tumor-intrinsic resistance factors, including alterations in antigen presentation, the loss of Beta-2 microglobulin function, impaired interferon signaling, immune editing, epigenetic modifications, and tumor-extrinsic resistance, such as an immunosuppressive lung tumor microenvironment, dysregulated cytokine profiles, and the upregulation of immune checkpoints. Then, we focus on the emerging role of resistance biomarkers and the development of personalized treatment strategies to overcome these challenges. The complex interplay between tumor biology and immune modulation in lung cancer paves the way for novel approaches for improving the effectiveness of immunotherapeutic treatments.

Indexed as

Carcinoma, Non-Small-Cell LungDrug Resistance, NeoplasmImmunotherapyLung NeoplasmsAnimalsBiomarkers, TumorEpigenesis, GeneticHumansImmune Checkpoint InhibitorsTumor MicroenvironmentBiomarkers, TumorImmune Checkpoint Inhibitorsbiomarkerimmune checkpoint inhibitorsimmunotherapylung cancerpersonalized medicineresistance mechanisms

Identifiers

PMID41009806
PMCPMC12470719

What OpenQuestion holds

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Registered trials

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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.