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The Role of PD-L1 in Lung Cancer: From Biology to Clinical Application - PubMed

6 hours ago
  • #lung cancer
  • #biomarker
  • #immunotherapy
  • Lung cancer is the leading cause of cancer death, with non-small cell lung cancer (NSCLC) making up 85% and small cell lung cancer (SCLC) 15% of cases.
  • Immunotherapies, especially PD-1/PD-L1 inhibitors, have significantly advanced lung cancer treatment by blocking the interaction to restore antitumor immunity.
  • PD-L1, normally involved in immune tolerance, is often overexpressed in tumors, aiding immune evasion; its expression level via immunohistochemistry is a key predictive biomarker for immunotherapy response.
  • PD-L1 expression is heterogeneous and influenced by biological, clinical, and technical factors, complicating its use as a biomarker.
  • This review covers the biology of PD-L1 in lung cancer, its expression patterns, regulatory mechanisms, assessment methods, and clinical relevance in guiding immunotherapy.