Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade

PD-1 blockade is now routine for nearly all patients with non-small lung cancer. Acquired resistance to PD-1 blockade – defined generally as an initial response followed later by progression [1-3] is a common yet poorly understood concept. A key clinical challenge to insight has been a lack of stand...

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Main Authors: Dilanka Lakshan De Silva, Jia Luo
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Future Science OA
Subjects:
Online Access:https://www.tandfonline.com/doi/10.2144/fsoa-2023-0010
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author Dilanka Lakshan De Silva
Jia Luo
author_facet Dilanka Lakshan De Silva
Jia Luo
author_sort Dilanka Lakshan De Silva
collection DOAJ
description PD-1 blockade is now routine for nearly all patients with non-small lung cancer. Acquired resistance to PD-1 blockade – defined generally as an initial response followed later by progression [1-3] is a common yet poorly understood concept. A key clinical challenge to insight has been a lack of standard guidance for clinical management of a case of suspected acquired resistance. The infrequency of performing tumor biopsies and the uncertainty of actionability from tissue sampling likely also contribute to limited insight into the biology of acquired resistance [4]. To address this knowledge gap and to highlight the value of tumor and liquid biopsy, we present a representative case of suspected acquired resistance to PD-1 blockade and propose a multi-modal guide for approaching this clinical scenario.
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spelling doaj-art-1a44020dc2ec4e12a1f8014ca6cde02c2025-08-20T02:40:30ZengTaylor & Francis GroupFuture Science OA2056-56232024-12-0110110.2144/fsoa-2023-0010Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockadeDilanka Lakshan De Silva0Jia Luo1Thoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USAThoracic Oncology Service, Division of Solid Tumor Oncology, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USAPD-1 blockade is now routine for nearly all patients with non-small lung cancer. Acquired resistance to PD-1 blockade – defined generally as an initial response followed later by progression [1-3] is a common yet poorly understood concept. A key clinical challenge to insight has been a lack of standard guidance for clinical management of a case of suspected acquired resistance. The infrequency of performing tumor biopsies and the uncertainty of actionability from tissue sampling likely also contribute to limited insight into the biology of acquired resistance [4]. To address this knowledge gap and to highlight the value of tumor and liquid biopsy, we present a representative case of suspected acquired resistance to PD-1 blockade and propose a multi-modal guide for approaching this clinical scenario.https://www.tandfonline.com/doi/10.2144/fsoa-2023-0010acquired resistance to immunotherapyliquid biopsymolecular sequencingnon-small cell lung cancerPD-1 blockadepersonalized medicine
spellingShingle Dilanka Lakshan De Silva
Jia Luo
Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
Future Science OA
acquired resistance to immunotherapy
liquid biopsy
molecular sequencing
non-small cell lung cancer
PD-1 blockade
personalized medicine
title Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
title_full Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
title_fullStr Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
title_full_unstemmed Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
title_short Clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to PD-1 blockade
title_sort clinical approach and utilizing liquid biopsies to interrogate suspected acquired resistance to pd 1 blockade
topic acquired resistance to immunotherapy
liquid biopsy
molecular sequencing
non-small cell lung cancer
PD-1 blockade
personalized medicine
url https://www.tandfonline.com/doi/10.2144/fsoa-2023-0010
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AT jialuo clinicalapproachandutilizingliquidbiopsiestointerrogatesuspectedacquiredresistancetopd1blockade