Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases

Targeting the vascular endothelial growth factor-mediated immune suppression is a strategy to overcome the resistance of anti-programmed cell death protein 1/programmed death-ligand 1 (anti-PD-1/PD-L1) therapy. Here, we present two cases, including one case with leiomyosarcoma and the other one with...

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Main Authors: Bing-Syuan Chung, Peng-Chan Lin, Shang-Hung Chen, Yu-Min Yeh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-10-01
Series:Journal of Cancer Research and Practice
Subjects:
Online Access:https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00016
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author Bing-Syuan Chung
Peng-Chan Lin
Shang-Hung Chen
Yu-Min Yeh
author_facet Bing-Syuan Chung
Peng-Chan Lin
Shang-Hung Chen
Yu-Min Yeh
author_sort Bing-Syuan Chung
collection DOAJ
description Targeting the vascular endothelial growth factor-mediated immune suppression is a strategy to overcome the resistance of anti-programmed cell death protein 1/programmed death-ligand 1 (anti-PD-1/PD-L1) therapy. Here, we present two cases, including one case with leiomyosarcoma and the other one with microsatellite-stable colorectal cancer, receiving the combination of pembrolizumab and lenvatinib as salvage treatment. Both cases demonstrated a significant response in lung metastases; however, the nonpulmonary metastases progressed. These findings suggest that lung metastasis might have a distinct tumor immune microenvironment, and further studies to investigate the efficacy of PD-1/PD-L1-based combination therapy in patients with lung-limited metastases are warranted.
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institution Kabale University
issn 2311-3006
language English
publishDate 2023-10-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Cancer Research and Practice
spelling doaj-art-a583c61db885465fb2853bbc485c68c42025-01-23T05:09:09ZengWolters Kluwer Medknow PublicationsJournal of Cancer Research and Practice2311-30062023-10-0110415015310.4103/ejcrp.eJCRP-D-23-00016Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary MetastasesBing-Syuan ChungPeng-Chan LinShang-Hung ChenYu-Min YehTargeting the vascular endothelial growth factor-mediated immune suppression is a strategy to overcome the resistance of anti-programmed cell death protein 1/programmed death-ligand 1 (anti-PD-1/PD-L1) therapy. Here, we present two cases, including one case with leiomyosarcoma and the other one with microsatellite-stable colorectal cancer, receiving the combination of pembrolizumab and lenvatinib as salvage treatment. Both cases demonstrated a significant response in lung metastases; however, the nonpulmonary metastases progressed. These findings suggest that lung metastasis might have a distinct tumor immune microenvironment, and further studies to investigate the efficacy of PD-1/PD-L1-based combination therapy in patients with lung-limited metastases are warranted.https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00016colorectal cancerimmunotherapyleiomyosarcomatumor microenvironmentvascular endothelial growth factor-targeted therapy
spellingShingle Bing-Syuan Chung
Peng-Chan Lin
Shang-Hung Chen
Yu-Min Yeh
Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
Journal of Cancer Research and Practice
colorectal cancer
immunotherapy
leiomyosarcoma
tumor microenvironment
vascular endothelial growth factor-targeted therapy
title Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
title_full Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
title_fullStr Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
title_full_unstemmed Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
title_short Combination of Anti-programmed Cell Death Protein 1 and Antiangiogenesis Displaying a Response Disparity between Pulmonary and Nonpulmonary Metastases
title_sort combination of anti programmed cell death protein 1 and antiangiogenesis displaying a response disparity between pulmonary and nonpulmonary metastases
topic colorectal cancer
immunotherapy
leiomyosarcoma
tumor microenvironment
vascular endothelial growth factor-targeted therapy
url https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00016
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AT shanghungchen combinationofantiprogrammedcelldeathprotein1andantiangiogenesisdisplayingaresponsedisparitybetweenpulmonaryandnonpulmonarymetastases
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