Current and future therapies for small cell lung carcinoma

Bibliographic Details
Title: Current and future therapies for small cell lung carcinoma
Authors: Xiaoqian Zhai, Zhengkun Zhang, Yuxin Chen, Yanmou Wu, Cheng Zhen, Yu Liu, Yiyun Lin, Chong Chen
Source: Journal of Hematology & Oncology, Vol 18, Iss 1, Pp 1-37 (2025)
Publisher Information: BMC, 2025.
Publication Year: 2025
Collection: LCC:Diseases of the blood and blood-forming organs
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Subject Terms: Diseases of the blood and blood-forming organs, RC633-647.5, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
More Details: Abstract Small cell lung cancer (SCLC) is an aggressive malignancy characterized by rapid proliferation and high metastatic potential. It is characterized by universal inactivation of and RB1, overexpression of the MYC family and dysregulation of multiple oncogenic signaling pathways. Among different patients, SCLCs are similar at the genetic level but exhibit significant heterogeneity at the molecular level. The classification of SCLC has evolved from a simple neuroendocrine (NE)/non-neuroendocrine (non-NE) classification system to a transcription factor-based molecular subtype system; lineage plasticity adds further complexity and poses challenges for therapeutic development. While SCLC is initially sensitive to platinum-based chemotherapy, resistance develops rapidly, leading to a dismal prognosis. Various antibodies, including PD-1/PD-L1 inhibitors and antibody‒drug conjugates, have been introduced into clinical practice or are being evaluated in clinical trials. However, their therapeutic benefits for SCLC patients remain limited. This review summarizes SCLC carcinogenic mechanisms, tumor heterogeneity, and the immune microenvironment of SCLC, with a focus on recent advances in metastasis and resistance mechanisms. Additionally, the corresponding clinical progress in tackling these challenges is discussed.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1756-8722
Relation: https://doaj.org/toc/1756-8722
DOI: 10.1186/s13045-025-01690-6
Access URL: https://doaj.org/article/f7d6483fc4894b58a563b1917a6ab128
Accession Number: edsdoj.f7d6483fc4894b58a563b1917a6ab128
Database: Directory of Open Access Journals
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More Details
ISSN:17568722
DOI:10.1186/s13045-025-01690-6
Published in:Journal of Hematology & Oncology
Language:English