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12/23/2025 6:25:19 AM | Browse: 5 | Download: 46
Publication Name World Journal of Clinical Oncology
Manuscript ID 110351
Country China
Received
2025-06-05 14:32
Peer-Review Started
2025-06-05 14:32
First Decision by Editorial Office Director
2025-06-27 05:23
Return for Revision
2025-06-27 05:23
Revised
2025-07-05 10:38
Publication Fee Transferred
Second Decision by Editor
2025-11-10 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-11 05:45
Articles in Press
2025-11-11 05:45
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-10 00:51
Publish the Manuscript Online
2025-12-23 06:25
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Oncology
Manuscript Type Minireviews
Article Title Immune therapy-related hyperprogressive disease: Molecular mechanisms, biomarkers, and clinical strategies
Manuscript Source Invited Manuscript
All Author List Xiao-Ming Zhang, Fei-Yu Zhao, Lin-Feng Gao, Tao Xu, Fan Yang and Nian-Song Qian
ORCID
Author(s) ORCID Number
Xiao-Ming Zhang http://orcid.org/0009-0009-0747-9820
Fei-Yu Zhao http://orcid.org/0009-0001-4466-5018
Nian-Song Qian http://orcid.org/0000-0002-3297-4294
Funding Agency and Grant Number
Corresponding Author Nian-Song Qian, Chief Physician, MD, Department of Thoracic Oncology, Respiratory and Critical Care Medicine, The Eighth Medical Center of People’s Liberation Army General Hospital, No. A17 Heishanhu Road, Haidian District, Beijing 100091, China. qianniansong1@163.com
Key Words Hyperprogressive disease; Immune checkpoint inhibitors; Tumor microenvironment; Regulatory T cells; Predictive biomarkers; Combination therapy
Core Tip Immune checkpoint inhibitor-induced hyperprogressive disease represents a paradoxical clinical phenomenon characterized by accelerated tumor progression mediated through complex immunosuppressive mechanisms involving regulatory T cells expansion, M2-type tumor-associated macrophages polarization, and myeloid-derived suppressor cells accumulation within the tumor microenvironment, coupled with oncogenic alterations such as MDM2 amplification and EGFR activation. Current predictive approaches integrate liquid biopsy profiling (e.g., circulating tumor DNA and blood tumor mutational burden dynamics) with systemic inflammatory markers (e.g., neutrophil-to-lymphocyte ratio and lactate dehydrogenase ratios), while emerging therapeutic strategies focus on combinatorial approaches targeting immunosuppressive networks, metabolic reprogramming, and checkpoint inhibition. This multifaceted pathogenesis underscores the critical need for mechanistic elucidation and translational development of precision management algorithms to mitigate this life-threatening complication of cancer immunotherapy.
Publish Date 2025-12-23 06:25
Citation

Zhang XM, Zhao FY, Gao LF, Xu T, Yang F, Qian NS. Immune therapy-related hyperprogressive disease: Molecular mechanisms, biomarkers, and clinical strategies. World J Clin Oncol 2025; 16(12): 110351

URL https://www.wjgnet.com/2218-4333/full/v16/i12/110351.htm
DOI https://dx.doi.org/10.5306/wjco.v16.i12.110351
Full Article (PDF) WJCO-16-110351-with-cover.pdf
Manuscript File 110351_Auto_Edited_032617.docx
Answering Reviewers 110351-answering-reviewers.pdf
Audio Core Tip 110351-audio.m4a
Conflict-of-Interest Disclosure Form 110351-conflict-of-interest-statement.pdf
Copyright License Agreement 110351-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 110351-non-native-speakers.pdf
Peer-review Report 110351-peer-reviews.pdf
Scientific Misconduct Check 110351-scientific-misconduct-check.png
Scientific Editor Work List 110351-scientific-editor-work-list.pdf
CrossCheck Report 110351-crosscheck-report.pdf