Abstract

Cigarette smoke contains multiple carcinogens and has been identified as the major cause of lung cancer. However, the incidence of lung cancer among smokers is 15% and the prevalence of lung cancer among non-smokers is rising. Other environmental factors are likely playing a significant role in cancer pathogenesis. Both inflammation and effector lymphocyte dysfunction have been identified as important in this process. Immune checkpoint molecules, such as programmed death 1 (PD-1), mediates the responses of T cells to neoantigens and are now the target of first line therapy for advanced non-small cell lung cancer (NSCLC).

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