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REVIEW article

Front. Immunol.

Sec. Nutritional Immunology

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1651482

This article is part of the Research TopicNutritional Impacts on Human Tumor Development and Immune SystemView all 11 articles

Immunological and Nutritional Perspectives on Macromolecular Therapies for Thoracic Tumors

Provisionally accepted
Hao  RongHao RongMin  ZhengMin ZhengYunxiang  QiYunxiang QiKe  MaKe Ma*
  • Sichuan Cancer Hospital, Chengdu, China

The final, formatted version of the article will be published soon.

Thoracic tumors have high incidence and mortality rates, and present poor prognosis due to the limited efficacy of traditional therapies. Macromolecular drugs such as monoclonal antibodies and antibody-drug conjugates (ADCs) have shown promise for the treatment of lung cancer, breast cancer, and esophageal cancer. Different combinations of immunotherapy, chemotherapy, and targeted therapy have significantly improved the survival indicators of patients with thoracic tumors.Nevertheless, these combination treatment regimens have safety issues such as immune-related adverse reactions and hematological toxicity. The development of novel macromolecular drugs also faces challenges related to optimizing the affinity of antibodies, and improving the design of linkers and delivery carriers. Furthermore, the clinical application of these drugs is restricted by tumor heterogeneity, drug resistance, and exorbitant prices, along with ethical concerns and difficulties in obtaining in regulatory approval. However, macromolecular drugs present significant potential in technological innovation, combination therapy, and personalized treatment, which is expected to drive market development, improve patients' quality of life, and reduce the socioeconomic burden of cancer. This review focuses on the application of novel macromolecular drugs for the treatment of thoracic tumors, with the aim of providing a reference for further research and clinical translation.

Keywords: Novel macromolecular drugs, Thoracic tumors, mechanism of action, clinical application, efficacy evaluation, Challenges and prospects

Received: 21 Jun 2025; Accepted: 25 Aug 2025.

Copyright: © 2025 Rong, Zheng, Qi and Ma. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Ke Ma, Sichuan Cancer Hospital, Chengdu, China

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