Tumor-associated neutrophils in lung adenocarcinoma: from mechanisms to therapeutic targeting - Scorecard - MDSpire

Neutrophils Associated with Tumors in Lung Adenocarcinoma: Exploring Mechanisms and Potential Therapeutic Approaches

  • By

  • Ruichen Zhang

  • July 20, 2026

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Clinical Scorecard: Neutrophils Associated with Tumors in Lung Adenocarcinoma: Exploring Mechanisms and Potential Therapeutic Approaches

At a Glance

CategoryDetail
ConditionLung Adenocarcinoma (LUAD)
Key MechanismsTumor-associated neutrophils (TANs) exhibit dual functions influenced by the TGF-β and IFN-γ pathways, with recruitment via the CXCR1/CXCR2 axis.
Target PopulationPatients with lung adenocarcinoma, particularly those experiencing immunotherapy resistance.
Care SettingOncology and immunotherapy clinics.

Key Highlights

  • TANs can polarize into anti-tumorigenic N1 or pro-tumorigenic N2 phenotypes.
  • Neutrophil extracellular traps (NETs) play a role in tumor promotion and suppression.
  • Current therapeutic strategies target TANs with various inhibitors and modulators.
  • Primary and acquired resistance to immune checkpoint inhibitors remains a challenge.
  • The regulatory network of TANs in LUAD is complex and requires further elucidation.

Guideline-Based Recommendations

Diagnosis

  • Consider the role of TANs in the tumor microenvironment when diagnosing LUAD.

Management

  • Explore TAN-targeted therapies such as CXCR1/2 inhibitors and PAD4 inhibitors.

Monitoring & Follow-up

  • Monitor for off-target toxicity and infection risk associated with TAN-targeted therapies.

Risks

  • Lack of predictive biomarkers for TAN-targeted therapies poses a risk in treatment planning.

Patient & Prescribing Data

Patients diagnosed with lung adenocarcinoma, particularly those with advanced disease.

Therapies targeting TANs may improve outcomes in patients with immunotherapy resistance.

Clinical Best Practices

  • Integrate multi-dimensional frameworks that connect mechanistic insights with clinical applications.
  • Utilize single-cell analyses to understand TAN heterogeneity in LUAD.
  • Focus on combination therapies that target both TANs and other immune components.

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