Harnessing delta-like ligand 3: bridging biomarker discovery to next-generation immunotherapies in refractory small cell lung cancer

Front Immunol. 2025 May 27:16:1592291. doi: 10.3389/fimmu.2025.1592291. eCollection 2025.

Abstract

Small cell lung cancer (SCLC), accounting for 10-20% of lung cancers, remains one of the most aggressive neuroendocrine malignancies, with fewer than 7% of patients surviving beyond five years. While the addition of immune checkpoint inhibitors (ICIs) to platinum-based chemotherapy has modestly improved outcomes, long-term benefits are limited to a subset of patients, highlighting the critical need for reliable biomarkers and innovative therapies. Delta-like ligand 3 (DLL3), a Notch signaling regulator overexpressed in 70-80% of SCLC tumors, has emerged as a simultaneous biomarker and therapeutic target. This review aims to synthesize recent advances in DLL3-targeted strategies, bridging biomarker-driven diagnostics to next-generation immunotherapies, while addressing clinical challenges and future directions. The 2024 FDA approval of tarlatamab-a bispecific T-cell engager (BiTE) targeting DLL3 and CD3-marks a pivotal advancement, demonstrating improvement in survival in refractory disease. This review examines three key advances reshaping SCLC management: (1) mechanistic links between DLL3-driven tumorigenesis and PD-L1-mediated immunosuppression, (2) clinical progress in antibody-drug conjugates (ADCs) with next-generation payloads (e.g., FZ-AD005), multispecific BiTEs (e.g., HPN328), and engineered CAR-T/NK cells with enhanced metabolic resilience, and (3) precision strategies combining liquid biopsy for dynamic DLL3 profiling with immuno-PET imaging using [89Zr]Zr-DFO-SC16. Emerging synergies, such as combining DLL3-targeted BiTEs with ICIs to amplify T-cell infiltration or reprogramming CAR-T mitochondrial metabolism, further underscore the potential of multimodal approaches. Together, these developments signal a transformative era in SCLC treatment, where molecular diagnostics and engineered immunotherapies converge to address unmet clinical needs.

Keywords: DLL3; biomarker-guided therapy; bispecific T-cell engager; immunotherapy; small cell lung cancer.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers, Tumor* / immunology
  • Biomarkers, Tumor* / metabolism
  • Humans
  • Immunotherapy* / methods
  • Intracellular Signaling Peptides and Proteins* / antagonists & inhibitors
  • Intracellular Signaling Peptides and Proteins* / immunology
  • Intracellular Signaling Peptides and Proteins* / metabolism
  • Lung Neoplasms* / diagnosis
  • Lung Neoplasms* / immunology
  • Lung Neoplasms* / metabolism
  • Lung Neoplasms* / therapy
  • Membrane Proteins* / antagonists & inhibitors
  • Membrane Proteins* / immunology
  • Membrane Proteins* / metabolism
  • Small Cell Lung Carcinoma* / diagnosis
  • Small Cell Lung Carcinoma* / immunology
  • Small Cell Lung Carcinoma* / metabolism
  • Small Cell Lung Carcinoma* / therapy

Substances

  • DLL3 protein, human
  • Biomarkers, Tumor
  • Membrane Proteins
  • Intracellular Signaling Peptides and Proteins