Seminars in Cancer Biology,
Journal Year:
2022,
Volume and Issue:
87, P. 160 - 169
Published: Nov. 9, 2022
Small
cell
lung
cancer
(SCLC)
is
the
most
aggressive
subtype
of
cancer,
accounting
for
approximately
15
%
among
all
cancers.
Despite
ability
chemotherapy,
first-line
treatment
SCLC,
to
rapidly
shrink
tumors,
nearly
patients
experience
recurrence
and
metastasis
within
a
few
months.
Cancer
stem
cells
(CSCs)
are
small
population
tumor
responsible
tumorigenesis,
metastasis,
after
treatment,
which
play
crucial
role
in
chemoresistance
by
promoting
DNA
repair
expression
drug
resistance-associated
proteins.
Thus,
targeting
CSCs
has
been
successful
certain
malignancies.
Tumor
therapy
entered
era
immunotherapy
numerous
preclinical
trials
have
demonstrated
effectiveness
immunotherapeutic
approaches
CSCs,
such
as
vaccines
chimeric
antigen
receptor
(CAR)
T
cell,
feasibility
combining
them
with
chemotherapy.
Therefore,
deeper
understanding
interaction
between
immune
system
essential
facilitate
advances
new
immunotherapies
well
combination
standard
drugs
This
narrative
review
summarizes
mechanisms
SCLC
latest
targeted
therapies.
Thereafter,
we
discuss
effects
on
microenvironment
corresponding
approaches.
Eventually,
propose
that
promising
direction
Journal of Hematology & Oncology,
Journal Year:
2022,
Volume and Issue:
15(1)
Published: March 18, 2022
Abstract
Research
on
tumor
immunotherapy
has
made
tremendous
progress
in
the
past
decades,
with
numerous
studies
entering
clinical
evaluation.
The
cancer
vaccine
is
considered
a
promising
therapeutic
strategy
of
solid
tumors.
Cancer
stimulates
anti-tumor
immunity
antigens,
which
could
be
delivered
form
whole
cells,
peptides,
nucleic
acids,
etc
.
Ideal
vaccines
overcome
immune
suppression
tumors
and
induce
both
humoral
cellular
immunity.
In
this
review,
we
introduced
working
mechanism
summarized
four
platforms
for
development.
We
also
highlighted
research
vaccines,
especially
focusing
their
application
efficacy,
might
hopefully
facilitate
future
design
vaccine.
Journal of Hematology & Oncology,
Journal Year:
2022,
Volume and Issue:
15(1)
Published: May 18, 2022
Abstract
Immunotherapies
like
the
adoptive
transfer
of
gene-engineered
T
cells
and
immune
checkpoint
inhibitors
are
novel
therapeutic
modalities
for
advanced
cancers.
However,
some
patients
refractory
or
resistant
to
these
therapies,
mechanisms
underlying
tumor
resistance
have
not
been
fully
elucidated.
Immunosuppressive
such
as
myeloid-derived
suppressive
cells,
tumor-associated
macrophages,
neutrophils,
regulatory
(Tregs),
dendritic
critical
factors
correlated
with
resistance.
In
addition,
cytokines
secreted
by
immunosuppressive
also
mediate
progression
escape
Thus,
targeting
related
signals
is
promising
therapy
improve
efficacy
immunotherapies
reverse
even
certain
success
in
preclinical
studies
specific
types
cancer,
large
perspectives
unknown
therapies
undesirable
outcomes
clinical
patients.
this
review,
we
comprehensively
summarized
phenotype,
function,
potential
targets
microenvironment.
Cancer Letters,
Journal Year:
2020,
Volume and Issue:
490, P. 174 - 185
Published: July 25, 2020
T
Regulatory
cells
(Tregs)
can
have
both
protective
and
pathological
roles.
They
maintain
immune
homeostasis
inhibit
responses
in
various
diseases,
including
cancer.
Proportions
of
Tregs
the
peripheral
blood
some
cancer
patients
increase
by
approximately
two-fold,
compared
to
those
healthy
individuals.
contribute
development
progression
suppressing
effector
cell
functions,
thereby
compromising
tumor
killing
promoting
growth.
Highly
immunosuppressive
express
upregulated
levels
transcription
factor,
Forkhead
box
protein
P3
(FoxP3).
Elevated
FoxP3+
within
microenvironment
(TME)
showed
a
positive
correlation
with
poor
prognosis
patients.
Despite
success
immunotherapy,
use
checkpoint
inhibitors,
significant
proportion
show
low
response
rates
as
result
primary
or
acquired
resistance
against
therapy.
Some
mechanisms
which
underlie
therapy
are
associated
Treg
suppressive
function.
In
this
review,
we
describe
contribution
development/progression,
Treg-mediated
immunosuppression.
We
discuss
prognostic
significance
different
cancers
their
potential
biomarkers.
also
therapeutic
strategies
target
combination
other
types
immunotherapies
aiming
overcome
improve
clinical
outcomes
Overall,
understanding
could
help
more
effective
targeted
enhance
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(23), P. 13173 - 13173
Published: Dec. 6, 2021
Cellular
senescence
entails
a
state
of
an
essentially
irreversible
proliferative
arrest
in
which
cells
remain
metabolically
active
and
secrete
range
pro-inflammatory
proteolytic
factors
as
part
the
senescence-associated
secretory
phenotype.
There
are
different
types
senescent
cells,
can
be
induced
response
to
many
DNA
damage
signals.
Senescent
accumulate
tissues
organs
where
they
have
distinct
physiological
pathological
functions.
Despite
this
diversity,
all
must
able
survive
nondividing
while
protecting
themselves
from
positive
feedback
loops
linked
constant
activation
response.
This
capacity
requires
changes
core
cellular
programs.
Understanding
how
cell
undergo
extensive
their
transcriptional
programs,
metabolism,
heterochromatin
patterns,
structures
induce
common
is
crucial
preventing
cancer
development/progression
improving
health
during
aging.
In
review,
we
discuss
continuously
evolve
after
initial
highlight
unifying
features
that
define
state.
Journal of Hematology & Oncology,
Journal Year:
2020,
Volume and Issue:
13(1)
Published: March 28, 2020
Abstract
During
malignant
transformation,
accumulated
somatic
mutations
endow
cancer
cells
with
increased
invasiveness
and
immunogenicity.
Under
selective
pressure,
these
highly
immunogenic
develop
multiple
strategies
to
evade
immune
attack.
It
has
been
well
established
that
could
downregulate
the
expression
of
major
histocompatibility
complex,
acquire
alterations
in
interferon
pathway,
upregulate
activities
checkpoint
pathways.
Besides,
secret
numerous
cytokines,
exosomes,
microvesicles
regulate
functions
abundances
components
tumor
microenvironment
including
effector
professional
antigen
presentation
cells.
As
vital
determinant
post-transcriptional
regulation,
microRNAs
(miRNAs)
not
only
participate
initiation
progression
but
also
anti-cancer
response.
For
instance,
some
miRNAs
affect
surveillance
escape
by
interfering
attack-associated
molecules.
A
growing
body
evidence
indicated
cancer-derived
modulatory
might
be
promising
targets
counteract
escape.
In
this
review,
we
summarized
role
discussed
their
potential
clinical
application
as
treatment
targets.
Drug Resistance Updates,
Journal Year:
2020,
Volume and Issue:
53, P. 100718 - 100718
Published: July 15, 2020
Cancer
is
one
of
the
main
public
health
problems
in
world.
Systemic
therapies
such
as
chemotherapy
and
more
recently
target
well
immunotherapy
have
improved
prognosis
this
large
group
complex
malignant
diseases.
However,
frequent
emergence
multidrug
resistance
(MDR)
mechanisms
major
impediments
towards
curative
treatment
cancer.
While
several
drug
chemoresistance
are
defined,
to
still
insufficiently
unclear
due
complexity
immune
response
its
dependence
on
host.
Expression
regulation
checkpoint
molecules
(such
PD-1,
CD279;
PD-L1,
CD274;
CTLA-4,
CD152)
play
a
key
role
immunotherapy.
In
regard,
based
checkpoints
inhibitors
(ICIs)
common
clinical
approach
for
patients
with
poor
when
other
first-line
failed.
Unfortunately,
about
70
%
classified
non-responders,
or
they
progress
after
initial
these
ICIs.
Multiple
factors
can
be
related
resistance:
characteristics
tumor
microenvironment
(TME);
presence
infiltrating
lymphocytes
(TILs),
CD8
+
T
cells
associated
treatment-response;
macrophages
(TAMs);
activation
certain
regulators
(like
PIK3γ
PAX4)
found
present
non-responders;
low
percentage
PD-L1
expressing
cells;
mutational
burden
(TMB);
gain
loss
antigen-presenting
molecules;
genetic
epigenetic
alterations
correlated
resistance.
This
review
provides
an
update
current
state
presenting
targets,
biomarkers
remedies
overcome
Frontiers in Cell and Developmental Biology,
Journal Year:
2021,
Volume and Issue:
9
Published: March 1, 2021
Cancer
is
a
disease
which
frequently
has
poor
prognosis.
Although
multiple
therapeutic
strategies
have
been
developed
for
various
cancers,
including
chemotherapy,
radiotherapy,
and
immunotherapy,
resistance
to
these
treatments
impedes
the
clinical
outcomes.
Besides
active
driven
by
genetic
epigenetic
alterations
in
tumor
cells,
microenvironment
(TME)
also
reported
be
crucial
regulator
tumorigenesis,
progression,
resistance.
Here,
we
propose
that
adaptive
mechanisms
of
are
closely
connected
with
TME
rather
than
depending
on
non-cell-autonomous
changes
response
treatment.
comprehensive
understanding
need
further
investigation
fully
elucidate
resistance,
many
targeting
successful.
In
this
review,
report
recent
advances
concerning
molecular
events
important
factors
involved
TME,
particularly
focusing
contributions
provide
insights
into
potential
methods
or
translational
medicine
overcome
therapy
ACS Nano,
Journal Year:
2021,
Volume and Issue:
15(10), P. 16934 - 16945
Published: Oct. 18, 2021
Nanomedicine
has
revolutionized
cancer
therapeutic
strategies
but
not
completely
changed
the
outcomes
of
tricky
tumors
that
evolve
a
sophisticated
immunosuppressive
tumor
microenvironment
(TME)
such
as
acidification.
Here,
metal-phenolic
network-based
nanocomplex
embedded
with
lactate
oxidase
(LOX)
and
mitochondrial
respiration
inhibitor
atovaquone
(ATO)
was
constructed
for
TME
remodeling
sonodynamic
therapy
(SDT).
In
this
nanocomplex,
sonosensitizer
chlorin
e6-conjugated
polyphenol
derivative
can
induce
generation
lethal
reactive
oxygen
species
upon
ultrasound
irradiation.
LOX
served
catalyst
intracellular
lactic
acid
exhaustion,
ATO
led
to
dysfunction
decrease
consumption.
This
reversed
status
by
alleviating
hypoxia
acidic
TME,
achieving
characteristic
enhancement
SDT
inhibition
proliferation
metastasis.
MedComm,
Journal Year:
2023,
Volume and Issue:
4(3)
Published: May 22, 2023
Resistance
to
cancer
therapies
has
been
a
commonly
observed
phenomenon
in
clinical
practice,
which
is
one
of
the
major
causes
treatment
failure
and
poor
patient
survival.
The
reduced
responsiveness
cells
multifaceted
that
can
arise
from
genetic,
epigenetic,
microenvironmental
factors.
Various
mechanisms
have
discovered
extensively
studied,
including
drug
inactivation,
intracellular
accumulation
by
uptake
or
increased
efflux,
target
alteration,
activation
compensatory
pathways
for
cell
survival,
regulation
DNA
repair
death,
tumor
plasticity,
microenvironments
(TMEs).
To
overcome
resistance,
variety
strategies
proposed,
are
designed
enhance
effectiveness
reduce
resistance.
These
include
identifying
biomarkers
predict
response
new
targets,
developing
targeted
drugs,
combination
targeting
multiple
signaling
pathways,
modulating
TME.
present
article
focuses
on
different
resistance
corresponding
tackling
approaches
with
recent
updates.
Perspectives
polytherapy
mechanisms,
novel
nanoparticle
delivery
systems,
advanced
design
tools
overcoming
also
reviewed.