Overcoming immunotherapy resistance in gastric cancer: insights into mechanisms and emerging strategies
D.Y. Luo,
No information about this author
Jing Zhou,
No information about this author
Shuiliang Ruan
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et al.
Cell Death and Disease,
Journal Year:
2025,
Volume and Issue:
16(1)
Published: Feb. 7, 2025
Abstract
Gastric
cancer
(GC)
remains
a
leading
cause
of
cancer-related
mortality
worldwide,
with
limited
treatment
options
in
advanced
stages.
Immunotherapy,
particularly
immune
checkpoint
inhibitors
(ICIs)
targeting
PD1/PD-L1,
has
emerged
as
promising
therapeutic
approach.
However,
significant
proportion
patients
exhibit
primary
or
acquired
resistance,
limiting
the
overall
efficacy
immunotherapy.
This
review
provides
comprehensive
analysis
mechanisms
underlying
immunotherapy
resistance
GC,
including
role
tumor
microenvironment,
dynamic
PD-L1
expression,
compensatory
activation
other
checkpoints,
and
genomic
instability.
Furthermore,
explores
GC-specific
factors
such
molecular
subtypes,
unique
evasion
mechanisms,
impact
Helicobacter
pylori
infection.
We
also
discuss
emerging
strategies
to
overcome
combination
therapies,
novel
immunotherapeutic
approaches,
personalized
based
on
genomics
microenvironment.
By
highlighting
these
key
areas,
this
aims
inform
future
research
directions
clinical
practice,
ultimately
improving
outcomes
for
GC
undergoing
Language: Английский
Targeting extracellular matrix interaction in gastrointestinal cancer: Immune modulation, metabolic reprogramming, and therapeutic strategies
Jiyifan Li,
No information about this author
Wenxin Zhang,
No information about this author
Lu Chen
No information about this author
et al.
Biochimica et Biophysica Acta (BBA) - Reviews on Cancer,
Journal Year:
2024,
Volume and Issue:
unknown, P. 189225 - 189225
Published: Nov. 1, 2024
Language: Английский
Tumor-Associated Extracellular Matrix Obstacles for CAR-T Cell Therapy: Approaches to Overcoming
Current Oncology,
Journal Year:
2025,
Volume and Issue:
32(2), P. 79 - 79
Published: Jan. 30, 2025
Chimeric
antigen
receptor
(CAR)-T
cell
therapy
yields
good
results
in
the
treatment
of
various
hematologic
malignancies.
However,
efficacy
CAR-T
against
solid
tumors
has
proven
to
be
limited,
primarily
because
tumor-associated
extracellular
matrix
(ECM)
creates
an
intractable
barrier
for
cytotoxic
cells
that
are
supposed
kill
cancer
cells.
This
review
unravels
multifaceted
role
ECM
impeding
infiltration,
survival,
and
functions
within
tumors.
We
analyze
situations
when
intratumoral
limits
by
being
a
purely
physical
complicates
lymphocyte
penetration/migration
also
acts
as
immunosuppressive
factor
impairs
antitumor
activities
In
addition,
we
highlight
promising
approaches
such
engineering
with
improved
capabilities
penetrate
migrate
into/through
ECM,
combination
therapies
aimed
at
attenuating
high
density
potential
others
enable
overcoming
ECM-related
obstacles.
A
detailed
overview
data
relevant
studies
not
only
helps
better
understand
interactions
between
but
outlines
ways
more
effectively
use
Language: Английский
Adoptive immune cell therapy for colorectal cancer
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 1, 2025
Colorectal
cancer
(CRC)
is
a
major
cause
of
cancer-related
morbidity
and
mortality
worldwide,
with
limited
options
for
patients
at
advanced
stages.
Immunotherapy,
particularly
immune
cell-based
therapies,
has
gained
significant
attention
as
an
innovative
approach
targeting
CRC.
This
review
summarizes
the
progress
in
various
cell
including
DC
vaccine,
CAR/TCR-T
cells,
CAR-NK
cells
et
al,
each
engineered
to
recognize
attack
expressing
specific
antigens.
CAR-T
therapy,
which
been
successful
hematologic
cancers,
faces
challenges
CRC
due
solid
tumor
microenvironment,
limits
infiltration
persistence.
CAR-M
CAR-γδ
T
however,
offer
alternative
strategies
their
unique
properties,
such
ability
target
without
prior
sensitization
lower
risk
inducing
severe
cytokine
release
syndrome.
Recent
advances
lentiviral
transduction
have
enabled
effective
expression
CARs
on
NK
γδ
providing
promising
preclinical
results
models.
explores
mechanisms,
targets,
studies,
early-phase
clinical
trials
these
addressing
key
enhancing
specificity
antigens
overcoming
immunosuppressive
microenvironment.
The
potential
combination
checkpoint
inhibitors
also
discussed
some
means
improve
effectiveness
treatments
Continued
research
essential
translate
approaches
into
settings,
offering
new
hope
patients.
Language: Английский
Visualizing the Tumor Microenvironment: Molecular Imaging Probes Target Extracellular Matrix, Vascular Networks, and Immunosuppressive Cells
Pharmaceuticals,
Journal Year:
2024,
Volume and Issue:
17(12), P. 1663 - 1663
Published: Dec. 10, 2024
The
tumor
microenvironment
(TME)
is
a
critical
factor
in
cancer
progression,
driving
growth,
immune
evasion,
therapeutic
resistance,
and
metastasis.
Understanding
the
dynamic
interactions
within
TME
essential
for
advancing
management.
Molecular
imaging
provides
non-invasive,
real-time,
longitudinal
approach
to
studying
TME,
with
techniques
such
as
positron
emission
tomography
(PET),
magnetic
resonance
(MRI),
fluorescence
offering
complementary
strengths,
including
high
sensitivity,
spatial
resolution,
intraoperative
precision.
Recent
advances
probe
development
have
enhanced
ability
target
monitor
specific
components
of
facilitating
early
diagnosis,
monitoring,
deeper
insights
into
biology.
By
integrating
these
innovations,
molecular
offers
transformative
potential
precision
oncology,
improving
diagnostic
accuracy
treatment
outcomes
through
comprehensive
assessment
dynamics.
Language: Английский