American Society of Clinical Oncology Educational Book,
Journal Year:
2019,
Volume and Issue:
39, P. 165 - 174
Published: May 1, 2019
Emerging
immunotherapeutic
approaches
have
revolutionized
the
treatment
of
multiple
malignancies.
Immune
checkpoint
blockers
(ICBs)
enabled
never-before-seen
success
rates
in
durable
tumor
control
and
enhanced
survival
benefit
patients
with
advanced
cancers.
However,
this
effect
is
not
universal,
resulting
responder
nonresponder
populations
only
between,
but
also
within
solid
types.
Although
ICBs
are
thought
to
be
most
effective
against
tumors
more
genetic
mutations
higher
antigen
loads,
always
case
for
all
cancers
or
a
cancer
subtype.
Furthermore,
debilitating
sometimes
deadly
immune-related
adverse
events
(irAEs)
resulted
from
aberrant
activation
T-cell
responses
following
immunotherapy.
Thus,
we
must
identify
new
ways
overcome
resistance
ICB-based
immunotherapies
limit
irAEs.
In
fact,
preclinical
clinical
data
identified
abnormalities
microenvironment
(TME)
that
can
thwart
efficacy
such
as
ICBs.
Here,
will
discuss
how
reprogramming
various
facets
TME
(blood
vessels,
myeloid
cells,
regulatory
T
cells
[Tregs])
may
TME-instigated
mechanisms
We
applications
strategic
approach,
including
recent
successful
phase
III
trial
combining
bevacizumab
atezolizumab
chemotherapy
metastatic
nonsquamous
non-small
cell
lung
led
rapid
approval
by
U.S.
Food
Drug
Administration
regimen
first-line
treatment.
Given
accelerated
testing
combined
targeted
therapies
larger
numbers
cancer,
these
concepts
incorporated
into
practice
improve
immunotherapy
outcomes.
Frontiers in Immunology,
Journal Year:
2021,
Volume and Issue:
12
Published: April 1, 2021
Rheumatoid
arthritis
(RA)
is
a
systemic
and
heterogeneous
autoimmune
disease
with
symmetrical
polyarthritis
as
its
critical
clinical
manifestation.
The
basic
cause
of
diseases
the
loss
tolerance
to
self
or
harmless
antigens.
functional
deficiency
key
immune
cells,
regulatory
T
(Treg)
has
been
confirmed
in
human
diseases.
pathogenesis
RA
complex,
dysfunction
Tregs
one
proposed
mechanisms
underlying
breakdown
self-tolerance
leading
progression
RA.
Treg
cells
are
vital
component
peripheral
tolerance,
transcription
factor
Foxp3
plays
major
immunosuppressive
role.
Clinical
treatment
for
mainly
utilizes
drugs
alleviate
relieve
activity,
ideal
strategy
should
be
re-induce
before
obvious
tissue
injury.
options.
This
review
will
introduce
classification,
mechanism
action,
characteristics
RA,
which
provides
insights
into
treatment.
American Society of Clinical Oncology Educational Book,
Journal Year:
2019,
Volume and Issue:
39, P. 165 - 174
Published: May 1, 2019
Emerging
immunotherapeutic
approaches
have
revolutionized
the
treatment
of
multiple
malignancies.
Immune
checkpoint
blockers
(ICBs)
enabled
never-before-seen
success
rates
in
durable
tumor
control
and
enhanced
survival
benefit
patients
with
advanced
cancers.
However,
this
effect
is
not
universal,
resulting
responder
nonresponder
populations
only
between,
but
also
within
solid
types.
Although
ICBs
are
thought
to
be
most
effective
against
tumors
more
genetic
mutations
higher
antigen
loads,
always
case
for
all
cancers
or
a
cancer
subtype.
Furthermore,
debilitating
sometimes
deadly
immune-related
adverse
events
(irAEs)
resulted
from
aberrant
activation
T-cell
responses
following
immunotherapy.
Thus,
we
must
identify
new
ways
overcome
resistance
ICB-based
immunotherapies
limit
irAEs.
In
fact,
preclinical
clinical
data
identified
abnormalities
microenvironment
(TME)
that
can
thwart
efficacy
such
as
ICBs.
Here,
will
discuss
how
reprogramming
various
facets
TME
(blood
vessels,
myeloid
cells,
regulatory
T
cells
[Tregs])
may
TME-instigated
mechanisms
We
applications
strategic
approach,
including
recent
successful
phase
III
trial
combining
bevacizumab
atezolizumab
chemotherapy
metastatic
nonsquamous
non-small
cell
lung
led
rapid
approval
by
U.S.
Food
Drug
Administration
regimen
first-line
treatment.
Given
accelerated
testing
combined
targeted
therapies
larger
numbers
cancer,
these
concepts
incorporated
into
practice
improve
immunotherapy
outcomes.