Journal of Hematology & Oncology,
Journal Year:
2020,
Volume and Issue:
13(1)
Published: Aug. 12, 2020
Immune
checkpoint
blockade
(ICB)
therapies
such
as
anti-programmed
death
1
(PD-1)
and
anti-CTLA-4
(cytotoxic
T
lymphocyte-associated
protein
4)
have
dramatically
transformed
treatment
in
solid
tumor
oncology.
While
immunotherapeutic
approaches
stem
cell
transplantation
anti-cancer
monoclonal
antibodies
made
critical
contributions
to
improve
outcomes
hematological
malignancies,
clinical
benefits
of
ICB
are
observed
only
limited
types
that
particularly
characterized
by
a
high
infiltration
immune
cells.
Importantly,
even
patients
initially
respond
unable
achieve
long-term
disease
control
using
these
therapies.
Indeed,
primary
acquired
resistance
mechanisms
differentially
orchestrated
malignancies
depending
on
and/or
genotypes,
thus,
an
in-depth
understanding
the
disease-specific
microenvironments
will
be
essential
improving
efficacy.
In
addition
PD-1
CTLA-4,
various
molecules
been
regulate
responses
non-redundant
manner.
Several
lines
evidence
suggest
might
play
unique
roles
highlighting
their
potential
therapeutic
targets.
Targeting
innate
natural
killer
cells
macrophages
has
also
emerged
rational
approach
against
tumors
resistant
cell-mediated
immunity.
Given
surface
proteins
clinically
approved
key
role
augment
antibody-mediated
cellular
cytotoxicity
phagocytosis.
this
review,
we
discuss
recent
advances
emerging
malignancies.
Cellular and Molecular Immunology,
Journal Year:
2020,
Volume and Issue:
17(8), P. 807 - 821
Published: July 1, 2020
Abstract
Immunotherapy
has
revolutionized
cancer
treatment
and
rejuvenated
the
field
of
tumor
immunology.
Several
types
immunotherapy,
including
adoptive
cell
transfer
(ACT)
immune
checkpoint
inhibitors
(ICIs),
have
obtained
durable
clinical
responses,
but
their
efficacies
vary,
only
subsets
patients
can
benefit
from
them.
Immune
infiltrates
in
microenvironment
(TME)
been
shown
to
play
a
key
role
development
will
affect
outcomes
patients.
Comprehensive
profiling
tumor-infiltrating
cells
would
shed
light
on
mechanisms
cancer–immune
evasion,
thus
providing
opportunities
for
novel
therapeutic
strategies.
However,
highly
heterogeneous
dynamic
nature
TME
impedes
precise
dissection
intratumoral
cells.
With
recent
advances
single-cell
technologies
such
as
RNA
sequencing
(scRNA-seq)
mass
cytometry,
systematic
interrogation
is
feasible
provide
insights
into
functional
diversities
In
this
review,
we
outline
progress
particularly
by
focusing
landmark
studies
characterization
tumor-associated
cells,
summarize
phenotypic
connections
with
immunotherapy.
We
believe
review
could
strengthen
our
understanding
facilitate
elucidation
modulation
progression,
guide
immunotherapies
treatment.
Molecular Cancer,
Journal Year:
2020,
Volume and Issue:
19(1)
Published: Aug. 6, 2020
Abstract
The
tumor
microenvironment
is
highly
complex,
and
immune
escape
currently
considered
an
important
hallmark
of
cancer,
largely
contributing
to
progression
metastasis.
Named
for
their
capability
killing
target
cells
autonomously,
natural
killer
(NK)
serve
as
the
main
effector
toward
cancer
in
innate
immunity
are
heterogeneous
microenvironment.
Most
current
treatment
options
harnessing
focus
on
T
cell-immunity,
either
by
promoting
activating
signals
or
suppressing
inhibitory
ones.
limited
success
achieved
cell
immunotherapy
highlights
importance
developing
new-generation
immunotherapeutics,
example
utilizing
previously
ignored
NK
cells.
Although
tumors
also
evolve
resist
cell-induced
cytotoxicity,
cytokine
supplement,
blockade
suppressive
molecules
genetic
engineering
may
overcome
such
resistance
with
great
promise
both
solid
hematological
malignancies.
In
this
review,
we
summarized
fundamental
characteristics
recent
advances
within
immunometabolic
microenvironment,
discussed
potential
application
limitations
emerging
cell-based
therapeutic
strategies
era
presicion
medicine.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: Aug. 28, 2023
Abstract
Immune-checkpoint
inhibitors
(ICBs),
in
addition
to
targeting
CTLA-4,
PD-1,
and
PD-L1,
novel
LAG-3
drugs
have
also
been
approved
clinical
application.
With
the
widespread
use
of
drug,
we
must
deeply
analyze
dilemma
agents
seek
a
breakthrough
treatment
prospect.
Over
past
decades,
these
demonstrated
dramatic
efficacy,
especially
patients
with
melanoma
non-small
cell
lung
cancer
(NSCLC).
Nonetheless,
field
broad
concept
solid
tumours,
non-specific
indications,
inseparable
immune
response
side
effects,
unconfirmed
progressive
disease,
complex
regulatory
networks
resistance
are
four
barriers
that
limit
its
Fortunately,
successful
trials
ICB
combination
therapies,
advent
era
oncolytic
virus
gene
editing,
technical
mRNA
vaccines
nano-delivery
systems
made
remarkable
breakthroughs
currently.
In
this
review,
enumerate
mechanisms
each
checkpoint
targets,
associations
between
tumour
mutation
burden,
key
or
signalling
pathways,
specific
evidence
efficacy
classical
targets
new
among
different
types
put
forward
dialectical
thoughts
on
drug
safety.
Finally,
discuss
importance
accurate
triage
based
recent
advances
predictive
biomarkers
diagnostic
testing
techniques.
Journal for ImmunoTherapy of Cancer,
Journal Year:
2019,
Volume and Issue:
7(1)
Published: Oct. 17, 2019
The
implementation
of
immune
checkpoint
inhibitors
to
the
oncology
clinic
signified
a
new
era
in
cancer
treatment.
After
first
indication
melanoma,
an
increasing
list
additional
types
are
now
treated
with
system
targeting
antibodies
PD-1,
PD-L1
and
CTLA-4,
alleviating
inhibition
signals
on
T
cells.
Recently,
we
published
proof-of-concept
results
novel
inhibitor,
NKG2A.
This
receptor
is
expressed
cytotoxic
lymphocytes,
including
NK
cells
subsets
activated
CD8+
Blocking
NKG2A
unleashed
reactivity
these
effector
resulting
tumor
control
multiple
mouse
models
early
clinical
trial.
Monalizumab
inhibiting
this
human
beings
future
trials
will
have
reveal
its
potency
combination
other
treatment
options.
Frontiers in Immunology,
Journal Year:
2022,
Volume and Issue:
13
Published: April 26, 2022
Immune-related
adverse
events
(irAEs)
are
a
range
of
complications
associated
with
the
use
immune-checkpoint
inhibitors
(ICIs).
Two
major
classes
ICIs
widely
used
Cytotoxic
T-Lymphocyte
Antigen
4
(CTLA4)
and
Programmed
Cell
death-1
(PD-1)/Programmed
death-ligand
1
(PD-L1)
inhibitors.
High-grade
irAEs
life-threatening
often
cause
severe
decline
in
performance
status
such
that
patients
do
not
qualify
for
any
further
anticancer
treatments.
It
is
difficult
to
generalize
evidence
current
literature
on
risk
factors
or
biomarkers
entire
class
as
studies
so
far
either
disease-specific
(e.g.,
lung
cancer
melanoma)
ICI
agent-specific
pembrolizumab,
ipilimumab)
irAE-specific
pneumonitis
gastritis).
In
this
review,
consider
before
initiating
monitoring
listed
practical
purpose
day-to-day
practice.
Risk
grouped
into
demographics
social
history,
medical
medication
tumor-specific
factors.
A
higher
irAE
age
<60
years,
high
body
mass
index,
women
CTLA4
men
PD-1/PD-L1
agents,
chronic
smokers.
Patients
significant
kidney
(Stage
IV-V),
cardiac
(heart
failure,
coronary
artery
disease,
myocardial
infarction,
hypertension),
(asthma,
pulmonary
fibrosis,
obstructive
disease)
at
respective
organ-specific
irAEs.
Pre-existing
autoimmune
disease
certain
drugs
(proton
pump
inhibitors,
diuretics,
anti-inflammatory
drugs)
also
increase
irAE-risk.
Biomarkers
categorized
circulating
blood
counts,
cytokines,
autoantibodies,
HLA
genotypes,
microRNA,
gene
expression
profiling,
serum
proteins.
The
counts
protein
markers
(albumin
thyroid-stimulating
hormone)
readily
accessible
High
neutrophil-lymphocyte
ratio,
eosinophil/monocyte/lymphocyte
counts;
TSH
troponins
diagnosis
drop
white
count
lymphocyte
can
predict
irAE.
Other
limited
profiling.
With
fast-expanding
approvals
various
types,
knowledge
help
providers
assess
irAE-risk
their
patients.
Prospective
needed
provide
insight
essential
aspect
therapy.