Combination of External Beam Radiation Therapy and Immune Checkpoint Inhibitors in Cancer Treatment: Mechanisms, Limitations, and Clinical Applications
Applied Radiation Oncology,
Journal Year:
2025,
Volume and Issue:
14(1), P. 17 - 25
Published: March 1, 2025
Abstract
External
beam
radiation
therapy
(EBRT)
has
long
been
integral
in
cancer
treatment,
effectively
targeting
localized
and
metastatic
tumors.
Immunotherapy,
especially
immune
checkpoint
inhibitors
(ICIs),
leverages
the
system
to
eliminate
cells
but
faces
challenges
such
as
treatment
resistance.
EBRT
may
provide
an
approach
overcoming
resistance
ICI
therapy,
thus
enhancing
ICIs’
efficacy
broadening
their
clinical
scope.
EBRT,
by
inducing
immunogenic
cell
death,
primes
can
potentiate
ICIs.
This
combination
strategy
shown
promise
preclinical
studies,
highlighting
potential
of
overcome
limitations
monotherapy
vice
versa.
Clinical
trials
have
demonstrated
safety
feasibility
this
combination,
with
evidence
suggesting
improved
tumor
control
patient
outcomes.
Nevertheless,
numerous
remain.
review
explores
mechanisms,
challenges,
evaluating
ICIs,
underscoring
need
for
optimized
approaches
maximize
efficacy,
while
minimizing
toxicities.
Language: Английский
Acquired resistance to immunotherapy in solid tumors
Trends in Molecular Medicine,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 1, 2025
Language: Английский
Combinational therapeutic strategies to overcome resistance to immune checkpoint inhibitors
Besan H. Al-Saafeen,
No information about this author
Bassam R. Ali,
No information about this author
Eyad Elkord
No information about this author
et al.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 24, 2025
Over
the
past
few
years,
immune
checkpoint
inhibitors
resulted
in
magnificent
and
durable
successes
treating
cancer;
however,
only
a
minority
of
patients
respond
favorably
to
treatment
due
broad-spectrum
tumor-intrinsic
tumor-extrinsic
factors.
With
recent
insights
gained
into
mechanisms
resistance,
combination
strategies
overcome
resistance
enhance
therapeutic
potential
are
emerging
showing
promising
results
both
pre-clinical
clinical
settings.
This
has
been
derived
through
multiple
interconnected
such
as
enhancing
tumor
immunogenicity,
improving
neoantigen
processing
presentation
addition
augmenting
T
cell
infiltration
cytotoxic
potentials.
In
settings,
several
avenues
treatments
involving
were
associated
with
considerable
improvement
outcome
terms
patient’s
survival
growth
control.
This,
turn,
increased
spectrum
cancer
benefiting
from
unprecedented
effects
leading
their
adoption
first-line
for
certain
cancers.
Moreover,
significance
precision
medicine
immunotherapy
unmet
demand
develop
more
personalized
predictive
biomarkers
also
highlighted
this
review.
Language: Английский
Tumor microenvironment and immune-related myositis: addressing muscle wasting in cancer immunotherapy
Shuang Ma,
No information about this author
Guangyu Zhao,
No information about this author
S.J. Sui
No information about this author
et al.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: May 2, 2025
Cancer
immunotherapy,
which
leverages
the
immune
system
to
target
neoplastic
cells,
has
undergone
significant
transformation
in
recent.
However,
immunotherapy
may
have
negative
effects
on
skeletal
muscle
function,
causing
wasting
and
functional
decline
cancer
patients.
In
this
study,
we
review
mechanisms
by
influences
muscle,
focusing
immune-related
myositis,
inflammation,
metabolic
alterations
within
tumor
microenvironment
(TME).
The
key
methodologies,
including
biomechanical
assessment
techniques
such
as
electrical
impedance
myography
ultrasound
imaging,
are
discussed
provide
valuable
insights
into
process
that
maintain
integrity
function
patients
receiving
immunotherapy.
Moreover,
dual
of
suppression
damage
described,
revealing
significance
inflammatory
cytokines,
checkpoints,
disturbances
TME.
Importantly,
propose
combination
therapies
integrating
nutritional
interventions
or
anti-inflammatory
potential
approaches
for
mitigating
wasting.
This
study
highlights
need
deeper
investigations
optimize
improve
its
efficacy
preserving
health,
thereby
improving
patient
outcomes
quality
life.
Language: Английский