Rethinking immune checkpoint blockade : 'Beyond the T cell'

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ..

The clinical success of immune checkpoint inhibitors has highlighted the central role of the immune system in cancer control. Immune checkpoint inhibitors can reinvigorate anti-cancer immunity and are now the standard of care in a number of malignancies. However, research on immune checkpoint blockade has largely been framed with the central dogma that checkpoint therapies intrinsically target the T cell, triggering the tumoricidal potential of the adaptive immune system. Although T cells undoubtedly remain a critical piece of the story, mounting evidence, reviewed herein, indicates that much of the efficacy of checkpoint therapies may be attributable to the innate immune system. Emerging research suggests that T cell-directed checkpoint antibodies such as anti-programmed cell death protein-1 (PD-1) or programmed death-ligand-1 (PD-L1) can impact innate immunity by both direct and indirect pathways, which may ultimately shape clinical efficacy. However, the mechanisms and impacts of these activities have yet to be fully elucidated, and checkpoint therapies have potentially beneficial and detrimental effects on innate antitumor immunity. Further research into the role of innate subsets during checkpoint blockade may be critical for developing combination therapies to help overcome checkpoint resistance. The potential of checkpoint therapies to amplify innate antitumor immunity represents a promising new field that can be translated into innovative immunotherapies for patients fighting refractory malignancies.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Journal for immunotherapy of cancer - 9(2021), 1 vom: 26. Jan.

Sprache:

Englisch

Beteiligte Personen:

Liu, Xiuting [VerfasserIn]
Hogg, Graham D [VerfasserIn]
DeNardo, David G [VerfasserIn]

Links:

Volltext

Themen:

CTLA-4 Antigen
Immune Checkpoint Inhibitors
Immunity
Immunotherapy
Innate
Journal Article
Programmed cell death 1 receptor
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Review
Tumor microenvironment

Anmerkungen:

Date Completed 15.12.2021

Date Revised 30.03.2024

published: Print

Citation Status MEDLINE

doi:

10.1136/jitc-2020-001460

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320309711