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Updated: Jun 30, 2026

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
T-regulatory cells in tumour-specific vaccination strategies
Marij J P Welters1, Sytse J Piersma, Sjoerd H van der Burg
1Department of Immunohematology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Background:
Immunotherapy against cancer does not result in impressive clinical responses. Failure of vaccine-induced T-cell-mediated immunotherapy to improve therapeutic results occurs for many reasons, including regulatory networks imposed by growing tumours, intrinsic properties of cancer cells, suboptimal design of therapeutic vaccines and subversion of the immune system. Most vaccines are incapable of inducing strong immunity, the vaccine's capacity to induce effector T cells is blocked by regulatory T cells (Tregs) in the lymph nodes, the vaccine-induced T cells are not able to infiltrate the tumour, tumour-infiltrating T cells cannot exert their effector function due to locally present Tregs and/or vaccines may induce/boost Tregs.
Objective/Methods:
We focus on the negative effects of Tregs in cancer immunotherapy and highlight potential therapeutic options to counteract these.
Conclusions:
Interplay and balance between Tregs and effector cells determines the efficacy of vaccines and thereby clinical outcome.
Insights
Regulatory T cells (Tregs) hinder cancer immunotherapy effectiveness. Strategies to counteract Tregs are crucial for improving vaccine-induced T-cell responses and achieving better clinical outcomes in cancer treatment.
Area of Science:
- Immunology
- Oncology
- Vaccinology
Background:
- Cancer immunotherapy, particularly vaccine-induced T-cell-mediated approaches, often yields limited clinical responses.
- Therapeutic failures are attributed to tumor-induced regulatory networks, cancer cell properties, suboptimal vaccine design, and immune system subversion.
- Regulatory T cells (Tregs) significantly impede anti-cancer immunity by blocking effector T cell induction, infiltration, and function.
Purpose of the Study:
- To examine the detrimental impact of regulatory T cells (Tregs) in cancer immunotherapy.
- To identify and discuss potential therapeutic strategies for overcoming Treg-mediated suppression in cancer treatment.
Main Methods:
- Review and analysis of existing literature on regulatory T cells in cancer immunotherapy.
- Focus on the mechanisms by which Tregs inhibit vaccine-induced T-cell responses.
- Exploration of therapeutic interventions to counteract Treg activity.
Main Results:
- Vaccine-induced immunity is often insufficient due to Treg activity in both lymph nodes and the tumor microenvironment.
- Tregs can prevent effector T cells from being generated, infiltrating tumors, and performing their cytotoxic functions.
- Therapeutic vaccines themselves may inadvertently promote or enhance Treg populations.
Conclusions:
- The balance between regulatory T cells (Tregs) and effector T cells is a critical determinant of vaccine efficacy.
- Modulating Treg activity is essential for improving the clinical outcomes of cancer immunotherapy.
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