Making and circumventing tolerance to cancer

Thomas Kammertoens1, Thomas Blankenstein

  • 1Institute of Immunology, Charité, Campus Benjamin Franklin, Berlin, Germany.

Insights

Tumors can induce T-cell tolerance, but immunotherapy can break this. Adoptive T-cell transfer, using high-affinity T-cell receptors (TCRs) against tumor antigens, offers effective cancer treatment by redirecting T-cell specificity.

Area of Science:

  • Cancer immunology
  • Immunotherapy
  • T-cell biology

Background:

  • Cancer cells present tumor antigens, yet tumors often evade immune detection through T-cell tolerance.
  • Understanding how tumors induce and how immunotherapy overcomes T-cell tolerance is crucial for cancer treatment.

Purpose of the Study:

  • To review experimental models in cancer immunology.
  • To discuss the induction and circumvention of tumor-specific T-cell tolerance.
  • To highlight advances in adoptive T-cell therapy for cancer.

Main Methods:

  • Discussion of experimental cancer immunology models.
  • Analysis of T-cell tolerance induction mechanisms by tumors.
  • Review of T-cell receptor (TCR) identification and gene transfer techniques.

Main Results:

  • Tumors readily induce T-cell tolerance, hindering anti-tumor immunity.
  • Adoptive transfer of tumor-antigen-reactive T cells can circumvent this tolerance.
  • High-affinity TCR identification and TCR gene transfer enable effective T-cell therapy.

Conclusions:

  • Circumventing tumor-induced T-cell tolerance is key for effective immunotherapy.
  • Adoptive T-cell therapy, guided by TCR engineering, presents a promising strategy.
  • Advancements in TCR technology facilitate personalized cancer treatments.

Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...
Cancer Stem Cells and Tumor Maintenance02:40

Cancer Stem Cells and Tumor Maintenance

Early diagnosis and treatment can often cure cancer. However, even with treatment, residual cells called cancer stem cells (CSC) might remain, often causing tumor recurrence. These cancer stem cells possess the potential for self-renewal and multi-lineage differentiation and are often responsible for the therapeutic resistance displayed in most cancers.
Cancer stem cells are thought to originate from tissue-specific normal stem cells or progenitor cells. The normal stem cells usually reside in...