Non-steroidal anti-inflammatory drugs, tumour immunity and immunotherapy

Muzammal Hussain1, Aqeel Javeed, Muhammad Ashraf

  • 1Department of Pharmacology & Toxicology, University of Veterinary and Animal Sciences, Lahore, Pakistan.

Insights

Non-steroidal anti-inflammatory drugs (NSAIDs) enhance anti-tumor immunity by modulating immune cells. They also boost the effectiveness of cancer immunotherapies like vaccines and monoclonal antibodies.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Non-steroidal anti-inflammatory drugs (NSAIDs) show promise in cancer chemoprevention.
  • NSAIDs are increasingly recognized for their potential in cancer immunotherapy due to immune-enhancing effects.

Purpose of the Study:

  • To review the role of NSAIDs in modulating anti-tumor immunity.
  • To explore the combination of NSAIDs with various cancer immunotherapeutic strategies.
  • To briefly discuss other anti-inflammatories and selective E-prostanoid (EP) receptor antagonists in cancer immunity.

Main Methods:

  • Review of existing literature on NSAIDs, anti-tumor immunity, and cancer immunotherapy.
  • Analysis of immunomodulatory effects of NSAIDs on immune cells (TAM, DC, NK, T cells).
  • Examination of therapeutic combinations of NSAIDs with cancer vaccines, monoclonal antibodies, and cytokine therapy.

Main Results:

  • NSAIDs modulate key immune cells involved in anti-tumor responses, including tumor-associated macrophages (TAM), dendritic cells (DC), natural killer (NK) cells, T effector cells, and T regulatory cells (Treg).
  • NSAIDs can augment the efficacy of cancer vaccines, tumor-specific monoclonal antibodies, and cytokine-based therapies.
  • Other anti-inflammatories and selective EP receptor antagonists also impact tumor immunity.

Conclusions:

  • NSAIDs possess significant immunomodulatory properties beneficial for anti-tumor immunity.
  • Combining NSAIDs with established immunotherapies offers a promising strategy for enhancing cancer treatment.
  • Further research into NSAIDs and related compounds could lead to novel cancer immunotherapy approaches.

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