Modulation of immunity by antiangiogenic molecules in cancer

Magali Terme1, Orianne Colussi, Elie Marcheteau

  • 1INSERM U970, Paris Cardiovascular Research Center, Université Paris-Descartes, Sorbonne Paris Cité, 56 rue Leblanc, 75015 Paris, France.

Insights

Anti-angiogenic drugs targeting tumor blood vessel growth also impact immune cells, potentially reversing tumor-induced immunosuppression. Understanding these effects is key for combining anti-angiogenic therapies with immunotherapy and identifying treatment response biomarkers.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Tumor angiogenesis is a key process targeted by new therapeutic drugs.
  • Anti-angiogenic molecules targeting VEGF, VEGFR, PDGFR, and c-kit impact both endothelial and immune cells.
  • Tumors develop immunosuppressive mechanisms to evade the immune system, involving regulatory T cells, myeloid-derived suppressor cells, and cytokines.

Purpose of the Study:

  • To detail the immunomodulatory effects of anti-angiogenic drugs.
  • To explore the potential of combining anti-angiogenic therapies with immunotherapeutic strategies.
  • To identify immune parameters as potential biomarkers for anti-angiogenic therapy response.

Main Methods:

  • Review of existing literature on anti-angiogenic drugs and their effects on the tumor microenvironment.
  • Analysis of immunomodulatory mechanisms affected by anti-angiogenic agents.
  • Discussion of potential combination strategies with immunotherapy.

Main Results:

  • Anti-angiogenic drugs can inhibit tumor-induced immunosuppression by affecting regulatory T cells, myeloid-derived suppressor cells, and immunosuppressive cytokines.
  • These drugs can modulate immune cell function, potentially enhancing anti-tumor immunity.
  • Immune parameters may serve as predictive biomarkers for response or resistance to anti-angiogenic therapies.

Conclusions:

  • Anti-angiogenic drugs possess significant immunomodulatory properties that can counteract tumor immunosuppression.
  • Combination of anti-angiogenic drugs with immunotherapy holds promise for improved cancer treatment outcomes.
  • Monitoring immune parameters during treatment can guide therapeutic decisions and predict patient response.

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