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Published on: December 1, 2016
Coinhibitory molecules in cancer biology and therapy
Simone Mocellin1, Clara Benna, Pierluigi Pilati
1Department of Surgery, Oncology and Gastroenterology, University of Padova, via Giustiniani 2, 35128 Padova, Italy. simone.mocellin@unipd.it
Abstract:
The adaptive immune response is controlled by checkpoints represented by coinhibitory molecules, which are crucial for maintaining self-tolerance and minimizing collateral tissue damage under physiological conditions. A growing body of preclinical evidence supports the hypothesis that unleashing this immunological break might be therapeutically beneficial in the fight against cancer, as it would elicit an effective antitumor immune response. Remarkably, recent clinical trials have demonstrated that this novel strategy can be highly effective in the treatment of patients with cancer, as shown by the paradigmatic case of ipilimumab (a monoclonal antibody blocking the coinhibitory molecule cytotoxic T lymphocyte associated antigen-4 [CTLA4]) that is opening a new era in the therapeutic approach to a chemoresistant tumor such as cutaneous melanoma. In this review we summarize the biology of coinhibitory molecules, overview the experimental and clinical attempts to interfere with these immune checkpoints to treat cancer and critically discuss the challenges posed by such a promising antitumor modality.
Insights
Blocking immune checkpoints with therapies like CTLA-4 inhibitors shows promise for cancer treatment. This approach harnesses the adaptive immune response to fight tumors, opening new avenues for patients with difficult-to-treat cancers.
Area of Science:
- Immunology
- Oncology
- Cancer Therapy
Background:
- Adaptive immunity relies on coinhibitory molecules to maintain self-tolerance and prevent tissue damage.
- Dysregulation of these immune checkpoints can impair the body's ability to eliminate cancer cells.
Purpose of the Study:
- To review the biology of coinhibitory molecules.
- To summarize preclinical and clinical strategies targeting immune checkpoints for cancer treatment.
- To discuss the challenges and potential of this therapeutic modality.
Main Methods:
- Review of preclinical evidence and clinical trial data.
- Analysis of ipilimumab as a case study for CTLA-4 blockade.
- Critical discussion of immune checkpoint inhibition in oncology.
Main Results:
- Coinhibitory molecules are key regulators of the adaptive immune response.
- Targeting immune checkpoints, such as CTLA-4, can elicit effective antitumor immune responses.
- Clinical trials demonstrate significant efficacy in treating certain cancers, including melanoma.
Conclusions:
- Immune checkpoint blockade represents a novel and effective cancer therapy.
- Targeting coinhibitory molecules offers a promising strategy for overcoming treatment resistance.
- Further research is needed to address challenges and optimize this approach for broader application.
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