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Published on: November 19, 2019
Priming the pancreatic cancer tumor microenvironment for checkpoint-inhibitor immunotherapy
Eric R Lutz1, Heather Kinkead2, Elizabeth M Jaffee3
1Department of Oncology; Johns Hopkins University School of Medicine ; Baltimore, MD USA ; The Sidney Kimmel Cancer Center; Johns Hopkins University School of Medicine , Baltimore, MD USA ; The Skip Viragh Center for Pancreatic Cancer Research and Clinical Care; Johns Hopkins University School of Medicine , Baltimore, MD USA ; The Sol Goldman Pancreatic Cancer Center; Johns Hopkins University School of Medicine , Baltimore, MD USA.
Abstract:
Single agent immunotherapy is effective against several cancers, but has failed against poorly immunogenic cancers, including pancreatic cancer. Evaluation of pancreatic tumors following treatment with an experimental vaccine (Lutz et al. Cancer Immunology Research 2014) suggests that vaccination primes the tumor microenvironment (TME) for checkpoint-inhibitor immunotherapy, and supports a new platform for evaluating checkpoint-inhibitors in poorly immunogenic cancers.
Insights
An experimental vaccine may prime pancreatic tumors for immunotherapy. This approach could offer a new strategy for treating poorly immunogenic cancers, like pancreatic cancer, with checkpoint inhibitors.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Single-agent immunotherapy is effective against many cancers but not poorly immunogenic ones, such as pancreatic cancer.
- Pancreatic tumors are known for their poor immunogenicity, limiting the efficacy of current immunotherapies.
Purpose of the Study:
- To evaluate if an experimental vaccine can enhance the tumor microenvironment (TME) for subsequent immunotherapy.
- To establish a novel platform for assessing checkpoint inhibitors in challenging, poorly immunogenic cancer types.
Main Methods:
- Analysis of pancreatic tumors treated with an experimental vaccine (Lutz et al., Cancer Immunology Research 2014).
- Assessment of changes within the tumor microenvironment post-vaccination.
Main Results:
- Vaccination was observed to prime the tumor microenvironment.
- The primed TME showed increased potential for responding to checkpoint-inhibitor immunotherapy.
Conclusions:
- Experimental vaccination can prepare the TME for immunotherapy in poorly immunogenic cancers.
- This vaccination strategy supports a new platform for evaluating checkpoint inhibitors in pancreatic cancer and similar malignancies.
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