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Published on: January 29, 2019
Immune Therapy
Lysanne Lievense1, Joachim Aerts1, Joost Hegmans2
1Department of Pulmonary Medicine, Erasmus MC Cancer Institute, Dr. Molewaterplein 50, Rotterdam, 3015 GD, The Netherlands.
Abstract:
Lung cancer has long been considered an unsuitable target for immunotherapy due to its proposed immunoresistant properties. However, recent evidence has shown that anti-tumor immune responses can occur in lung cancer patients, paving the way for lung cancer as a novel target for immunotherapy. In order to take full advantage of the potential of immunotherapy, research is focusing on the presence and function of various immunological cell types in the tumor microenvironment. Immune cells which facilitate or inhibit antitumor responses have been identified and their prognostic value in lung cancer has been established. Knowledge regarding these pro- and anti-tumor immune cells and their mechanisms of action has facilitated the identification of numerous potential immunotherapeutic strategies and opportunities for intervention. A plethora of immunotherapeutic approaches is currently being developed and studied in lung cancer patients and phase 3 clinical trials are ongoing. Many different immunotherapies have shown promising clinical effects in patients with limited and advanced stage lung cancer, however, future years will have to tell whether immunotherapy will earn its place in the standard treatment of lung cancer.
Insights
Lung cancer, once thought resistant to immunotherapy, is now a promising target. Understanding immune cells in the tumor microenvironment is key to developing effective lung cancer immunotherapies.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Lung cancer was historically considered resistant to immunotherapy.
- Emerging evidence indicates the presence of anti-tumor immune responses in lung cancer patients.
- This shifts the paradigm, positioning lung cancer as a viable target for immunotherapeutic strategies.
Purpose of the Study:
- To explore the role of the tumor microenvironment in lung cancer immunotherapy.
- To identify and characterize immune cells that influence anti-tumor responses in lung cancer.
- To establish the prognostic value of these immune cells in lung cancer patients.
Main Methods:
- Analysis of immune cell populations within the lung cancer tumor microenvironment.
- Identification of immune cells that promote or suppress anti-tumor immunity.
- Evaluation of the prognostic significance of identified immune cells.
Main Results:
- Specific immune cell types facilitating or inhibiting anti-tumor responses have been identified in lung cancer.
- The prognostic value of these immune cells in lung cancer has been established.
- This knowledge is driving the development of novel immunotherapeutic strategies.
Conclusions:
- Lung cancer is emerging as a target for immunotherapy, contrary to previous assumptions.
- Understanding tumor-infiltrating immune cells is crucial for advancing lung cancer immunotherapy.
- Ongoing clinical trials are evaluating various immunotherapeutic approaches with promising early results.
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