Trial Watch-Small molecules targeting the immunological tumor microenvironment for cancer therapy

Aitziber Buqué1, Norma Bloy1, Fernando Aranda2

  • 1INSERM, U1138, Paris, France; Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France; Université Pierre et Marie Curie/Paris VI, Paris, France; Equipe 11 labellisée par la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France; Gustave Roussy Cancer Campus, Villejuif, France.

Oncoimmunology
|July 30, 2016
PubMed

Insights

Cancer progresses by creating immunosuppressive networks that hinder immune responses and therapies. Small molecules targeting these tumor microenvironment networks show promise for cancer treatment.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Progressing malignancies establish immunosuppressive networks systemically and locally.
  • Tumors recruit immunosuppressive myeloid and lymphoid cells, hindering immune recognition and therapeutic responses.
  • These cells inhibit natural anti-cancer immunity and responses to chemotherapy, radiotherapy, and immunotherapy.

Purpose of the Study:

  • To review recent preclinical and clinical advances in using small molecules to target the immunological tumor microenvironment for cancer therapy.
  • To discuss strategies counteracting immunosuppressive cells within tumors.

Main Methods:

  • Review of preclinical and clinical studies.
  • Focus on small molecule therapeutics targeting the tumor microenvironment.
  • Analysis of agents inhibiting indoleamine 2,3-dioxigenase 1 (IDO1), prostaglandin E2, cytokine receptors, purinergic signaling, and arginine metabolism.

Main Results:

  • Multiple strategies have been developed to counteract immunosuppressive cells in tumors.
  • Small molecules targeting the tumor microenvironment are advancing in preclinical and clinical research.
  • Specific agents include IDO1 inhibitors, prostaglandin E2 inhibitors, cytokine receptor modulators, and purinergic/arginine metabolism modulators.

Conclusions:

  • Targeting the immunosuppressive tumor microenvironment with small molecules is a promising therapeutic strategy.
  • Further research and clinical trials are essential to optimize these novel cancer therapies.

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