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Published on: March 25, 2016
Immune Checkpoint Inhibitors to Treat Malignant Lymphomas
Magdalena Witkowska1, Piotr Smolewski1
1Department of Experimental Hematology, Medical University of Lodz, Lodz, Poland.
Abstract:
Genetic and/or epigenetic changes provide antigen-derived diversity in neoplastic cells. Beside, these cells do not initiate immune response of host organisms. A variety of factors are responsible for the resistant to treatment, including individual variations in patients and somatic cell genetic differences in tumors, even those from the same tissue of origin. Immune system is controlled by several controlling mechanisms. Recently, a significant progress in hematologic treatment has been made; however, majority of diseases still remain incurable. Immunotherapy with checkpoint inhibitors has emerged as promising modality of antitumor treatment, showing marked response to several antigens, including cytotoxic T lymphocyte-associate protein-4 (CTLA-4) or programmed cell death 1 receptor (PD-1). In this review, we demonstrate actual knowledge on immune checkpoint function and its impact on development of new modality of antineoplastic treatment, using, for example, anti-CTLA-4 or PD-1/PD1 ligand (PD-L1) monoclonal antibodies in malignant lymphomas.
Insights
Neoplastic cells evade immune responses due to genetic changes. This review explores immune checkpoint inhibitors, like anti-CTLA-4 and PD-1/PD-L1 antibodies, for treating malignant lymphomas.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- Neoplastic cells exhibit genetic and epigenetic diversity, often evading host immune responses and contributing to treatment resistance.
- Tumorigenesis is influenced by patient-specific factors and intratumoral genetic heterogeneity, complicating therapeutic strategies.
- While advancements in hematologic treatment exist, many diseases remain incurable, highlighting the need for novel therapeutic approaches.
Purpose of the Study:
- To review current knowledge on immune checkpoint functions.
- To discuss the impact of immune checkpoints on developing novel antineoplastic treatments.
- To examine the application of anti-CTLA-4 and PD-1/PD-L1 monoclonal antibodies in malignant lymphomas.
Main Methods:
- Literature review focusing on immune checkpoint inhibitors.
- Analysis of genetic and epigenetic factors in neoplastic cells.
- Examination of clinical data regarding monoclonal antibody therapies.
Main Results:
- Immune checkpoints, such as CTLA-4 and PD-1, play a critical role in regulating immune responses against cancer.
- Immunotherapy with checkpoint inhibitors has shown promising antitumor activity in various malignancies.
- Monoclonal antibodies targeting CTLA-4 and PD-1/PD-L1 pathways are emerging as effective treatments for malignant lymphomas.
Conclusions:
- Immune checkpoint blockade represents a significant advancement in cancer immunotherapy.
- Targeting CTLA-4 and PD-1/PD-L1 pathways offers a promising strategy for overcoming treatment resistance in malignant lymphomas.
- Further research into immune checkpoint function will likely lead to more effective antineoplastic therapies.
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