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Characterization of Immune Cells and Proinflammatory Mediators in the Pulmonary Environment
Published on: June 24, 2020
Immune Checkpoint-Mediated Interactions Between Cancer and Immune Cells in Prostate Adenocarcinoma and Melanoma
Angela Rita Elia1, Sara Caputo1, Matteo Bellone1
1Cellular Immunology Unit, Department of Immunology, Transplantation and Infectious Diseases, San Raffaele Scientific Institute, Milan, Italy.
Abstract:
Prostate adenocarcinoma (PCa) and melanoma are paradigmatic examples of tumors that are either poorly or highly sensitive to therapies based on monoclonal antibodies directed against regulatory pathways in T lymphocytes [i.e., immune checkpoint blockade (ICB)]. Yet, approximately 40% of melanoma patients are resistant or acquire resistance to ICB. What characterize the microenvironment of PCa and ICB-resistant melanoma are a scanty cytotoxic T cell infiltrate and a strong immune suppression, respectively. Here, we compare the tumor microenvironment in these two subgroups of cancer patients, focusing on some among the most represented immune checkpoint molecules: cytotoxic T lymphocyte-associated antigen-4, programmed death-1, lymphocyte activation gene-3, and T cell immunoglobulin and mucin-domain containing-3. We also report on several examples of crosstalk between cancer and immune cells that are mediated by inhibitory immune checkpoints and identify promising strategies aimed at overcoming ICB resistance both in PCa and melanoma.
Insights
Prostate cancer and melanoma exhibit distinct tumor microenvironments impacting immune checkpoint blockade (ICB) therapy. Understanding these differences is key to overcoming resistance in both cancers.
Area of Science:
- Oncology
- Immunology
- Cancer Biology
Background:
- Prostate adenocarcinoma (PCa) and melanoma show differential sensitivity to immune checkpoint blockade (ICB) therapies targeting T lymphocytes.
- A significant portion of melanoma patients (approx. 40%) exhibit resistance or develop acquired resistance to ICB.
- Key differences in tumor microenvironments include scanty cytotoxic T cell infiltrate in PCa and pronounced immune suppression in ICB-resistant melanoma.
Purpose of the Study:
- To compare the tumor microenvironment in PCa and ICB-resistant melanoma.
- To focus on major immune checkpoint molecules: cytotoxic T lymphocyte-associated antigen-4 (CTLA-4), programmed death-1 (PD-1), lymphocyte activation gene-3 (LAG-3), and T cell immunoglobulin and mucin-domain containing-3 (TIM-3).
- To identify strategies for overcoming ICB resistance.
Main Methods:
- Comparative analysis of tumor microenvironments in PCa and ICB-resistant melanoma.
- Examination of key immune checkpoint molecule expression and function.
- Investigation of crosstalk between cancer and immune cells mediated by inhibitory immune checkpoints.
Main Results:
- Characterization of distinct immune microenvironments in PCa and ICB-resistant melanoma.
- Identification of specific immune checkpoint molecules (CTLA-4, PD-1, LAG-3, TIM-3) involved in therapeutic resistance.
- Elucidation of immune cell crosstalk mechanisms driven by inhibitory checkpoints.
Conclusions:
- The study provides insights into the immune microenvironmental differences between PCa and ICB-resistant melanoma.
- Understanding these differences and immune checkpoint roles is crucial for developing effective ICB therapies.
- Identified strategies hold promise for overcoming ICB resistance in both PCa and melanoma patients.
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