The tumor microenvironment in renal cell cancer

James W Mier1

  • 1Division of Oncology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA.

Abstract

Insights

The tumor microenvironment (MEV) in renal cell carcinoma hinders immune responses and limits cancer therapies. Targeting immunosuppressive cells within the MEV shows promise for improving treatment efficacy.

Area of Science:

  • Oncology
  • Immunology

Background:

  • The tumor microenvironment (MEV) supports tumor growth and metastasis.
  • The MEV also suppresses immune surveillance and reduces the effectiveness of cancer immunotherapies.

Purpose of the Study:

  • This review focuses on the immunosuppressive mechanisms within the MEV of renal cell carcinoma.
  • To highlight potentially druggable targets within the tumor microenvironment.

Main Methods:

  • Review of current literature on tumor microenvironment and renal cell carcinoma immunology.
  • Analysis of immunosuppressive mechanisms and their therapeutic implications.

Main Results:

  • Several immunosuppressive mechanisms in the MEV have been identified and are targets for new therapies.
  • Bone marrow-derived myeloid cells in the MEV limit the efficacy of immune checkpoint inhibitors in renal cell carcinoma.
  • Strategies to target these myeloid cells show encouraging results in preclinical and clinical studies.

Conclusions:

  • The immunosuppressive MEV of renal cell carcinoma presents significant challenges for effective cancer immunotherapy.
  • Targeting MEV components, particularly myeloid cells, is a promising strategy to enhance treatment outcomes.

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