Integrating Immunotherapy and Targeted Therapy in Cancer Treatment: Mechanistic Insights and Clinical Implications

Johann S Bergholz1,2,3, Qiwei Wang4,2, Sheheryar Kabraji4,5

  • 1Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts. jean_zhao@dfci.harvard.edu johann_bergholz@dfci.harvard.edu.

Insights

Combining targeted cancer therapies with immunotherapy shows promise for durable patient outcomes. This approach leverages targeted agents to enhance the immune system

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Small-molecule targeted therapies offer selective cancer cell attack with fewer side effects.
  • While effective initially, targeted therapies often face resistance, limiting long-term benefits.
  • Immunotherapy provides durable responses but benefits a limited patient group.

Purpose of the Study:

  • To review recent advances in integrating immunotherapy with small-molecule targeted inhibitors.
  • To explore how oncogenic events influence antitumor immune responses.
  • To guide the rational design of combination therapies for improved patient outcomes.

Main Methods:

  • Literature review focusing on the interplay between targeted therapies and the immune system.
  • Analysis of how targeted agents modulate immune sensitization, antigenicity, and immune cell function.
  • Discussion of oncogenic event-specific immune modulation and its impact on combination strategies.

Main Results:

  • Targeted therapies can enhance antitumor immunity by overcoming immune evasion and increasing antigenicity.
  • Specific oncogenic events differentially impact immune responses, informing combination therapy design.
  • Combining targeted agents with immunotherapy has the potential for synergistic and durable antitumor effects.

Conclusions:

  • Integrating targeted therapies and immunotherapy offers a promising strategy for overcoming resistance and improving durable responses.
  • Understanding the molecular basis of immune modulation by targeted agents is crucial for rational combination therapy development.
  • This integrated approach holds significant potential for enhancing patient survival and treatment efficacy in oncology.

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