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Induction of Invasive Transitional Cell Bladder Carcinoma in Immune Intact Human MUC1 Transgenic Mice: A Model for Immunotherapy Development
Published on: October 30, 2013
Natural killer cells: unlocking new treatments for bladder cancer
Daniel Ranti1, Christine Bieber1, Yuan-Shuo Wang1
1Department of Oncological Sciences, Precision Immunology Institute, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Urology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Abstract:
Non-muscle invasive bladder cancer, a disease with the oldest immunotherapeutic standard of care, has seen recent improvements in treatment via the application of checkpoint blocking antibodies. Unfortunately, response rates to programmed cell death protein 1 (PD-1) and programmed death-ligand 1 (PD-L1) blocking antibodies remain low despite stratification by biomarkers. Sharing common biology with T cells but lacking true antigen-specificity and responding earlier to tumorigenic threats, natural killer (NK) cells present an ideal target for combination immunotherapies. NK-targeted immunotherapies under clinical investigation, including anti-NKG2A antibodies, interleukin agonists, and engineered viral vectors, hold promise in altering the immunotherapeutic landscape in bladder cancer and will be the focus of this review.
Insights
Natural killer (NK) cells offer a promising target for bladder cancer immunotherapy. NK-targeted therapies, including anti-NKG2A antibodies, may improve treatment outcomes where current options fall short.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Non-muscle invasive bladder cancer has a long history of immunotherapy.
- Checkpoint blocking antibodies (anti-PD-1/PD-L1) show limited response rates in bladder cancer.
- Natural killer (NK) cells are crucial for early anti-tumor responses and lack true antigen-specificity.
Purpose of the Study:
- To review the potential of natural killer (NK) cell-targeted immunotherapies for non-muscle invasive bladder cancer.
- To explore novel therapeutic strategies beyond current checkpoint inhibitors.
Main Methods:
- Review of clinical investigations involving NK-targeted immunotherapies.
- Analysis of NK cell biology in the context of bladder cancer.
Main Results:
- NK cells present an attractive target for combination immunotherapies due to their early response to tumorigenic threats.
- Emerging NK-targeted therapies show promise in overcoming limitations of existing treatments.
Conclusions:
- NK-targeted immunotherapies, including anti-NKG2A antibodies, interleukin agonists, and viral vectors, are poised to change the treatment landscape for bladder cancer.
- Further research into NK cell-based strategies is warranted to improve patient outcomes.
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