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Understanding the functional inflammatory factors involved in therapeutic response to immune checkpoint inhibitors
Yanmeizhi Wu1, Shan Yu2, Hong Qiao1
1Department of Endocrinology, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Abstract:
Immune checkpoint inhibitors (ICIs) fight tumor progression by activating immune conditions. The inflammatory factors are playing a functional role in programmed death-1 (PD-1) or other immune checkpoints. They are involved in regulating the expression of programmed death ligand-1 (PD-L1), the only predictor recognized by the guidelines in response to ICIs. In addition, abundant components of the tumor microenvironment (TME) all interact with various immune factors contributing to the response to ICIs, including infiltration of various immune cells, extracellular matrix, and fibroblasts. Notably, the occurrence of immune-related adverse events (irAEs) in patients receiving ICIs is increasingly observed in sundry organs. IrAEs are often regarded as an inflammatory factor-mediated positive feedback loop associated with better response to ICIs. It deserves attention because inflammatory factors were observed to be different when targeting different immune checkpoints or in the presence of different irAEs. In the present review, we address the research progresses on regulating inflammatory factors for an intentional controlling anti-cancer response with immune checkpoint inhibitors.
Insights
Immune checkpoint inhibitors (ICIs) leverage inflammatory factors to combat cancer. Understanding these factors and their role in immune-related adverse events (irAEs) is key to optimizing ICI therapy.
Area of Science:
- Oncology
- Immunology
Background:
- Immune checkpoint inhibitors (ICIs) activate the immune system against tumors.
- Inflammatory factors are crucial in regulating programmed death-1 (PD-1) and programmed death ligand-1 (PD-L1) expression, key predictors of ICI response.
- The tumor microenvironment (TME) components interact with immune factors, influencing ICI efficacy.
Purpose of the Study:
- To review research on modulating inflammatory factors for enhanced anti-cancer responses using ICIs.
- To explore the role of inflammatory factors in immune-related adverse events (irAEs) and their association with ICI efficacy.
Main Methods:
- Literature review of current research on inflammatory factors and ICIs.
- Analysis of the interplay between TME, immune cells, and inflammatory mediators.
- Examination of the relationship between irAEs and inflammatory factor profiles.
Main Results:
- Inflammatory factors significantly influence PD-L1 expression and ICI response.
- IrAEs are linked to inflammatory factor-mediated positive feedback loops, potentially improving ICI outcomes.
- Distinct inflammatory factor profiles are observed with different immune checkpoints and irAEs.
Conclusions:
- Targeting inflammatory factors offers a strategy for optimizing anti-cancer responses with ICIs.
- Further research into specific inflammatory factor roles can personalize ICI treatment and manage irAEs.
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