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.

Frontiers in Pharmacology
|September 19, 2022
PubMed

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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