Enhancing anti-tumor immune responses through combination therapies: epigenetic drugs and immune checkpoint
Ying Liang1, Lingling Wang2, Peijun Ma3
1Precision Pharmacy and Drug Development Center, Department of Pharmacy, Tangdu Hospital, Fourth Military Medical University, Xi'an, Shaanxi, China.
Abstract:
Epigenetic mechanisms are processes that affect gene expression and cellular functions without involving changes in the DNA sequence. This abnormal or unstable expression of genes regulated by epigenetics can trigger cancer and other various diseases. The immune cells involved in anti-tumor responses and the immunogenicity of tumors may also be affected by epigenomic changes. This holds significant implications for the development and application of cancer immunotherapy, epigenetic therapy, and their combined treatments in the fight against cancer. We provide an overview of recent research literature focusing on how epigenomic changes in immune cells influence immune cell behavior and function, as well as the immunogenicity of cancer cells. And the combined utilization of epigenetic medications with immune checkpoint inhibitors that focus on immune checkpoint molecules [e.g., Programmed Death 1 (PD-1), Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4), T cell Immunoglobulin and Mucin Domain (TIM-3), Lymphocyte Activation Gene-3 (LAG-3)] present in immune cells and stromal cells associated with tumors. We highlight the potential of small-molecule inhibitors targeting epigenetic regulators to amplify anti-tumor immune responses. Moreover, we discuss how to leverage the intricate relationship between cancer epigenetics and cancer immunology to create treatment regimens that integrate epigenetic therapies with immunotherapies.
Insights
Epigenetic changes impact cancer immunity and tumor cells. Combining epigenetic therapies with immunotherapies, like immune checkpoint inhibitors, shows promise for enhanced anti-tumor responses.
Area of Science:
- Cancer Immunology
- Epigenetics
- Immunotherapy
Background:
- Epigenetic mechanisms regulate gene expression without altering DNA sequence.
- Aberrant epigenetic regulation can lead to cancer and affect anti-tumor immunity.
- Epigenomic alterations influence immune cell function and tumor immunogenicity.
Purpose of the Study:
- To review how epigenomic changes in immune cells impact anti-tumor responses.
- To explore the combination of epigenetic therapy and cancer immunotherapy.
- To highlight small-molecule inhibitors targeting epigenetic regulators for cancer treatment.
Main Methods:
- Literature review of epigenomic changes in cancer and immunity.
- Analysis of epigenetic therapy combined with immune checkpoint inhibitors (e.g., PD-1, CTLA-4).
- Discussion on integrating epigenetic and immunotherapies for cancer treatment.
Main Results:
- Epigenomic modifications significantly affect immune cell behavior and tumor immunogenicity.
- Combined epigenetic and immune checkpoint inhibitor therapies show potential for amplified anti-tumor immunity.
- Small-molecule inhibitors targeting epigenetic regulators can enhance anti-tumor immune responses.
Conclusions:
- Epigenetic therapies can modulate the tumor microenvironment and immune response.
- Integrating epigenetic drugs with immunotherapies offers a promising strategy for cancer treatment.
- Targeting epigenetic regulators is a key approach to improving cancer immunotherapy efficacy.
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