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A Syngeneic Mouse Model of Metastatic Renal Cell Carcinoma for Quantitative and Longitudinal Assessment of Preclinical Therapies
Published on: April 12, 2017
Novel Immune Checkpoint Inhibitor Targets in Advanced or Metastatic Renal Cell Carcinoma: State of the Art and Future
Samuele Compagno1,2, Chiara Casadio1,2, Linda Galvani1,2
1Medical Oncology, IRCCS, Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Abstract:
Immune checkpoint inhibitors (ICI) have become the cornerstone of treatment in renal cell carcinoma (RCC), for both metastatic disease and in an adjuvant setting. However, an adaptive resistance from cancer cells may arise during ICI treatment, therefore many studies are focusing on additional immune checkpoint inhibitor pathways. Promising targets of immunotherapeutic agents under investigation include T cell immunoglobulin and ITIM domain (TIGIT), immunoglobulin-like transcript 4 (ILT4), lymphocyte activation gene-3 (LAG-3), vaccines, T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3), and chimeric antigen receptor (CAR) T cells. In this review of the literature, we recollect the current knowledge of the novel treatment strategies in the field of immunotherapy that are being investigated in RCC and analyze their mechanism of action, their activity and the clinical studies that are currently underway.
Insights
Immune checkpoint inhibitors (ICI) are key for renal cell carcinoma (RCC). Research explores new targets like TIGIT, LAG-3, and TIM-3 to overcome resistance and improve immunotherapy effectiveness in RCC patients.
Area of Science:
- Oncology
- Immunology
- Cancer Research
Background:
- Immune checkpoint inhibitors (ICI) are standard treatments for renal cell carcinoma (RCC).
- Cancer cells can develop adaptive resistance to current ICI therapies.
- Exploring novel immune checkpoint pathways is crucial for advancing RCC treatment.
Purpose of the Study:
- To review current knowledge on novel immunotherapy strategies for RCC.
- To analyze the mechanisms of action and clinical activity of emerging immunotherapeutic agents.
- To summarize ongoing clinical studies investigating new treatments for RCC.
Main Methods:
- Literature review of scientific publications and clinical trial data.
- Analysis of mechanisms of action for novel immunotherapeutic targets.
- Compilation of data on clinical studies investigating new RCC treatments.
Main Results:
- Identified T cell immunoglobulin and ITIM domain (TIGIT), immunoglobulin-like transcript 4 (ILT4), lymphocyte-activation gene-3 (LAG-3), and T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3) as promising targets.
- Highlighted the potential of vaccines and chimeric antigen receptor (CAR) T cells in RCC immunotherapy.
- Summarized the current status and activity of ongoing clinical trials for these novel agents.
Conclusions:
- Novel immunotherapeutic targets and strategies show promise in overcoming ICI resistance in RCC.
- Further clinical investigation is warranted to establish the efficacy of these emerging treatments.
- Combination therapies targeting multiple immune checkpoints may offer enhanced outcomes for RCC patients.
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