Myeloid effector cells in cancer
Pieter Schol1, Marit J van Elsas1, Jim Middelburg1
1Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.
Cancer Cell
|December 10, 2024
Summary
Myeloid cells, including macrophages and neutrophils, are crucial for tumor rejection. Therapy-activated T cells reprogram these myeloid cells, making them essential for successful cancer immunotherapy.
Area of Science:
- Immunology
- Cancer Biology
- Tumor Microenvironment
Background:
- Myeloid cells, such as macrophages and neutrophils, have been traditionally viewed as immunosuppressive in cancer immunity.
- While dendritic cells aid T cell-mediated tumor control, targeting other myeloid cells for immunosuppression has yielded limited clinical success.
- Existing immunotherapies primarily focus on reinvigorating tumor-reactive T cells.
Purpose of the Study:
- To re-evaluate the role of myeloid effector cells in tumor rejection.
- To challenge the notion that T cell cytotoxicity is the sole driver of immunotherapy-induced tumor regression.
- To highlight the necessity of myeloid effector cells in the context of successful cancer immunotherapy.
Main Methods:
- Review of recent studies on immune cell roles in immunotherapy.
- Analysis of T cell-mediated recruitment, activation, and reprogramming of myeloid cells.
- Interrogation of myeloid cell presence and function in therapy-driven tumor rejection.
Main Results:
- Therapy-activated T cells are key in recruiting and reprogramming myeloid effector cells within tumors.
- The presence and function of these reprogrammed myeloid cells are essential for tumor rejection.
- Recent immunotherapy successes underscore the importance of myeloid cells beyond T cell cytotoxicity.
Conclusions:
- Myeloid effector cells play a critical, multifaceted role in tumor rejection.
- Rethinking the function of myeloid cells in cancer immunity is vital for developing future immunotherapies.
- Targeting myeloid cell reprogramming by T cells may offer novel therapeutic strategies.
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