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Targeting oncogenic signal pathway to improve cancer immunotherapy: Insights and perspectives
Qi-Chao Yang1, Heng Sun1, Zhi-Jun Sun1
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Frontier Science Center for Immunology and Metabolism, Taikang Center for Life and Medical Sciences, Wuhan University, Wuhan 430079, China.
Abstract:
Cancer immunotherapy has changed the therapeutic landscape for multiple types of cancer, yet a majority of patients do not respond or develop resistance. Dysregulated activation of oncogenic signalling pathways can lead to tumour immune evasion and the creation of an immunosuppressive "cold" tumour microenvironment, contributing to resistance to immunotherapy. Research indicates that targeting these oncogenic pathways can enhance antitumour immune responses and convert "cold" tumours into "hot" ones, thereby improving the efficacy of immunotherapy. This review summarizes the recent advance of oncogenic signalling on tumour immune evasion and the formation of a "cold" tumour microenvironment. It also summarizes the mechanisms by which targeting oncogenic signalling pathways to enhance antitumour immunity and its effects on cancer immunotherapy. Additionally, therapeutic targets and agents for oncogenic signalling pathways, along with drug-target structural binding mechanisms, are summarized in this study. Relevant clinical trials involving the combination of oncogenic pathway inhibitor and cancer immunotherapy are reviewed. Finally, we discuss the current status and challenges of targeting oncogenic signalling pathways to enhance immunotherapy and outlined potential future research directions based on current findings.
Insights
Targeting oncogenic signaling pathways can overcome cancer immunotherapy resistance by converting "cold" tumors into "hot" ones. This approach enhances anti-tumor immune responses and improves treatment efficacy for non-responsive patients.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Cancer immunotherapy has revolutionized treatment but faces challenges with patient response and resistance.
- Dysregulated oncogenic signaling pathways promote tumor immune evasion and create an immunosuppressive tumor microenvironment, leading to immunotherapy resistance.
Purpose of the Study:
- To review advances in understanding oncogenic signaling's role in tumor immune evasion and cold tumor formation.
- To summarize mechanisms by which targeting oncogenic pathways enhances anti-tumor immunity and immunotherapy efficacy.
- To discuss therapeutic targets, agents, drug-target binding mechanisms, and clinical trials combining oncogenic pathway inhibitors with immunotherapy.
Main Methods:
- Literature review of recent research on oncogenic signaling pathways and cancer immunotherapy.
- Analysis of mechanisms linking oncogenic signaling to immune evasion and immunotherapy resistance.
- Summary of therapeutic strategies, drug targets, and clinical trial data.
Main Results:
- Targeting oncogenic pathways can convert immunosuppressive 'cold' tumors into immune-responsive 'hot' tumors.
- Inhibiting oncogenic signaling enhances anti-tumor immune responses, improving immunotherapy outcomes.
- Combinations of oncogenic pathway inhibitors and immunotherapy show promise in clinical trials.
Conclusions:
- Targeting oncogenic signaling pathways is a viable strategy to overcome cancer immunotherapy resistance.
- Further research is needed to address challenges and explore future directions in this therapeutic combination.
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