1. Overcoming immunotherapeutic resistance by targeting the cancer inflammation cycle.
- Author
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Wattenberg MM and Beatty GL
- Subjects
- Cell Movement drug effects, Humans, Immunotherapy adverse effects, Inflammation immunology, Inflammation pathology, Myeloid Cells immunology, Neoplasms immunology, Neoplasms pathology, Tumor Microenvironment immunology, Drug Resistance, Neoplasm immunology, Inflammation drug therapy, Neoplasms drug therapy, T-Lymphocytes immunology
- Abstract
Inflammation is a hallmark of cancer and supports tumor growth, proliferation, and metastasis, but also inhibits T cell immunosurveillance and the efficacy of immunotherapy. The biology of cancer inflammation is defined by a cycle of distinct immunological steps that begins during disease conception with the release of inflammatory soluble factors. These factors communicate with host organs to trigger bone marrow mobilization of myeloid cells, trafficking of myeloid cells to the tumor, and differentiation of myeloid cells within the tumor bed. Tumor-infiltrating myeloid cells then orchestrate an immunosuppressive microenvironment and assist in sustaining a vicious cycle of inflammation that co-evolves with tumor cells. This Cancer-Inflammation Cycle acts as a rheostat or "inflammostat" that impinges upon T cell immunosurveillance and prevents the development of productive anti-tumor immunity. Here, we define the major nodes of the Cancer-Inflammation Cycle and describe their impact on T cell immunosurveillance in cancer. Additionally, we discuss emerging pre-clinical and clinical data suggesting that intervening upon the Cancer-Inflammation Cycle will be a necessary step for broadening the potential of immunotherapy in cancer., Competing Interests: Declaration of Competing Interest G.L.B. is a consultant/advisory board member for Seattle Genetics, Aduro Biotech, AstraZeneca, Bristol-Myers Squibb, Genmab, Merck, Shattuck Labs, Boehringer Ingelheim, and BiolineRx; reports receiving commercial research grants from Incyte, Bristol-Myers Squibb, Verastem, Halozyme, Biothera, Newlink, Novartis, and Janssen. G.L.B. is an inventor of intellectual property and recipient of royalties related to CAR T cells that are licensed by the University of Pennsylvania to Novartis. No additional potential conflicts of interest were disclosed by M.M.W., (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Published
- 2020
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