Resistance Mechanisms to Immune-Checkpoint Blockade in Cancer: Tumor-Intrinsic and -Extrinsic Factors.

Abstract:

:Inhibition of immune regulatory checkpoints, such as CTLA-4 and the PD-1-PD-L1 axis, is at the forefront of immunotherapy for cancers of various histological types. However, such immunotherapies fail to control neoplasia in a significant proportion of patients. Here, we review how a range of cancer-cell-autonomous cues, tumor-microenvironmental factors, and host-related influences might account for the heterogeneous responses and failures often encountered during therapies using immune-checkpoint blockade. Furthermore, we describe the emerging evidence of how the strong interrelationship between the immune system and the host microbiota can determine responses to cancer therapies, and we introduce a concept by which prior or concomitant modulation of the gut microbiome could optimize therapeutic outcomes upon immune-checkpoint blockade.

journal_name

Immunity

journal_title

Immunity

authors

Pitt JM,Vétizou M,Daillère R,Roberti MP,Yamazaki T,Routy B,Lepage P,Boneca IG,Chamaillard M,Kroemer G,Zitvogel L

doi

10.1016/j.immuni.2016.06.001

subject

Has Abstract

pub_date

2016-06-21 00:00:00

pages

1255-69

issue

6

eissn

1074-7613

issn

1097-4180

pii

S1074-7613(16)30204-7

journal_volume

44

pub_type

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