Immune evasion mechanisms and immune checkpoint inhibition in advanced merkel cell carcinoma.

Abstract:

:Merkel cell carcinoma (MCC) is a rare skin cancer caused by Merkel cell polyomavirus (MCPyV) infection and/or ultraviolet radiation-induced somatic mutations. The presence of tumor-infiltrating lymphocytes is evidence that an active immune response to MCPyV and tumor-associated neoantigens occurs in some patients. However, inhibitory immune molecules, including programmed death-1 (PD-1) and programmed death-ligand 1 (PD-L1), within the MCC tumor microenvironment aid in tumor evasion of T-cell-mediated clearance. Unlike chemotherapy, treatment with anti-PD-L1 (avelumab) or anti-PD-1 (pembrolizumab) antibodies leads to durable responses in MCC, in both virus-positive and virus-negative tumors. As many tumors are established through the evasion of infiltrating immune-cell clearance, the lessons learned in MCC may be broadly relevant to many cancers.

journal_name

Oncoimmunology

journal_title

Oncoimmunology

authors

Schadendorf D,Nghiem P,Bhatia S,Hauschild A,Saiag P,Mahnke L,Hariharan S,Kaufman HL

doi

10.1080/2162402X.2017.1338237

subject

Has Abstract

pub_date

2017-08-31 00:00:00

pages

e1338237

issue

10

eissn

2162-4011

issn

2162-402X

pii

1338237

journal_volume

6

pub_type

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