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The future of immune checkpoint therapy

Padmanee Sharma, +1 more
- 03 Apr 2015 - 
- Vol. 348, Iss: 6230, pp 56-61
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TLDR
The way forward for this class of novel agents lies in the ability to understand human immune responses in the tumor microenvironment, which will provide valuable information regarding the dynamic nature of the immune response and regulation of additional pathways that will need to be targeted through combination therapies to provide survival benefit for greater numbers of patients.
Abstract
Immune checkpoint therapy, which targets regulatory pathways in T cells to enhance antitumor immune responses, has led to important clinical advances and provided a new weapon against cancer. This therapy has elicited durable clinical responses and, in a fraction of patients, long-term remissions where patients exhibit no clinical signs of cancer for many years. The way forward for this class of novel agents lies in our ability to understand human immune responses in the tumor microenvironment. This will provide valuable information regarding the dynamic nature of the immune response and regulation of additional pathways that will need to be targeted through combination therapies to provide survival benefit for greater numbers of patients.

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TSNAD: an integrated software for cancer somatic mutation and tumour-specific neoantigen detection

TL;DR: This study developed software called the tumour-specific neoantigen detector for detecting cancer somatic mutations following the best practices of the genome analysis toolkit and predicting potential tumours- specific neoantigens, which could be either extracellular mutations of membrane proteins or mutated peptides presented by class I major histocompatibility complex molecules.
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Multiple Structural and Epigenetic Defects in the Human Leukocyte Antigen class I Antigen Presentation Pathway in a Recurrent Metastatic Melanoma Following Immunotherapy

TL;DR: A combination of IFN-γ-irreversible structural and epigenetic defects in HLA class I antigen-processing machinery in a recurrent melanoma metastasis after immunotherapy is revealed, representing a novel tumor immune evasion mechanism through impairing multiple components at various levels in the HLAclass I antigen presentation pathway.
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Cellular and molecular biology of small cell lung cancer: an overview

TL;DR: An in-depth view of some of the genomic alterations in SCLC that have emerged as potential targets for therapeutic intervention is provided.
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Personalized cancer vaccines: Targeting the cancer mutanome.

TL;DR: Recent studies demonstrate that neoantigens are important targets following checkpoint inhibition therapy, have been identified as the target of adoptive T cell therapies, and can be successfully targeted with personalized vaccines, providing strong rationale for the clinical translation of personalized cancer vaccines.
References
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Journal ArticleDOI

The blockade of immune checkpoints in cancer immunotherapy

TL;DR: Preliminary clinical findings with blockers of additional immune-checkpoint proteins, such as programmed cell death protein 1 (PD1), indicate broad and diverse opportunities to enhance antitumour immunity with the potential to produce durable clinical responses.
Journal ArticleDOI

Signatures of mutational processes in human cancer

Ludmil B. Alexandrov, +84 more
- 22 Aug 2013 - 
TL;DR: It is shown that hypermutation localized to small genomic regions, ‘kataegis’, is found in many cancer types, and this results reveal the diversity of mutational processes underlying the development of cancer.
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