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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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Antitumor dendritic cell-based vaccines: lessons from 20 years of clinical trials and future perspectives.

TL;DR: This work systematize the knowledge provided by 20 years of clinical trials, with a special emphasis on the diversity of approaches used to manipulate DCs and their consequent impact on vaccine effectiveness, and addresses how new therapeutic concepts, namely the combination of DC vaccines with other anticancer therapies, are being implemented and are leveraging clinical outcomes.
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Epithelial-mesenchymal transition in cancer metastasis through the lymphatic system.

TL;DR: How imaging techniques have the potential to further expand the knowledge of the mechanisms of lymph metastasis, and how lymph nodes serve as an interface between cancer and the immune system is emphasized.
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Translational and clinical advances in JAK-STAT biology: The present and future of jakinibs.

TL;DR: Clinical data pertaining to the first generation of JAK inhibitors and their clinical indications are reviewed, additional opportunities for targeting this pathway are discussed, and some of the challenges that lie ahead are laid out.
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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