Saleh Mohammad H, Wang Lei, Goldberg Michael S
Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA, USA.
Cancer Immunol Immunother. 2016 Jul;65(7):787-96. doi: 10.1007/s00262-015-1776-3. Epub 2015 Dec 8.
Immunotherapy confers durable clinical benefit to melanoma, lung, and kidney cancer patients. Challengingly, most other solid tumors, including ovarian carcinoma, are not particularly responsive to immunotherapy, so combination with a complementary therapy may be beneficial. Recent findings suggest that epigenetic modifying drugs can prime antitumor immunity by increasing expression of tumor-associated antigens, chemokines, and activating ligands by cancer cells as well as cytokines by immune cells. This review, drawing from both preclinical and clinical data, describes some of the mechanisms of action that enable DNA methyltransferase inhibitors to facilitate the establishment of antitumor immunity.
免疫疗法可为黑色素瘤、肺癌和肾癌患者带来持久的临床益处。具有挑战性的是,包括卵巢癌在内的大多数其他实体瘤对免疫疗法的反应并不特别明显,因此与互补疗法联合使用可能会有益处。最近的研究结果表明,表观遗传修饰药物可通过增加癌细胞表达肿瘤相关抗原、趋化因子和激活配体以及免疫细胞表达细胞因子来启动抗肿瘤免疫。本综述借鉴临床前和临床数据,描述了一些使DNA甲基转移酶抑制剂能够促进抗肿瘤免疫建立的作用机制。