Cellular Immunology Unit, Department of Immunology, Transplantation and Infectious Diseases, San Raffaele Scientific Institute, Milan, Italy.
Front Immunol. 2018 Jul 31;9:1786. doi: 10.3389/fimmu.2018.01786. eCollection 2018.
Prostate adenocarcinoma (PCa) and melanoma are paradigmatic examples of tumors that are either poorly or highly sensitive to therapies based on monoclonal antibodies directed against regulatory pathways in T lymphocytes [i.e., immune checkpoint blockade (ICB)]. Yet, approximately 40% of melanoma patients are resistant or acquire resistance to ICB. What characterize the microenvironment of PCa and ICB-resistant melanoma are a scanty cytotoxic T cell infiltrate and a strong immune suppression, respectively. Here, we compare the tumor microenvironment in these two subgroups of cancer patients, focusing on some among the most represented immune checkpoint molecules: cytotoxic T lymphocyte-associated antigen-4, programmed death-1, lymphocyte activation gene-3, and T cell immunoglobulin and mucin-domain containing-3. We also report on several examples of crosstalk between cancer and immune cells that are mediated by inhibitory immune checkpoints and identify promising strategies aimed at overcoming ICB resistance both in PCa and melanoma.
前列腺腺癌(PCa)和黑色素瘤是两种典型的肿瘤,它们对基于针对 T 淋巴细胞调节途径的单克隆抗体的治疗要么效果很差,要么效果很好[即免疫检查点阻断(ICB)]。然而,大约 40%的黑色素瘤患者对 ICB 有耐药性或获得耐药性。PCa 和 ICB 耐药性黑色素瘤的特征分别是细胞毒性 T 细胞浸润稀少和强烈的免疫抑制。在这里,我们比较了这两组癌症患者的肿瘤微环境,重点关注一些最具代表性的免疫检查点分子:细胞毒性 T 淋巴细胞相关抗原 4、程序性死亡受体 1、淋巴细胞激活基因 3 和 T 细胞免疫球蛋白和粘蛋白结构域 3。我们还报告了一些由抑制性免疫检查点介导的癌细胞与免疫细胞之间的串扰的例子,并确定了一些有希望的策略,旨在克服 PCa 和黑色素瘤中的 ICB 耐药性。
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