Ludwig Institute for Cancer Research, and Department of Oncology, University Hospital of Lausanne (CHUV), Lausanne CH-1066, Switzerland.
Ludwig Institute for Cancer Research, and Department of Oncology, University Hospital of Lausanne (CHUV), Lausanne CH-1066, Switzerland; Ovarian Cancer Research Center, University of Pennsylvania Medical Center, Smilow Translational Research Center 8th Floor, 186B, 3400 Civic Center Boulevard, Philadelphia, PA 19104, USA.
Cancer Treat Rev. 2018 Dec;71:88-101. doi: 10.1016/j.ctrv.2018.10.012. Epub 2018 Oct 25.
The field of cancer immunotherapy has been revolutionized with the use of immune checkpoint blockade antibodies such as anti-programmed cell death 1 protein (PD-1) and chimeric antigen receptor T cells. Significant clinical benefits are observed in different cancer types with these treatments. While considerable efforts are made in augmenting tumor-specific T cell responses with these therapies, other immunotherapies that actively stimulate endogenous anti-tumor T cells and generating long-term memory have received less attention. Given the high cost of cancer immunotherapies especially with chimeric antigen receptor T cells, not many patients will have access to such treatments. The next-generation of cancer immunotherapy could entail in vivo cancer vaccination to activate both the innate and adaptive anti-tumor responses. This could potentially be achieved via in vivo targeting of dendritic cells which are an indispensable link between the innate and adaptive immunities. Dendritic cells highly expressed toll-like receptors for recognizing and eliminating pathogens. Synthetic toll-like receptors agonists could be synthesized at a low cost and have shown promise in preclinical and clinical trials. As different subsets of human dendritic cells exist in the immune system, activation with different toll-like receptor agonists could exert profound effects on the quality and magnitude of anti-tumor T cell responses. Here, we reviewed the different subsets of human dendritic cells. Using published preclinical and clinical cancers studies available on PubMed, we discussed the use of clinically approved and emerging toll-like receptor agonists to activate dendritic cells in vivo for cancer immunotherapy. Finally, we searched www.clinicaltrials.gov and summarized the active cancer trials evaluating toll-like receptor agonists as an adjuvant.
癌症免疫疗法领域已经发生了革命性的变化,使用了免疫检查点阻断抗体,如抗程序性细胞死亡蛋白 1(PD-1)和嵌合抗原受体 T 细胞。这些治疗方法在不同类型的癌症中观察到了显著的临床益处。虽然在这些疗法中,人们做出了很大的努力来增强肿瘤特异性 T 细胞反应,但其他主动刺激内源性抗肿瘤 T 细胞并产生长期记忆的免疫疗法却受到了较少的关注。鉴于癌症免疫疗法,尤其是嵌合抗原受体 T 细胞的成本高昂,没有多少患者能够接受这些治疗。下一代癌症免疫疗法可能需要进行体内癌症疫苗接种,以激活先天和适应性抗肿瘤反应。这可以通过体内靶向树突状细胞来实现,树突状细胞是先天免疫和适应性免疫之间不可或缺的环节。树突状细胞高度表达 Toll 样受体,用于识别和消除病原体。合成 Toll 样受体激动剂可以以低成本合成,并在临床前和临床试验中显示出前景。由于人类树突状细胞存在于免疫系统的不同亚群中,因此用不同的 Toll 样受体激动剂激活可以对抗肿瘤 T 细胞反应的质量和数量产生深远的影响。在这里,我们回顾了人类树突状细胞的不同亚群。利用在 PubMed 上可获得的已发表的临床前和临床癌症研究,我们讨论了使用临床批准和新兴的 Toll 样受体激动剂在体内激活树突状细胞进行癌症免疫疗法。最后,我们在 www.clinicaltrials.gov 上进行了搜索,并总结了正在评估 Toll 样受体激动剂作为佐剂的活跃癌症试验。
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