Department of Radiation Oncology, Weill Cornell Medical College, New York, NY, USA.
Department of Cell Development & Cancer Biology, Knight Cancer Institute, Oregon Health and Science University, Portland, OR, USA.
Nat Rev Drug Discov. 2022 Jun;21(6):440-462. doi: 10.1038/s41573-022-00415-5. Epub 2022 Mar 15.
Immune checkpoint inhibitors (ICIs) have revolutionized the clinical management of multiple tumours. However, only a few patients respond to ICIs, which has generated considerable interest in the identification of resistance mechanisms. One such mechanism reflects the ability of various oncogenic pathways, as well as stress response pathways required for the survival of transformed cells (a situation commonly referred to as 'non-oncogene addiction'), to support tumour progression not only by providing malignant cells with survival and/or proliferation advantages, but also by establishing immunologically 'cold' tumour microenvironments (TMEs). Thus, both oncogene and non-oncogene addiction stand out as promising targets to robustly inflame the TME and potentially enable superior responses to ICIs.
免疫检查点抑制剂 (ICIs) 彻底改变了多种肿瘤的临床治疗。然而,只有少数患者对 ICI 有反应,这引发了人们对耐药机制的极大兴趣。其中一种机制反映了各种致癌途径以及转化细胞生存所需的应激反应途径(通常称为“非致癌基因成瘾”)的能力,这些途径不仅为恶性细胞提供了生存和/或增殖优势,而且还通过建立免疫“冷”肿瘤微环境 (TME) 来支持肿瘤进展。因此,致癌基因和非致癌基因成瘾都成为有前途的靶点,可以有效地激活 TME,并有可能使对 ICI 的反应更优。