«Our results in experimental models of cancer suggest a new therapeutic strategy based on inhibiting the microRNA machinery — or the Let - 7 microRNAs — specifically in the TAMs, which may unleash the power of mainstream immunotherapies, such
as immune checkpoint inhibitors.»
The class of medications that he conceived, known
as immune checkpoint inhibitors, works counterintuitively: By turning off one of the immune system's built - in safeguards, the inhibitors allow T cells — the system's foot soldiers — to attack tumors more effectively.
Not exact matches
Investigators have repeatedly touted the drug
as a potential lynchpin in immuno - oncology, focusing on an enzyme that suppresses the
immune cells Opdivo and a whole new class of PD - 1 / L1
checkpoints are designed to unleash in an attack on cancer cells.
One class of immunotherapeutic drugs is known
as «
checkpoint» inhibitors,
as they target
checkpoints in
immune system regulation to allow the body's natural defenses, such
as white blood cells, to more effectively target the cancer.
However,
immune cells may be blocked by inhibitory molecules, which serve
as checkpoints to alleviate or «turn off» the
immune system response, Gu explained.
Known
as a
checkpoint inhibitor, tremelimumab is an investigational monoclonal antibody that «cuts the brakes» of the
immune system by targeting cytotoxic T - lymphocyte antigen 4 (CTLA - 4), a protein that can switch off a patient's
immune response.
Checkpoint inhibitors are monoclonal antibodies that target certain proteins that downregulate the
immune system, such
as programmed cell death protein 1 (PD - 1), programmed death - ligand 1 (PD - L1) and cytotoxic T - lymphocyte antigen 4 (CTLA - 4).
It would involve gene therapy delivered at the time of surgery and systemic delivery of the
immune checkpoint inhibitors, such
as through IV injection.
Results of an initial study of tumors from patients with lung cancer or head and neck cancer suggest that the widespread acquired resistance to immunotherapy drugs known
as checkpoint inhibitors may be due to the elimination of certain genetic mutations needed to enable the
immune system to recognize and attack malignant cells.
The
immune system has several strategies to prevent this, known
as tolerance, and researchers at the Medical University of South Carolina (MUSC) have identified a novel
checkpoint of peripheral tolerance, specifically in B cells.
Commenting on the two studies, Baas says that finding a good treatment for mesothelioma has been a challenge for many years and has so far led to many disappointments, so there is a need for investigation into new pathways such
as the use of
immune checkpoint inhibitors that target the PD - 1 / PD - L1 pathway.
Microbes that cause diseases like HIV, malaria, and hepatitis C exploit and often activate the same
checkpoint pathways — cell surface receptors such
as CTLA4 and PD - 1 — to slow
immune cells and prevent their elimination by the host.
Checkpoint blockade therapy obstructs those signals, makes T - cells see the cancer cells
as invaders again, and allows the
immune system to do its job.
Due to an increasing body of evidence which suggests that the host
immune response may be critical to the efficacy of oncolytic virotherapy, Shah and his colleagues also developed an immunocompetent melanoma mouse model and explored treating with both stem cell loaded oHSV and
immune checkpoint blockers such
as the ones that target the PD - 1 / PD - L1 pathway.
We also apply these techniques to model systems in order to identify subgroups of patients who are uniquely sensitive or resistant to targeted therapies, such
as poly (ADP - ribose) polymerase (PARP) inhibitors or
immune checkpoint blockade.
As demonstrated by the breadth of clinical trial involvement shown above, CCIR members are testing the utility of immune checkpoint blockade in lymphoma (shown by Dr. Allison to be effective against melanoma), genetic engineering in cell therapy (e.g., CD19, CXCR2, TGF - β DNR), and TLR agonists or IL - 2 in vaccine formulations as well as some novel combination therapies, such as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated with a lymphoma idiotyp
As demonstrated by the breadth of clinical trial involvement shown above, CCIR members are testing the utility of
immune checkpoint blockade in lymphoma (shown by Dr. Allison to be effective against melanoma), genetic engineering in cell therapy (e.g., CD19, CXCR2, TGF - β DNR), and TLR agonists or IL - 2 in vaccine formulations
as well as some novel combination therapies, such as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated with a lymphoma idiotyp
as well
as some novel combination therapies, such as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated with a lymphoma idiotyp
as some novel combination therapies, such
as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated with a lymphoma idiotyp
as the infusion of tumor - reactive lymphocytes from HLA - matched donors who were vaccinated with a lymphoma idiotype.
iTeos is now developing EOS200271 which is a synthetic, small molecule inhibitor of indoleamine 2,3 - dioxygenase (IDO1), which has demonstrated the same anti-tumour activity in multiple preclinical tumour models in combination with
immune checkpoint inhibitors
as competitors, but also has demonstrated superior brain penetration.
Working in mice, Norbury's team used several methods to deplete different types of innate
immune cells — collectively known
as myeloid cells — at the three
checkpoints before infecting the rodents with poxvirus.
It is considered that in advanced or metastatic disease,
immune checkpoint inhibitors, such
as anti PD - 1 / PDL - 1 and CTLA4 should be the standard of care [55].
The other involves what are known
as «
immune checkpoint blockade inhibitors,» which Parker describes
as «retraining» the «troops» to be able to get around cancer's defenses.
T - cells (red, yellow, and blue) attack a tumour in a mouse model of breast cancer following treatment with radiation and a PD - L1
immune checkpoint inhibitor,
as seen by transparent tumour tomography.
These include therapies that target other
immune checkpoint receptors such
as Tim3 and Lag3 (2) or other inhibitory receptors including the adenosine 2A receptor, PGE2 receptor, and TGF - β receptor complex (7, 8).
In an effort to further exploit the potential of Pexa - Vec to activate the
immune system to fight cancer,
as seen in McDonald's preclinical data, SillaJen recently announced a new clinical trial in collaboration with New York - based Regeneron Inc. to test Pexa - Vec and REGN2810, a PD - 1
checkpoint inhibitor, in combination against renal cell carcinoma, and recently signed a sponsored research agreement with UCSF to enable joint support of parallel preclinical experiments by McDonald's team.
The study highlights an opportunity to combine this form of therapy with cancer immunotherapy drugs such
as checkpoint inhibitors, which unleash the
immune system's full cancer - fighting power, the researchers say.
Their work encompasses several strategies, including: developing FL - HCC animal models to characterize tumor -
immune interactions, exploring if a mutated protein associated with FL - HCC could be targeted by immunotherapy, identifying
immune checkpoints that could potentially serve
as targets for immunotherapy
as well
as biomarkers for analyzing patients, and evaluating the effectiveness of immunotherapy strategies against FL - HCC patient samples in the lab.
The laboratory of Linda Bradley, Ph.D., professor at SBP, recently published a paper identifying PSGL - 1, a protein that limits T cell responses to viruses,
as a new target for
checkpoint inhibition, an approach akin to taking the «brakes» off the
immune system.
Like its more famous older sibling, CTLA - 4, PD - 1 is a protein found on
immune cells that acts
as a brake, or
checkpoint.
Led by Leena Gandhi, MD, PhD, associate professor of medicine and director of thoracic medical oncology, researchers from the KEYNOTE - 021 study demonstrated for the first time that combining an
immune checkpoint inhibitor — in this case, pembrolizumab — with a platinum - doublet chemotherapy regimen might be more effective than chemotherapy alone
as first - line treatment for advanced, non-squamous NSCLC.
His work also suggests that therapies designed to block
immune checkpoints, such
as anti-PD-1 antibodies, may act in part by shifting this metabolic competition back in favor of
immune cells.
Mismatch repair (MMR)- deficient cancers have been discovered to be highly responsive to
immune therapies such
as PD - 1
checkpoint blockade, making their definition in patients, where they may be relatively rare, paramount for treatment decisions.
Capacity for substantial genetic payload supports multiple tumor antigens or a combination of tumor antigens and other
immune stimulatory molecules, such
as checkpoint inhibitors.