A promising avenue of clinical research in cervical cancer is the use of T
cell immune checkpoint inhibitors.
Not exact matches
BMS's drug, ipilimumab (Yervoy), was the first
checkpoint inhibitor (a kind of cancer immunotherapy drug that essentially helps the
immune system release its brake and go after tumor
cells it might normally miss) to get approved in the US in 2011 for melanoma.
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.
By administering a complementary antibody, they blocked the function of two such
immune checkpoints, whereby different types of endogenous T -
cells were activated.
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.
Checkpoint inhibitors block that handshake, which alerts
immune cells to cancer
cells and target them for destruction.
Researchers at The University of Texas MD Anderson Cancer Center developed a novel chimeric mouse model to test the combination therapy using
immune checkpoint blockades with therapies targeting myeloid - derived suppressor
cells (MDSCs).
Some cancers have also found ways to trigger these
checkpoints to effectively shut off T
cells and hide from the
immune system.
«Although we found that chemotherapy activated the T
cells, the levels of the protein PD - L1 [to which the
immune checkpoint molecule PD - 1 binds to disable T
cells and prevent them from recognizing and destroying the cancer
cells] remained the same or increased.
One recent tally found more than 1100 studies combining a popular new class called
checkpoint inhibitor drugs, which unleash suppressed
immune cells, with other treatments.
«We wanted to utilize platelets» intrinsic tendencies to accumulate at wounds and to interact with circulating tumor
cells, for targeted delivery of
immune checkpoint inhibitors» said Gu, «Interestingly, we found the antibody can be promoted to release from activated platelets in the surgical site, due to generation of small platelet - derived microparticles upon the platelet activation.
The cancer
cells» defense strategy can be overcome by
immune checkpoint inhibitor agents, including anti-PD-1 / PD - L1 antibodies, several kinds of which have received fast - track approval from the U.S. Food and Drug Administration (FDA).
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.
However,
immune cells may be blocked by inhibitory molecules, which serve as
checkpoints to alleviate or «turn off» the
immune system response, Gu explained.
They are designed to get around one of the ways that cancer protects itself from the
immune system: tumors can activate the body's natural protective response from autoimmunity, called a
checkpoint, and thereby thwart cytotoxic T
cells.
They have identified a «
checkpoint» manned by these
immune cells that, if barred, can halt the development of the lung inflammation associated with allergies.
Allison pioneered
immune checkpoint blockade, an approach that treats the
immune system, rather than the tumor directly, by blocking molecules on T
cells that shut those attack
cells down, protecting tumors from
immune response.
Patients in the study were treated with
immune checkpoint inhibitors that block the activation of PD1, a protein on
immune system T
cells that halts
immune response.
«Recent successes in cancer immunotherapy — in the form of
immune checkpoint inhibitors and adoptive T
cell transfer — demonstrate how activated
immune cells can eradicate tumors, but until now we didn't fully appreciate immunosurveillance or the role of adaptive immunity in tumor formation,» said senior author Michael Karin, PhD, Distinguished Professor of Pharmacology and Pathology at UC San Diego School of Medicine.
A new class of drugs called
immune checkpoint inhibitors block molecules on T
cells that shut down
immune response, freeing the
immune system to attack tumors.
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).
Researchers found the gene therapy approach had stronger results when used in combination with either depletion of immunosuppressive
cells from the tumor mass or with
immune checkpoint blockade.
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.
Tumor
cells often over express these
checkpoint molecules, putting the brakes on the
immune system's search and destroy work.
«TCF - 1 is the focus of many immunology and oncology studies, especially those dealing with
checkpoint inhibitors and sick
immune 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.
Researchers led by Van Allen and Choueiri sought an explanation for why some patients with a form of metastatic kidney cancer called clear
cell renal
cell cancer (ccRCC) gain clinical benefit — sometimes durable — from treatment with
immune checkpoint inhibitors that block the PD - 1
checkpoint, while other patients don't.
AMD3100, alone or in combination with VIC - 008, decreases expression of the
immune checkpoint molecule PD - 1 on CD8 T
cells, implying that the CXCR4 / CXCR12 pathway modulates PD - 1 expression.
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.
Immunity is key to long - term responses Knowing that the
immune system is capable of recognizing distinctive features of cancer
cells and launching a T
cell attack against those tumor antigens, and that
checkpoint blockade removes a roadblock to that attack, it's logical that these drugs should work against many tumor types.
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.
Ipilimumab targets the CTLA - 4
checkpoint on T
cells and was the first
immune checkpoint inhibitor.
Checkpoint blockade: Fewer but stronger results Allison pioneered immune checkpoint blockade, an approach that treats the immune system, rather than the tumor directly, by blocking molecules on T cells that shut those attack cells down, protecting tumors from immune
Checkpoint blockade: Fewer but stronger results Allison pioneered
immune checkpoint blockade, an approach that treats the immune system, rather than the tumor directly, by blocking molecules on T cells that shut those attack cells down, protecting tumors from immune
checkpoint blockade, an approach that treats the
immune system, rather than the tumor directly, by blocking molecules on T
cells that shut those attack
cells down, protecting tumors from
immune response.
They found that PD - L1
immune checkpoint blockade significantly improved the therapeutic efficacy of stem
cell based oncolytic virotherapy in melanoma brain metastasis.
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 idiotype.
Current immunotherapies for ovarian cancer fall into six broad categories: monoclonal antibodies;
checkpoint inhibitors and
immune modulators; therapeutic vaccines; adoptive T
cell transfer; oncolytic viruses; and adjuvant immunotherapies.
In this review we discuss how selected cancer -
cell autonomous cues may influence the outcome of cancer immunotherapy, particularly
immune checkpoint inhibition.
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.
Dr. Allison: The way the field of immunotherapy is going now is toward combinatorial therapies, where we combine these different
immune checkpoints blockers, and also combine these with drugs that actually kill tumor
cells.
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 treatments can be broken into four categories: monoclonal antibodies,
checkpoint inhibitors and
immune modulators, cancer vaccines, and adoptive
cell therapy.
Vladimir Vigdorovich, Ph.D., a CRI postdoctoral fellow at Albert Einstein College of Medicine, studies B7x, which is an
immune checkpoint molecule that can inhibit T
cell function.
«We showed that there are markers on these stomach tumour
cells that indicate they would be responsive to a type of immunotherapy called
immune checkpoint inhibitors, in particular anti-PDL1 immunotherapy, which is already used with great success in the treatment of melanoma and certain other cancers.
PD - L1
checkpoint inhibition and anti-CTLA-4 whole tumor
cell vaccination counter adaptive
immune resistance: A mouse neuroblastoma model that mimics human disease.
PEGylated arginine deiminase can modulate tumor
immune microenvironment by affecting
immune checkpoint expression, decreasing regulatory T
cell accumulation and inducing tumor T
cell infiltration.
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 company is trying to combine and commercialize two very hot technologies — adoptive T -
cell therapy and silencing of
immune checkpoints by RNAi.
In the next year, members of the Dream Team will continue to study the tumor microenvironment before and after
checkpoint blockade, to develop algorithms to identify and predict the best antigens on cancer
cells that can be used for cancer immunotherapies, to analyze tumor tissues and blood for biomarkers that will help in selecting patients who will benefit, and identifying the best approaches to increase the strength of
immune cells for adoptive
cell therapy.
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.