In a retrospective analysis of clinical trial data, they found that melanoma patients with highly aneuploid tumors were less likely to benefit
from immune checkpoint blockade therapy than patients whose tumors showed fewer chromosomal disruptions.
Not exact matches
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.
«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).
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.
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.
Their study of fecal samples
from 105 patients treated with
immune checkpoint blockade indicates that certain characteristics of patients» microbiomes correlate with slower disease progression while other qualities are associated with rapid worsening of the disease.
In healthy individuals, these
immune checkpoints prevent autoimmunity, but many cancers exploit the same pathways to shield themselves
from an
immune attack.
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.
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.
The
immune checkpoint blockade drug nivolumab reduced tumor burden in 24.4 percent of patients with metastatic bladder cancer, regardless of whether their tumors had a biomarker related to the drug's target, according to clinical trial results
from The University of Texas MD Anderson Cancer Center.
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.
Issues In Protein Immunotherapy Immunotherapy Squared: Bavituximab, a monoclonal antibody
from Peregrine Pharmaceuticals (Tustin, CA), is a classic protein immunotherapy targeting phosphatidylserine (PS), a novel
immune system
checkpoint.
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.
The researchers hypothesized that antibiotics might even have an effect 60 days
from start of therapy with
immune checkpoint inhibitors.
Bottom Line: Bacterial load was significantly higher in pancreatic tumor samples
from patients with pancreatic ductal adenocarcinoma compared with pancreatic tissue
from normal individuals, and in studies using mice, eliminating certain «bad» bacteria slowed the growth of pancreatic cancer, reversed
immune suppression, and upregulated the
immune checkpoint protein PD1.
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.
In melanoma, an increase in overall mutational and neoantigen load — novel tumor - specific antigens that can be recognized by the
immune system — was associated with clinical benefit
from checkpoint blockade.
His plan is to sample thousands of tumors
from hundreds of cancer patients across their disease course to track where
immune checkpoint signaling molecules are distributed.