The future of immune checkpoint therapy

Science. 2015 Apr 3;348(6230):56-61. doi: 10.1126/science.aaa8172.

Abstract

Immune checkpoint therapy, which targets regulatory pathways in T cells to enhance antitumor immune responses, has led to important clinical advances and provided a new weapon against cancer. This therapy has elicited durable clinical responses and, in a fraction of patients, long-term remissions where patients exhibit no clinical signs of cancer for many years. The way forward for this class of novel agents lies in our ability to understand human immune responses in the tumor microenvironment. This will provide valuable information regarding the dynamic nature of the immune response and regulation of additional pathways that will need to be targeted through combination therapies to provide survival benefit for greater numbers of patients.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use
  • Antibodies, Monoclonal, Humanized / therapeutic use
  • Antineoplastic Agents / pharmacokinetics
  • Antineoplastic Agents / therapeutic use*
  • Biomarkers, Pharmacological
  • CTLA-4 Antigen / antagonists & inhibitors
  • CTLA-4 Antigen / immunology
  • Combined Modality Therapy
  • Humans
  • Immunotherapy / methods*
  • Immunotherapy / trends*
  • Inducible T-Cell Co-Stimulator Protein / immunology
  • Ipilimumab
  • Lymphocyte Activation
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Nivolumab
  • Signal Transduction / drug effects*
  • Signal Transduction / immunology
  • T-Lymphocytes / drug effects*
  • T-Lymphocytes / immunology
  • Tumor Microenvironment / drug effects
  • Tumor Microenvironment / immunology

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Antineoplastic Agents
  • Biomarkers, Pharmacological
  • CTLA-4 Antigen
  • CTLA4 protein, human
  • Inducible T-Cell Co-Stimulator Protein
  • Ipilimumab
  • Nivolumab
  • pembrolizumab