Combination therapy with immune checkpoint inhibitors (ICIs); a new frontier.
Somayeh VafaeiAngelina O ZekiyRamadhan Ado KhanamirBurhan Abdullah ZamanArman GhayourvahdatHannaneh AzimizonuziMajid ZamaniPublished in: Cancer cell international (2022)
Recently, immune checkpoint inhibitors (ICIs) therapy has become a promising therapeutic strategy with encouraging therapeutic outcomes due to their durable anti-tumor effects. Though, tumor inherent or acquired resistance to ICIs accompanied with treatment-related toxicities hamper their clinical utility. Overall, about 60-70% of patients (e.g., melanoma and lung cancer) who received ICIs show no objective response to intervention. The resistance to ICIs mainly caused by alterations in the tumor microenvironment (TME), which in turn, supports angiogenesis and also blocks immune cell antitumor activities, facilitating tumor cells' evasion from host immunosurveillance. Thereby, it has been supposed and also validated that combination therapy with ICIs and other therapeutic means, ranging from chemoradiotherapy to targeted therapies as well as cancer vaccines, can capably compromise tumor resistance to immune checkpoint blocked therapy. Herein, we have focused on the therapeutic benefits of ICIs as a groundbreaking approach in the context of tumor immunotherapy and also deliver an overview concerning the therapeutic influences of the addition of ICIs to other modalities to circumvent tumor resistance to ICIs.
Keyphrases
- combination therapy
- end stage renal disease
- randomized controlled trial
- ejection fraction
- newly diagnosed
- squamous cell carcinoma
- chronic kidney disease
- endothelial cells
- type diabetes
- prognostic factors
- adipose tissue
- rectal cancer
- peritoneal dialysis
- skeletal muscle
- fluorescent probe
- lymph node metastasis
- replacement therapy
- patient reported
- smoking cessation