Transforming growth factor-β signalling in tumour resistance to the anti-PD-(L)1 therapy: Updated

被引:15
作者
Mortezaee, Keywan [1 ]
Majidpoor, Jamal [2 ]
机构
[1] Kurdistan Univ Med Sci, Sch Med, Dept Anat, Sanandaj, Iran
[2] Gonabad Univ Med Sci, Infect Dis Res Ctr, Sch Med, Dept Anat, Gonabad, Iran
关键词
immune checkpoint inhibitor; programmed death-1 receptor; programmed death-ligand 1; resistance; transforming growth factor-beta; tumour microenvironment; TGF-BETA; MYELOID CELLS; IMMUNOTHERAPY; ACTIVATION; SYNERGIZES;
D O I
10.1111/jcmm.17666
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Low frequency of durable responses in patients treated with immune checkpoint inhibitors (ICIs) demands for taking complementary strategies in order to boost immune responses against cancer. Transforming growth factor-beta (TGF-beta) is a multi-tasking cytokine that is frequently expressed in tumours and acts as a critical promoter of tumour hallmarks. TGF-beta promotes an immunosuppressive tumour microenvironment (TME) and defines a bypass mechanism to the ICI therapy. A number of cells within the stroma of tumour are influenced from TGF-beta activity. There is also evidence of a relation between TGF-beta with programmed death-ligand 1 (PD-L1) expression within TME, and it influences the efficacy of anti-programmed death-1 receptor (PD-1) or anti-PD-L1 therapy. Combination of TGF-beta inhibitors with anti-PD(L)1 has come to the promising outcomes, and clinical trials are under way in order to use agents with bifunctional capacity and fusion proteins for bonding TGF-beta traps with anti-PD-L1 antibodies aiming at reinvigorating immune responses and promoting persistent responses against advanced stage cancers, especially tumours with immunologically cold ecosystem.
引用
收藏
页码:311 / 321
页数:11
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