Immune Checkpoint Blockade and Interferon-α in Melanoma

被引:33
作者
Rafique, Imran [1 ]
Kirkwood, John M. [1 ,2 ]
Tarhini, Ahmad A. [1 ,2 ]
机构
[1] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15232 USA
[2] Univ Pittsburgh, Inst Canc, Pittsburgh, PA 15232 USA
关键词
CD8; T-CELLS; ANTIGEN; 4; CTLA-4; DOSE INTERFERON-ALPHA-2B; MONOCLONAL-ANTIBODY; PHASE-I; COMBINATION IMMUNOTHERAPY; PROGRAMMED CELL-DEATH-1; ANTI-CTLA4; ANTIBODY; CLINICAL ACTIVITY; SUPPRESSOR-CELLS;
D O I
10.1053/j.seminoncol.2015.02.012
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The quality of the host immune response in patients with advanced melanoma is compromised with a bias towards Th2-type polarization and a tumor microenvironment that facilitates disease progression. Overcoming tumor-induced immune suppression through strategies that build upon the immunomodulatory qualities and clinical activity of interferon-a as demonstrated in the Melanoma adjuvant setting is a major clinical need. The recent advances in the field of immune checkpoint modulation and the unprecedented clinical activity in advanced melanoma opens the door on novel combinations that may overcome tumor tolerogenic mechanisms that are known to suppress the potent anti-tumor impact of interferon (IFN)-alpha. Promising preliminary data suggest that such combinations may move the clinical management of advanced melanoma into the next level, beyond what is currently seen with immune checkpoint blockers alone. (C) 2015 Elsevier Inc. All rights reserved.
引用
收藏
页码:436 / 447
页数:12
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