Understanding the immune landscape and tumor microenvironment of pancreatic cancer to improve immunotherapy

被引:44
作者
Torphy, Robert J. [1 ]
Schulick, Richard D. [1 ]
Zhu, Yuwen [1 ]
机构
[1] Univ Colorado, Dept Surg, Div Surg Oncol, Anschutz Med Campus,Res 1 North,12800 E 19th Ave, Aurora, CO 80045 USA
基金
美国国家卫生研究院;
关键词
desmoplasia; immunotherapy; pancreatic ductal adenocarcinoma; stroma; TERTIARY LYMPHOID STRUCTURES; T-CELLS; ANTITUMOR IMMUNITY; MACROPHAGES; STROMA; IDENTIFICATION; INFLAMMATION; ACTIVATION; INHIBITION; SURVIVAL;
D O I
10.1002/mc.23179
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Immunotherapy has revolutionized cancer treatment for several hematologic and solid organ malignancies; however, pancreatic cancer remains unresponsive to conventional immunotherapies. Several characteristics of pancreatic cancer present challenges to successful treatment with immunotherapy, including its aggressive biology, poor immunogenicity, and abundant desmoplastic stroma which can impede effector T cell infiltration and promote an immunosuppressive microenvironment. In this review, we evaluate the current understanding of the immune and stromal landscapes of pancreatic cancer, discuss the successes and failures of stroma-targeted therapies, and highlight how stroma-directed therapies may be synergistic with immunotherapy.
引用
收藏
页码:775 / 782
页数:8
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