Combining Epigenetic and Immunotherapy to Combat Cancer

被引:244
作者
Chiappinelli, Katherine B. [1 ]
Zahnow, Cynthia A. [1 ]
Ahuja, Nita [1 ]
Baylin, Stephen B. [1 ]
机构
[1] Sidney Kimmel Comprehens Canc Ctr Johns Hopkins, Dept Oncol, Baltimore, MD USA
关键词
HISTONE DEACETYLASE INHIBITORS; CELL LUNG-CANCER; OVARIAN-CANCER; DNA METHYLATION; CTLA-4; BLOCKADE; ENDOGENOUS RETROVIRUSES; IMMUNOMODULATORY ACTION; INTERFERON RESPONSE; GENE-EXPRESSION; IMMUNE EVASION;
D O I
10.1158/0008-5472.CAN-15-2125
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The most exciting recent advance for achieving durable management of advanced human cancers is immunotherapy, especially the concept of immune checkpoint blockade. However, with the exception of melanoma, most patients do not respond to immunotherapy alone. A growing body of work has shown that epigenetic drugs, specifically DNA methyltransferase inhibitors, can upregulate immune signaling in epithelial cancer cells through demethylation of endogenous retroviruses and cancer testis antigens. These demethylating agents may induce T-cell attraction and enhance immune checkpoint inhibitor efficacy in mouse models. Current clinical trials are testing this combination therapy as a potent new cancer management strategy.
引用
收藏
页码:1683 / 1689
页数:7
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