Aging, immune senescence, and immunotherapy: A comprehensive review

The advent of immune checkpoint inhibitors (ICIs) has changed the landscape of cancer treatment. Older adults represent the majority of cancer patients; however, direct data evaluating ICIs in this patient population is lacking. Aging is associated with changes in the immune system known as “immunos...

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Veröffentlicht in:Seminars in oncology 2018-08, Vol.45 (4), p.187-200
Hauptverfasser: Elias, Rawad, Hartshorn, Kevan, Rahma, Osama, Lin, Nina, Snyder-Cappione, Jennifer E.
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container_end_page 200
container_issue 4
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container_title Seminars in oncology
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creator Elias, Rawad
Hartshorn, Kevan
Rahma, Osama
Lin, Nina
Snyder-Cappione, Jennifer E.
description The advent of immune checkpoint inhibitors (ICIs) has changed the landscape of cancer treatment. Older adults represent the majority of cancer patients; however, direct data evaluating ICIs in this patient population is lacking. Aging is associated with changes in the immune system known as “immunosenescence” that could impact the efficacy and safety profile of ICIs. In this paper, we review aging-associated changes in the immune system as they may relate to cancer and immunotherapy, with mention of the effect of chronic viral infections and frailty. Furthermore, we summarize the current clinical evidence of ICI effectiveness and toxicity among older adults with cancer.
doi_str_mv 10.1053/j.seminoncol.2018.08.006
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subjects Checkpoint inhibitors
Frailty
Immune senescence
Immunotherapy
Older adults
title Aging, immune senescence, and immunotherapy: A comprehensive review
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