Immunotherapy and immunoevasion of colorectal cancer
•The tumor microenvironment could induce immunosuppression, rendering the tumor immune-evasive.•Immune checkpoint inhibitors release the brakes on the immune system to eliminate cancer cells.•Immune check inhibitors have demonstrated impressive success in treating some but not all cancers.•Immunothe...
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Veröffentlicht in: | Drug discovery today 2023-09, Vol.28 (9), p.103669-103669, Article 103669 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | •The tumor microenvironment could induce immunosuppression, rendering the tumor immune-evasive.•Immune checkpoint inhibitors release the brakes on the immune system to eliminate cancer cells.•Immune check inhibitors have demonstrated impressive success in treating some but not all cancers.•Immunotherapy for pMMR-MSI-L and MSS phenotypes of colorectal cancer is still inadequate.
The tremendous success of immunotherapy in clinical trials has led to its establishment as a new pillar of cancer therapy. However, little clinical efficacy has been achieved in microsatellite stable colorectal cancer (MSS-CRC), which constitutes most CRC tumors. Here, we discuss the molecular and genetic heterogeneity of CRC. We review the immune escape mechanisms, and focus on the latest advances in immunotherapy as a treatment modality for CRC. By providing a better understanding of the tumor microenvironment (TME) and the molecular mechanisms underlying immunoevasion, this review offers an insight into developing therapeutic strategies that are effective for patients with various subsets of CRC. |
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ISSN: | 1359-6446 1878-5832 |
DOI: | 10.1016/j.drudis.2023.103669 |