Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot

The rising incidence and persistent dismal 5-year overall survival of pancreatic ductal adenocarcinoma (PDAC) highlight the need for new effective systemic therapies. Immunotherapy has shown significant benefits in solid organ tumors, but has thus far been disappointing in the treatment of PDAC. The...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of clinical oncology 2022-08, Vol.40 (24), p.2789-2805
Hauptverfasser: Ullman, Nicholas A, Burchard, Paul R, Dunne, Richard F, Linehan, David C
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 2805
container_issue 24
container_start_page 2789
container_title Journal of clinical oncology
container_volume 40
creator Ullman, Nicholas A
Burchard, Paul R
Dunne, Richard F
Linehan, David C
description The rising incidence and persistent dismal 5-year overall survival of pancreatic ductal adenocarcinoma (PDAC) highlight the need for new effective systemic therapies. Immunotherapy has shown significant benefits in solid organ tumors, but has thus far been disappointing in the treatment of PDAC. There have been several promising preclinical studies, but translation into the clinic has proved to be challenging. This is likely a result of PDAC's complex immunosuppressive tumor microenvironment that acts to insulate the tumor against an effective cytotoxic immune response. Here, we summarize the mechanisms of immunosuppression within the PDAC tumor microenvironment and provide an up-to-date review of completed and ongoing clinical trials using various immunotherapy strategies.
doi_str_mv 10.1200/JCO.21.02616
format Article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9390820</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2691049176</sourcerecordid><originalsourceid>FETCH-LOGICAL-c357t-4c86b22b275618dfa334ad24c5199abfe78ad782551f9f4c4cfe83c6504df8d53</originalsourceid><addsrcrecordid>eNpVkM9LwzAYhoMobk5vnqVHD3bmZ5N4EKSom0wmOMFbSNN0VttmJq3gf291c-jp--B9eL-PB4BjBMcIQ3h-l87HGI0hTlCyA4aIYR5zztguGEJOcIwEeR6AgxBeIURUELYPBoQJIillQ5BO67prXOWWpYkeW69buyxtiMometCN8Va3fZD2q_UX0b1-K5tllLoqjxZd7XyIJq49BHuFroI92swReLq5XqSTeDa_naZXs9gQxtuYGpFkGGeYswSJvNCEUJ1jahiSUmeF5ULnXGDGUCELaqgprCAmYZDmhcgZGYHLde-qy2qbG9v0_1Zq5cta-0_ldKn-J035opbuQ0kiocCwLzjdFHj33tnQqroMxlaVbqzrgsKJRJBKxJMePVujxrsQvC22ZxBU395V711hpH689_jJ39e28K9o8gW_ZX5A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2691049176</pqid></control><display><type>article</type><title>Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot</title><source>MEDLINE</source><source>American Society of Clinical Oncology Online Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Ullman, Nicholas A ; Burchard, Paul R ; Dunne, Richard F ; Linehan, David C</creator><creatorcontrib>Ullman, Nicholas A ; Burchard, Paul R ; Dunne, Richard F ; Linehan, David C</creatorcontrib><description>The rising incidence and persistent dismal 5-year overall survival of pancreatic ductal adenocarcinoma (PDAC) highlight the need for new effective systemic therapies. Immunotherapy has shown significant benefits in solid organ tumors, but has thus far been disappointing in the treatment of PDAC. There have been several promising preclinical studies, but translation into the clinic has proved to be challenging. This is likely a result of PDAC's complex immunosuppressive tumor microenvironment that acts to insulate the tumor against an effective cytotoxic immune response. Here, we summarize the mechanisms of immunosuppression within the PDAC tumor microenvironment and provide an up-to-date review of completed and ongoing clinical trials using various immunotherapy strategies.</description><identifier>ISSN: 0732-183X</identifier><identifier>EISSN: 1527-7755</identifier><identifier>DOI: 10.1200/JCO.21.02616</identifier><identifier>PMID: 35839445</identifier><language>eng</language><publisher>United States: Wolters Kluwer Health</publisher><subject>Carcinoma, Pancreatic Ductal ; Humans ; Immunotherapy ; Pancreatic Neoplasms ; Pancreatic Neoplasms - drug therapy ; REVIEW ARTICLES ; Tumor Microenvironment</subject><ispartof>Journal of clinical oncology, 2022-08, Vol.40 (24), p.2789-2805</ispartof><rights>2022 by American Society of Clinical Oncology 2022 American Society of Clinical Oncology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-4c86b22b275618dfa334ad24c5199abfe78ad782551f9f4c4cfe83c6504df8d53</citedby><cites>FETCH-LOGICAL-c357t-4c86b22b275618dfa334ad24c5199abfe78ad782551f9f4c4cfe83c6504df8d53</cites><orcidid>0000-0001-6608-660X ; 0000-0003-1669-1259 ; 0000-0001-7370-5608 ; 0000-0003-1859-2203</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,882,3716,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35839445$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ullman, Nicholas A</creatorcontrib><creatorcontrib>Burchard, Paul R</creatorcontrib><creatorcontrib>Dunne, Richard F</creatorcontrib><creatorcontrib>Linehan, David C</creatorcontrib><title>Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot</title><title>Journal of clinical oncology</title><addtitle>J Clin Oncol</addtitle><description>The rising incidence and persistent dismal 5-year overall survival of pancreatic ductal adenocarcinoma (PDAC) highlight the need for new effective systemic therapies. Immunotherapy has shown significant benefits in solid organ tumors, but has thus far been disappointing in the treatment of PDAC. There have been several promising preclinical studies, but translation into the clinic has proved to be challenging. This is likely a result of PDAC's complex immunosuppressive tumor microenvironment that acts to insulate the tumor against an effective cytotoxic immune response. Here, we summarize the mechanisms of immunosuppression within the PDAC tumor microenvironment and provide an up-to-date review of completed and ongoing clinical trials using various immunotherapy strategies.</description><subject>Carcinoma, Pancreatic Ductal</subject><subject>Humans</subject><subject>Immunotherapy</subject><subject>Pancreatic Neoplasms</subject><subject>Pancreatic Neoplasms - drug therapy</subject><subject>REVIEW ARTICLES</subject><subject>Tumor Microenvironment</subject><issn>0732-183X</issn><issn>1527-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkM9LwzAYhoMobk5vnqVHD3bmZ5N4EKSom0wmOMFbSNN0VttmJq3gf291c-jp--B9eL-PB4BjBMcIQ3h-l87HGI0hTlCyA4aIYR5zztguGEJOcIwEeR6AgxBeIURUELYPBoQJIillQ5BO67prXOWWpYkeW69buyxtiMometCN8Va3fZD2q_UX0b1-K5tllLoqjxZd7XyIJq49BHuFroI92swReLq5XqSTeDa_naZXs9gQxtuYGpFkGGeYswSJvNCEUJ1jahiSUmeF5ULnXGDGUCELaqgprCAmYZDmhcgZGYHLde-qy2qbG9v0_1Zq5cta-0_ldKn-J035opbuQ0kiocCwLzjdFHj33tnQqroMxlaVbqzrgsKJRJBKxJMePVujxrsQvC22ZxBU395V711hpH689_jJ39e28K9o8gW_ZX5A</recordid><startdate>20220820</startdate><enddate>20220820</enddate><creator>Ullman, Nicholas A</creator><creator>Burchard, Paul R</creator><creator>Dunne, Richard F</creator><creator>Linehan, David C</creator><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6608-660X</orcidid><orcidid>https://orcid.org/0000-0003-1669-1259</orcidid><orcidid>https://orcid.org/0000-0001-7370-5608</orcidid><orcidid>https://orcid.org/0000-0003-1859-2203</orcidid></search><sort><creationdate>20220820</creationdate><title>Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot</title><author>Ullman, Nicholas A ; Burchard, Paul R ; Dunne, Richard F ; Linehan, David C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-4c86b22b275618dfa334ad24c5199abfe78ad782551f9f4c4cfe83c6504df8d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Carcinoma, Pancreatic Ductal</topic><topic>Humans</topic><topic>Immunotherapy</topic><topic>Pancreatic Neoplasms</topic><topic>Pancreatic Neoplasms - drug therapy</topic><topic>REVIEW ARTICLES</topic><topic>Tumor Microenvironment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ullman, Nicholas A</creatorcontrib><creatorcontrib>Burchard, Paul R</creatorcontrib><creatorcontrib>Dunne, Richard F</creatorcontrib><creatorcontrib>Linehan, David C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ullman, Nicholas A</au><au>Burchard, Paul R</au><au>Dunne, Richard F</au><au>Linehan, David C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot</atitle><jtitle>Journal of clinical oncology</jtitle><addtitle>J Clin Oncol</addtitle><date>2022-08-20</date><risdate>2022</risdate><volume>40</volume><issue>24</issue><spage>2789</spage><epage>2805</epage><pages>2789-2805</pages><issn>0732-183X</issn><eissn>1527-7755</eissn><abstract>The rising incidence and persistent dismal 5-year overall survival of pancreatic ductal adenocarcinoma (PDAC) highlight the need for new effective systemic therapies. Immunotherapy has shown significant benefits in solid organ tumors, but has thus far been disappointing in the treatment of PDAC. There have been several promising preclinical studies, but translation into the clinic has proved to be challenging. This is likely a result of PDAC's complex immunosuppressive tumor microenvironment that acts to insulate the tumor against an effective cytotoxic immune response. Here, we summarize the mechanisms of immunosuppression within the PDAC tumor microenvironment and provide an up-to-date review of completed and ongoing clinical trials using various immunotherapy strategies.</abstract><cop>United States</cop><pub>Wolters Kluwer Health</pub><pmid>35839445</pmid><doi>10.1200/JCO.21.02616</doi><tpages>17</tpages><orcidid>https://orcid.org/0000-0001-6608-660X</orcidid><orcidid>https://orcid.org/0000-0003-1669-1259</orcidid><orcidid>https://orcid.org/0000-0001-7370-5608</orcidid><orcidid>https://orcid.org/0000-0003-1859-2203</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0732-183X
ispartof Journal of clinical oncology, 2022-08, Vol.40 (24), p.2789-2805
issn 0732-183X
1527-7755
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9390820
source MEDLINE; American Society of Clinical Oncology Online Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Carcinoma, Pancreatic Ductal
Humans
Immunotherapy
Pancreatic Neoplasms
Pancreatic Neoplasms - drug therapy
REVIEW ARTICLES
Tumor Microenvironment
title Immunologic Strategies in Pancreatic Cancer: Making Cold Tumors Hot
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T07%3A03%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Immunologic%20Strategies%20in%20Pancreatic%20Cancer:%20Making%20Cold%20Tumors%20Hot&rft.jtitle=Journal%20of%20clinical%20oncology&rft.au=Ullman,%20Nicholas%20A&rft.date=2022-08-20&rft.volume=40&rft.issue=24&rft.spage=2789&rft.epage=2805&rft.pages=2789-2805&rft.issn=0732-183X&rft.eissn=1527-7755&rft_id=info:doi/10.1200/JCO.21.02616&rft_dat=%3Cproquest_pubme%3E2691049176%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2691049176&rft_id=info:pmid/35839445&rfr_iscdi=true