2022
DOI: 10.3389/fcell.2022.830208
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Key Players of the Immunosuppressive Tumor Microenvironment and Emerging Therapeutic Strategies

Abstract: The tumor microenvironment (TME) is a complex, dynamic battlefield for both immune cells and tumor cells. The advent of the immune checkpoint inhibitors (ICI) since 2011, such as the anti-cytotoxic T-lymphocyte associated protein (CTLA)-4 and anti-programmed cell death receptor (PD)-(L)1 antibodies, provided powerful weapons in the arsenal of cancer treatments, demonstrating unprecedented durable responses for patients with many types of advanced cancers. However, the response rate is generally low across tumo… Show more

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Cited by 19 publications
(11 citation statements)
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References 249 publications
(287 reference statements)
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“…DCs not only have antigen presentation function, but also have anticancer effects by stimulating a large number of exosomes ( 231 ). DC-derived exosomes contain MHC I, MHC II, CD86, and HSP70–90 mixtures, which activate CD4+ and CD8+ T cells ( 232 ). In vivo , tumor peptide-pulsed DC-derived exosomes have been shown to induce specific cytotoxicity of T cells and inhibit or eradicate mouse tumor cell growth in a T-cell-dependent manner.…”
Section: Roles Of Exosomes In the Tmementioning
confidence: 99%
“…DCs not only have antigen presentation function, but also have anticancer effects by stimulating a large number of exosomes ( 231 ). DC-derived exosomes contain MHC I, MHC II, CD86, and HSP70–90 mixtures, which activate CD4+ and CD8+ T cells ( 232 ). In vivo , tumor peptide-pulsed DC-derived exosomes have been shown to induce specific cytotoxicity of T cells and inhibit or eradicate mouse tumor cell growth in a T-cell-dependent manner.…”
Section: Roles Of Exosomes In the Tmementioning
confidence: 99%
“…Targeting the chemokine receptor CXCR2 can reduce MDSC populations, promote T-cell infiltration, and improve the efficacy of PD-1 blockade in preclinical studies [ 245 , 246 ]. SX-682, a CXCR1/2 inhibitor, enhanced the T-cell-based immunotherapeutic efficacy in studies using murine tumor models that assessed MDSC-infiltration [ 247 , 248 ]. The CXCR1/2 inhibitor reparixin showed promise in a window-of-opportunity clinical trial for HER-2-negative breast cancer.…”
Section: Inhibition Of Mdsc Recruitmentmentioning
confidence: 99%
“…TME is composed of tumor cells, immune cells, stromal cells, extracellular matrix, and exosomes ( 4 ), thus forming a microenvironment with the characteristics of inflammation, hypoxia, acidity, and immunosuppression. Different types of cells in TME have their preferred metabolic phenotypes ( Figure 1 ).…”
Section: Characteristics and Classifications Of Tmementioning
confidence: 99%