“…Metabolic obstacles including hypoxia, low pH, and depletion of essential nutrients such as amino acids and glucose, are common features of the solid tumour microenvironment (TME) that can markedly suppress immune cell function [ 36 , 37 , 38 ]. Further obstacles are posed by immunosuppressive cell types such as tumour-associated macrophages (TAMs), T regulatory cells (Tregs), and myeloid-derived suppressor cells (MDCSs) [ 39 , 40 ]; these cells express high levels of immune inhibitory molecules, such as programmed death receptor ligands (PD-L1 and PD-L2), galectin-9, and the so-called herpes virus entry mediator (HVEM), and secrete large amounts of anti-inflammatory cytokines, including transforming growth factor-β (TGF-β and interleukin (IL)-10 [ 39 , 41 , 42 , 43 , 44 , 45 , 46 , 47 ].…”