Recent advances in immunotherapy led to a breakthrough in cancer treatment, changing the algorithms of clinical cancer management. Notwithstanding this success, numerous immune escape mechanisms significantly hamper the long-term efficacy of immunotherapy. A growing body of evidence recognizes immunosuppressive tumor microenvironment (TME) as a major obstacle for effective anti-cancer immunotherapy. It is therefore postulated that multiple pathways in TME need to be targeted in support to the induction of tumor-specific effector immune cells. Our lab has developed a novel mRNA vaccination platform allowing for induction of strong anti-tumor immune responses in the context of cervical cancer. In our recent study, using a variety of in vivo and ex vivo techniques, we observed the existence of organ-specific microenvironments that differed in their immunosuppressive capacity. We demonstrated that the particularly hostile nature of genital tract TME could be alleviated using cisplatin. This data indicated that the induction of tumor-specific T cells accompanied by a simultaneous targeting of TME is a prerequisite for the improvement of adaptive anti-cancer immunotherapies, thereby emphasizing the need for a TME-tailored immunotherapy.Keywords: Tumor microenvironment; Personalized immunotherapy; mRNA vaccine; Cisplatin
Short CommunicationThe latest analyses of clinical success rates for drug development indicate a significant divergence between R&D expenses and new drug approvals. While anti-cancer drugs constitute a large majority of drug development paths, the 'Likelihood of Approval' rate for oncology (6.7%) is the lowest amongst all tested conditions [1]. One of the reasons for this status quo can be a limited predictive value of currently used animal models, particularly in the context of interactions between the host immune system and cancer cells. This can partly be due to the fact that traditionally the role of the host immune system was deemphasized giving the priority to the tumor cells [2]. As a consequence, for years the accurate recapitulation of the tumor microenvironment (TME) was underappreciated, disregarding the immune contexture as a powerful contributor to tumorigenesis [3]. Over decades, ectopically implanted tumor cell lines in syngeneic mice served as an universal model for anti-cancer drug evaluation [4]. Although such approach offered a unique possibility of in vivo therapy in the context of a fully functional immune system, the impact of the primary, orthotopic tumor location, and thus relevant microenvironment, was largely neglected. Only a few groups took the effort to compare the ectopic and orthotopic tumors side by side, but their groundbreaking findings did not reach the mainstream of anticancer research. For instance, it has been demonstrated that renal, colon and prostate tumors respond to immunotherapy to a much lesser extent in the orthotopic setting compared to the subcutaneous location [5]. In analogy, renal carcinoma cells were described to be more resistant to treatment...