2011
DOI: 10.1021/mp1004228
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The Suppressive Tumor Microenvironment: A Challenge in Cancer Immunotherapy

Abstract: In this review, we introduce the changing public perception of vaccines and immunotherapy in cancer treatments. We discuss the roles that different immunosuppressive cells play in the tumor microenvironment. Tumor associated macrophages (TAMs) and M1 and M2 macrophage phenotypes are discussed in depth. Additionally, the role that myeloid derived suppressor cells (MDSC) and T regulatory cells (Tregs) play in the tumor microenvironment is addressed. Highlighted are examples of therapies used against each suppres… Show more

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Cited by 168 publications
(113 citation statements)
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“…Thus, while M-chlorin may accumulate on the systemic populations of M2 macrophages, the cytotoxic effects of M-chlorin PDT might only affect the tumor microenvironment under irradiation. Peptide therapy or DNA vaccine therapy against M2 macrophages expressing high levels of mannose receptors were reported to be beneficial against cancer (16,20,22), but these therapies attack not only TAMs in cancer stroma, but also M2 macrophages throughout the body, risking the induction of immunosuppression. Such a risk would not be an issue with our M-chlorin PDT therapy, which targets only TAMs in tumor stroma and thus should not affect immune responses elsewhere.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Thus, while M-chlorin may accumulate on the systemic populations of M2 macrophages, the cytotoxic effects of M-chlorin PDT might only affect the tumor microenvironment under irradiation. Peptide therapy or DNA vaccine therapy against M2 macrophages expressing high levels of mannose receptors were reported to be beneficial against cancer (16,20,22), but these therapies attack not only TAMs in cancer stroma, but also M2 macrophages throughout the body, risking the induction of immunosuppression. Such a risk would not be an issue with our M-chlorin PDT therapy, which targets only TAMs in tumor stroma and thus should not affect immune responses elsewhere.…”
Section: Discussionmentioning
confidence: 99%
“…TAMs are known to specifically express abundant levels of CD206, a mannose receptor (15)(16)(17), which is also called the "pattern-recognition receptor." These receptors are crucial for the macrophage's role in engulfing invading organisms and degrading them through endocytosis and phagocytosis (18,19).…”
Section: Introductionmentioning
confidence: 99%
“…ĂŸ Tregs increase in patients with cancer, 1,[6][7][8][9][10] and their presence correlates with unfavourable prognosis. CD8 ĂŸ…”
Section: Cd25mentioning
confidence: 99%
“…Antibodies possess several clinically relevant mechanisms of action. They can manipulate tumor-related signaling and various antibodies show immunomodulatory properties and, by activation or inhibition of the immune system, they can induce antitumor immune responses [394,395]. Specifically, Fc-receptor expressing immune cells mediate the killing of tumor cells by mAbs.…”
Section: Antibodiesmentioning
confidence: 99%