The CD28-B7 Family in Anti-Tumor Immunity: Emerging Concepts in Cancer Immunotherapy
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The interactions between B7 molecules and CD28-family receptorsare crucial in the regulation of adaptive cellularimmunity. In cancer, the aberrant expression of co-inhibitoryB7 molecules has been attributed to reduced anti-tumor immunityand cancer immune evasion, prompting the developmentof cancer therapeutics that can restore T cell function. Murine tumor models have provided significant support forthe targeting of multiple immune checkpoints involvingCTLA-4, PD-1, ICOS, B7-H3 and B7-H4 during tumorgrowth, and clinical studies investigating the therapeutic effectsof CTLA-4 and PD-1 blockade have shown exceptionallypromising results in patients with advanced melanomaand other cancers. The expression pattern of co-inhibitoryB7 ligands in the tumor microenvironment has also beenlargely correlated with poor patient prognosis, and recentevidence suggests that the presence of several B7 moleculesmay predict the responsiveness of immunotherapies that relyon pre-existing tumor-associated immune responses. Whilemonotherapies blocking T cell co-inhibition have beneficialeffects in reducing tumor burden, combinatorial immunotherapytargeting multiple immune checkpoints involved invarious stages of the anti-tumor response has led to themost substantial impact on tumor reduction. In this review,we will examine the contributions of B7- and CD28-familymembers in the context of cancer development, and discussthe implications of current human findings in cancer immunotherapy.
Abstract
The interactions between B7 molecules and CD28-family receptorsare crucial in the regulation of adaptive cellularimmunity. In cancer, the aberrant expression of co-inhibitoryB7 molecules has been attributed to reduced anti-tumor immunityand cancer immune evasion, prompting the developmentof cancer therapeutics that can restore T cell function. Murine tumor models have provided significant support forthe targeting of multiple immune checkpoints involvingCTLA-4, PD-1, ICOS, B7-H3 and B7-H4 during tumorgrowth, and clinical studies investigating the therapeutic effectsof CTLA-4 and PD-1 blockade have shown exceptionallypromising results in patients with advanced melanomaand other cancers. The expression pattern of co-inhibitoryB7 ligands in the tumor microenvironment has also beenlargely correlated with poor patient prognosis, and recentevidence suggests that the presence of several B7 moleculesmay predict the responsiveness of immunotherapies that relyon pre-existing tumor-associated immune responses. Whilemonotherapies blocking T cell co-inhibition have beneficialeffects in reducing tumor burden, combinatorial immunotherapytargeting multiple immune checkpoints involved invarious stages of the anti-tumor response has led to themost substantial impact on tumor reduction. In this review,we will examine the contributions of B7- and CD28-familymembers in the context of cancer development, and discussthe implications of current human findings in cancer immunotherapy.
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