Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy

Despite the significant clinical advances with the use of immune checkpoint inhibitors (ICIs) in a wide range of cancer patients, response rates to the therapy are variable and do not always result in long-term tumor regression. The development of ICI-resistant disease is one of the pressing issue i...

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Main Authors: Silvia D’Amico, Patrizia Tempora, Ombretta Melaiu, Valeria Lucarini, Loredana Cifaldi, Franco Locatelli, Doriana Fruci
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.948297/full
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author Silvia D’Amico
Patrizia Tempora
Ombretta Melaiu
Ombretta Melaiu
Valeria Lucarini
Loredana Cifaldi
Loredana Cifaldi
Franco Locatelli
Franco Locatelli
Doriana Fruci
author_facet Silvia D’Amico
Patrizia Tempora
Ombretta Melaiu
Ombretta Melaiu
Valeria Lucarini
Loredana Cifaldi
Loredana Cifaldi
Franco Locatelli
Franco Locatelli
Doriana Fruci
author_sort Silvia D’Amico
collection DOAJ
description Despite the significant clinical advances with the use of immune checkpoint inhibitors (ICIs) in a wide range of cancer patients, response rates to the therapy are variable and do not always result in long-term tumor regression. The development of ICI-resistant disease is one of the pressing issue in clinical oncology, and the identification of new targets and combination therapies is a crucial point to improve response rates and duration. Antigen processing and presentation (APP) pathway is a key element for an efficient response to ICI therapy. Indeed, malignancies that do not express tumor antigens are typically poor infiltrated by T cells and unresponsive to ICIs. Therefore, improving tumor immunogenicity potentially increases the success rate of ICI therapy. In this review, we provide an overview of the key elements of the APP machinery that can be exploited to enhance tumor immunogenicity and increase the efficacy of ICI-based immunotherapy.
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spelling doaj.art-0e275229791b475ab0839dbad89974192022-12-22T01:54:56ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-07-011310.3389/fimmu.2022.948297948297Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapySilvia D’Amico0Patrizia Tempora1Ombretta Melaiu2Ombretta Melaiu3Valeria Lucarini4Loredana Cifaldi5Loredana Cifaldi6Franco Locatelli7Franco Locatelli8Doriana Fruci9Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDepartment of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDepartment of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDepartment of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, ItalyDepartment of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDepartment of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, Rome, ItalyAcademic Department of Pediatrics (DPUO), Bambino Gesù Children Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDepartment of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyCatholic University of the Sacred Heart, Rome, ItalyDepartment of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children’s Hospital, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Rome, ItalyDespite the significant clinical advances with the use of immune checkpoint inhibitors (ICIs) in a wide range of cancer patients, response rates to the therapy are variable and do not always result in long-term tumor regression. The development of ICI-resistant disease is one of the pressing issue in clinical oncology, and the identification of new targets and combination therapies is a crucial point to improve response rates and duration. Antigen processing and presentation (APP) pathway is a key element for an efficient response to ICI therapy. Indeed, malignancies that do not express tumor antigens are typically poor infiltrated by T cells and unresponsive to ICIs. Therefore, improving tumor immunogenicity potentially increases the success rate of ICI therapy. In this review, we provide an overview of the key elements of the APP machinery that can be exploited to enhance tumor immunogenicity and increase the efficacy of ICI-based immunotherapy.https://www.frontiersin.org/articles/10.3389/fimmu.2022.948297/fullimmunopeptidometumor antigensantigen processingHLA class Iimmune checkpoint inhibitorsTEIPPs
spellingShingle Silvia D’Amico
Patrizia Tempora
Ombretta Melaiu
Ombretta Melaiu
Valeria Lucarini
Loredana Cifaldi
Loredana Cifaldi
Franco Locatelli
Franco Locatelli
Doriana Fruci
Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
Frontiers in Immunology
immunopeptidome
tumor antigens
antigen processing
HLA class I
immune checkpoint inhibitors
TEIPPs
title Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
title_full Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
title_fullStr Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
title_full_unstemmed Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
title_short Targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
title_sort targeting the antigen processing and presentation pathway to overcome resistance to immune checkpoint therapy
topic immunopeptidome
tumor antigens
antigen processing
HLA class I
immune checkpoint inhibitors
TEIPPs
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.948297/full
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