Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes

The tumor microenvironment (TME) represents a complex network between tumor cells and a variety of components including immune, stromal and vascular endothelial cells as well as the extracellular matrix. A wide panel of signals and interactions here take place, resulting in a bi-directional modulati...

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Main Authors: Claudia Cocco, Fabio Morandi, Irma Airoldi
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/4/927
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author Claudia Cocco
Fabio Morandi
Irma Airoldi
author_facet Claudia Cocco
Fabio Morandi
Irma Airoldi
author_sort Claudia Cocco
collection DOAJ
description The tumor microenvironment (TME) represents a complex network between tumor cells and a variety of components including immune, stromal and vascular endothelial cells as well as the extracellular matrix. A wide panel of signals and interactions here take place, resulting in a bi-directional modulation of cellular functions. Many stimuli, on one hand, induce tumor growth and the spread of metastatic cells and, on the other hand, contribute to the establishment of an immunosuppressive environment. The latter feature is achieved by soothing immune effector cells, mainly cytotoxic T lymphocytes and B and NK cells, and/or through expansion of regulatory cell populations, including regulatory T and B cells, tumor-associated macrophages and myeloid-derived suppressor cells. In this context, immune checkpoints (IC) are key players in the control of T cell activation and anti-cancer activities, leading to the inhibition of tumor cell lysis and of pro-inflammatory cytokine production. Thus, these pathways represent promising targets for the development of effective and innovative therapies both in adults and children. Here, we address the role of different cell populations homing the TME and of well-known and recently characterized IC in the context of pediatric solid tumors. We also discuss preclinical and clinical data available using IC inhibitors alone, in combination with each other or administered with standard therapies.
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spelling doaj.art-195f365282a644b78067fbd19b76d0cc2023-11-21T15:58:09ZengMDPI AGCells2073-44092021-04-0110492710.3390/cells10040927Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic PurposesClaudia Cocco0Fabio Morandi1Irma Airoldi2Laboratorio Cellule Staminali Post-Natali e Terapie Cellulari, IRCCS Istituto Giannina Gaslini, Via G. Gaslini 5, 16147 Genova, ItalyLaboratorio Cellule Staminali Post-Natali e Terapie Cellulari, IRCCS Istituto Giannina Gaslini, Via G. Gaslini 5, 16147 Genova, ItalyLaboratorio Cellule Staminali Post-Natali e Terapie Cellulari, IRCCS Istituto Giannina Gaslini, Via G. Gaslini 5, 16147 Genova, ItalyThe tumor microenvironment (TME) represents a complex network between tumor cells and a variety of components including immune, stromal and vascular endothelial cells as well as the extracellular matrix. A wide panel of signals and interactions here take place, resulting in a bi-directional modulation of cellular functions. Many stimuli, on one hand, induce tumor growth and the spread of metastatic cells and, on the other hand, contribute to the establishment of an immunosuppressive environment. The latter feature is achieved by soothing immune effector cells, mainly cytotoxic T lymphocytes and B and NK cells, and/or through expansion of regulatory cell populations, including regulatory T and B cells, tumor-associated macrophages and myeloid-derived suppressor cells. In this context, immune checkpoints (IC) are key players in the control of T cell activation and anti-cancer activities, leading to the inhibition of tumor cell lysis and of pro-inflammatory cytokine production. Thus, these pathways represent promising targets for the development of effective and innovative therapies both in adults and children. Here, we address the role of different cell populations homing the TME and of well-known and recently characterized IC in the context of pediatric solid tumors. We also discuss preclinical and clinical data available using IC inhibitors alone, in combination with each other or administered with standard therapies.https://www.mdpi.com/2073-4409/10/4/927immune checkpoint inhibitorspediatric solid tumorimmune suppression
spellingShingle Claudia Cocco
Fabio Morandi
Irma Airoldi
Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
Cells
immune checkpoint inhibitors
pediatric solid tumor
immune suppression
title Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
title_full Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
title_fullStr Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
title_full_unstemmed Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
title_short Immune Checkpoints in Pediatric Solid Tumors: Targetable Pathways for Advanced Therapeutic Purposes
title_sort immune checkpoints in pediatric solid tumors targetable pathways for advanced therapeutic purposes
topic immune checkpoint inhibitors
pediatric solid tumor
immune suppression
url https://www.mdpi.com/2073-4409/10/4/927
work_keys_str_mv AT claudiacocco immunecheckpointsinpediatricsolidtumorstargetablepathwaysforadvancedtherapeuticpurposes
AT fabiomorandi immunecheckpointsinpediatricsolidtumorstargetablepathwaysforadvancedtherapeuticpurposes
AT irmaairoldi immunecheckpointsinpediatricsolidtumorstargetablepathwaysforadvancedtherapeuticpurposes