Immunotherapies in rare cancers

Abstract Cancer remains a leading cause of death worldwide, placing a significant burden on healthcare systems as well as the global economy. Rare cancers comprise a group of about 200 cancers that individually occur at extremely low frequencies. In the United States (US), their frequency is approxi...

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Main Authors: Sneha Vivekanandhan, Deborah Bahr, Ashish Kothari, Mohammed Ali Ashary, Mizba Baksh, Emmanuel Gabriel
Format: Article
Language:English
Published: BMC 2023-02-01
Series:Molecular Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12943-023-01720-2
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author Sneha Vivekanandhan
Deborah Bahr
Ashish Kothari
Mohammed Ali Ashary
Mizba Baksh
Emmanuel Gabriel
author_facet Sneha Vivekanandhan
Deborah Bahr
Ashish Kothari
Mohammed Ali Ashary
Mizba Baksh
Emmanuel Gabriel
author_sort Sneha Vivekanandhan
collection DOAJ
description Abstract Cancer remains a leading cause of death worldwide, placing a significant burden on healthcare systems as well as the global economy. Rare cancers comprise a group of about 200 cancers that individually occur at extremely low frequencies. In the United States (US), their frequency is approximately 15 cases per 100,000 people, and it is even lower in Europe with approximately 6 cases per 100,000 people. However, combined their frequency of occurrence is much higher than any singular cancer. Cancer treatment and management has tremendously improved in the last decade, particularly with the administration of immune-based therapies. The four most prevalent immune-based therapies are (1) the use of immune-checkpoint inhibitors, (2) macrophage therapy, (3) Chimeric Antigen Receptor (CAR) T cell therapy, and (4) neoantigen-based therapies. In our review, we discuss these various aproaches and their implementation in the treatment of a variety of rare cancers. Furthermore, we discuss their limitations and potential strategies to overcome them to enhance the therapeutic efficacy of these approaches. Finally, our article presents the future directions and other additional immune therapies that may be incorporated into the treatment of rare cancers.
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spelling doaj.art-20004e113736406faabd3a576d95d3fd2023-02-05T12:06:10ZengBMCMolecular Cancer1476-45982023-02-0122112110.1186/s12943-023-01720-2Immunotherapies in rare cancersSneha Vivekanandhan0Deborah Bahr1Ashish Kothari2Mohammed Ali Ashary3Mizba Baksh4Emmanuel Gabriel5Department of Immunology, Mayo ClinicDepartment of Immunology, Mayo ClinicDepartment of Microbiology, All India Institute of Medical SciencesDepartment of Surgery, Division of Surgical Oncology, Mayo ClinicDepartment of Surgery, Division of Surgical Oncology, Mayo ClinicDepartment of Surgery, Division of Surgical Oncology, Mayo ClinicAbstract Cancer remains a leading cause of death worldwide, placing a significant burden on healthcare systems as well as the global economy. Rare cancers comprise a group of about 200 cancers that individually occur at extremely low frequencies. In the United States (US), their frequency is approximately 15 cases per 100,000 people, and it is even lower in Europe with approximately 6 cases per 100,000 people. However, combined their frequency of occurrence is much higher than any singular cancer. Cancer treatment and management has tremendously improved in the last decade, particularly with the administration of immune-based therapies. The four most prevalent immune-based therapies are (1) the use of immune-checkpoint inhibitors, (2) macrophage therapy, (3) Chimeric Antigen Receptor (CAR) T cell therapy, and (4) neoantigen-based therapies. In our review, we discuss these various aproaches and their implementation in the treatment of a variety of rare cancers. Furthermore, we discuss their limitations and potential strategies to overcome them to enhance the therapeutic efficacy of these approaches. Finally, our article presents the future directions and other additional immune therapies that may be incorporated into the treatment of rare cancers.https://doi.org/10.1186/s12943-023-01720-2RareCancersImmune checkpoint inhibitorsPD1CTLA-4CAR T cells
spellingShingle Sneha Vivekanandhan
Deborah Bahr
Ashish Kothari
Mohammed Ali Ashary
Mizba Baksh
Emmanuel Gabriel
Immunotherapies in rare cancers
Molecular Cancer
Rare
Cancers
Immune checkpoint inhibitors
PD1
CTLA-4
CAR T cells
title Immunotherapies in rare cancers
title_full Immunotherapies in rare cancers
title_fullStr Immunotherapies in rare cancers
title_full_unstemmed Immunotherapies in rare cancers
title_short Immunotherapies in rare cancers
title_sort immunotherapies in rare cancers
topic Rare
Cancers
Immune checkpoint inhibitors
PD1
CTLA-4
CAR T cells
url https://doi.org/10.1186/s12943-023-01720-2
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AT ashishkothari immunotherapiesinrarecancers
AT mohammedaliashary immunotherapiesinrarecancers
AT mizbabaksh immunotherapiesinrarecancers
AT emmanuelgabriel immunotherapiesinrarecancers