Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy

The fast evolution of anti-tumor agents embodies a deeper understanding of cancer pathogenesis. To date, chemotherapy, targeted therapy, and immunotherapy are three pillars of the paradigm for cancer treatment. The success of immune checkpoint inhibitors (ICIs) implies that reinstatement of immunity...

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Main Authors: Tiancheng Zhang, Chenhao Zhang, Zile Fu, Qiang Gao
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/14/9/1768
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author Tiancheng Zhang
Chenhao Zhang
Zile Fu
Qiang Gao
author_facet Tiancheng Zhang
Chenhao Zhang
Zile Fu
Qiang Gao
author_sort Tiancheng Zhang
collection DOAJ
description The fast evolution of anti-tumor agents embodies a deeper understanding of cancer pathogenesis. To date, chemotherapy, targeted therapy, and immunotherapy are three pillars of the paradigm for cancer treatment. The success of immune checkpoint inhibitors (ICIs) implies that reinstatement of immunity can efficiently control tumor growth, invasion, and metastasis. However, only a fraction of patients benefit from ICI therapy, which turns the spotlight on developing safe therapeutic strategies to overcome the problem of an unsatisfactory response. Molecular-targeted agents were designed to eliminate cancer cells with oncogenic mutations or transcriptional targets. Intriguingly, accumulating shreds of evidence demonstrate the immunostimulatory or immunosuppressive capacity of targeted agents. By virtue of the high attrition rate and cost of new immunotherapy exploration, drug repurposing may be a promising approach to discovering combination strategies to improve response to immunotherapy. Indeed, many clinical trials investigating the safety and efficacy of the combination of targeted agents and immunotherapy have been completed. Here, we review and discuss the effects of targeted anticancer agents on the tumor immune microenvironment and explore their potential repurposed usage in cancer immunotherapy.
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spelling doaj.art-3c7602d2af264a488327e1b0595680722023-11-23T18:20:10ZengMDPI AGPharmaceutics1999-49232022-08-01149176810.3390/pharmaceutics14091768Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer ImmunotherapyTiancheng Zhang0Chenhao Zhang1Zile Fu2Qiang Gao3Department of Liver Surgery and Transplantation, Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Liver Surgery and Transplantation, Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Liver Surgery and Transplantation, Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaDepartment of Liver Surgery and Transplantation, Key Laboratory of Carcinogenesis and Cancer Invasion (Ministry of Education), Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, ChinaThe fast evolution of anti-tumor agents embodies a deeper understanding of cancer pathogenesis. To date, chemotherapy, targeted therapy, and immunotherapy are three pillars of the paradigm for cancer treatment. The success of immune checkpoint inhibitors (ICIs) implies that reinstatement of immunity can efficiently control tumor growth, invasion, and metastasis. However, only a fraction of patients benefit from ICI therapy, which turns the spotlight on developing safe therapeutic strategies to overcome the problem of an unsatisfactory response. Molecular-targeted agents were designed to eliminate cancer cells with oncogenic mutations or transcriptional targets. Intriguingly, accumulating shreds of evidence demonstrate the immunostimulatory or immunosuppressive capacity of targeted agents. By virtue of the high attrition rate and cost of new immunotherapy exploration, drug repurposing may be a promising approach to discovering combination strategies to improve response to immunotherapy. Indeed, many clinical trials investigating the safety and efficacy of the combination of targeted agents and immunotherapy have been completed. Here, we review and discuss the effects of targeted anticancer agents on the tumor immune microenvironment and explore their potential repurposed usage in cancer immunotherapy.https://www.mdpi.com/1999-4923/14/9/1768targeted therapyimmunotherapydrug repurposingdrug combinationsimmune checkpoints inhibitor (ICI)
spellingShingle Tiancheng Zhang
Chenhao Zhang
Zile Fu
Qiang Gao
Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
Pharmaceutics
targeted therapy
immunotherapy
drug repurposing
drug combinations
immune checkpoints inhibitor (ICI)
title Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
title_full Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
title_fullStr Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
title_full_unstemmed Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
title_short Immune Modulatory Effects of Molecularly Targeted Therapy and Its Repurposed Usage in Cancer Immunotherapy
title_sort immune modulatory effects of molecularly targeted therapy and its repurposed usage in cancer immunotherapy
topic targeted therapy
immunotherapy
drug repurposing
drug combinations
immune checkpoints inhibitor (ICI)
url https://www.mdpi.com/1999-4923/14/9/1768
work_keys_str_mv AT tianchengzhang immunemodulatoryeffectsofmolecularlytargetedtherapyanditsrepurposedusageincancerimmunotherapy
AT chenhaozhang immunemodulatoryeffectsofmolecularlytargetedtherapyanditsrepurposedusageincancerimmunotherapy
AT zilefu immunemodulatoryeffectsofmolecularlytargetedtherapyanditsrepurposedusageincancerimmunotherapy
AT qianggao immunemodulatoryeffectsofmolecularlytargetedtherapyanditsrepurposedusageincancerimmunotherapy