Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes

Inflammatory breast cancer (IBC) is highly metastatic at the onset of the disease with no IBC-specific treatments, resulting in dismal patient survival. IBC treatment is a clear unmet clinical need. This commentary highlights findings from a recent seminal approach in which pembrolizumab, a checkpoi...

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Main Authors: Daniel Alonso-Miguel, Steven Fiering, Hugo Arias-Pulido
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/18/2850
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author Daniel Alonso-Miguel
Steven Fiering
Hugo Arias-Pulido
author_facet Daniel Alonso-Miguel
Steven Fiering
Hugo Arias-Pulido
author_sort Daniel Alonso-Miguel
collection DOAJ
description Inflammatory breast cancer (IBC) is highly metastatic at the onset of the disease with no IBC-specific treatments, resulting in dismal patient survival. IBC treatment is a clear unmet clinical need. This commentary highlights findings from a recent seminal approach in which pembrolizumab, a checkpoint inhibitor against programmed cell death protein 1 (PD-1), was provided to a triple-negative IBC patient as a neoadjuvant immune therapy combined with anthracycline–taxane-based chemotherapy. We highlight the findings of the case report and offer a perspective on taking a proactive approach to deploy approved immune checkpoint inhibitors. On the basis of our recently published research study, we propose in situ vaccination with direct injection of immunostimulatory agents into the tumor as an option to improve outcomes safely, effectively, and economically for IBC patients.
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spelling doaj.art-5e11a24d3e2949a688225c56a4181d892023-11-23T15:33:17ZengMDPI AGCells2073-44092022-09-011118285010.3390/cells11182850Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient OutcomesDaniel Alonso-Miguel0Steven Fiering1Hugo Arias-Pulido2Department of Animal Medicine and Surgery, Veterinary Medicine School, Complutense University of Madrid, 28040 Madrid, SpainDepartment of Microbiology and Immunology, and Dartmouth Cancer Center, Geisel School of Medicine at Dartmouth and Dartmouth Hitchcock Health, Lebanon, NH 03756, USADepartment of Microbiology and Immunology, and Dartmouth Cancer Center, Geisel School of Medicine at Dartmouth and Dartmouth Hitchcock Health, Lebanon, NH 03756, USAInflammatory breast cancer (IBC) is highly metastatic at the onset of the disease with no IBC-specific treatments, resulting in dismal patient survival. IBC treatment is a clear unmet clinical need. This commentary highlights findings from a recent seminal approach in which pembrolizumab, a checkpoint inhibitor against programmed cell death protein 1 (PD-1), was provided to a triple-negative IBC patient as a neoadjuvant immune therapy combined with anthracycline–taxane-based chemotherapy. We highlight the findings of the case report and offer a perspective on taking a proactive approach to deploy approved immune checkpoint inhibitors. On the basis of our recently published research study, we propose in situ vaccination with direct injection of immunostimulatory agents into the tumor as an option to improve outcomes safely, effectively, and economically for IBC patients.https://www.mdpi.com/2073-4409/11/18/2850inflammatory breast cancerneoadjuvant immunotherapytriple-negative breast cancerimmune checkpoint inhibitorspembrolizumabimmunomodulators
spellingShingle Daniel Alonso-Miguel
Steven Fiering
Hugo Arias-Pulido
Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
Cells
inflammatory breast cancer
neoadjuvant immunotherapy
triple-negative breast cancer
immune checkpoint inhibitors
pembrolizumab
immunomodulators
title Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
title_full Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
title_fullStr Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
title_full_unstemmed Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
title_short Proactive Immunotherapeutic Approaches against Inflammatory Breast Cancer May Improve Patient Outcomes
title_sort proactive immunotherapeutic approaches against inflammatory breast cancer may improve patient outcomes
topic inflammatory breast cancer
neoadjuvant immunotherapy
triple-negative breast cancer
immune checkpoint inhibitors
pembrolizumab
immunomodulators
url https://www.mdpi.com/2073-4409/11/18/2850
work_keys_str_mv AT danielalonsomiguel proactiveimmunotherapeuticapproachesagainstinflammatorybreastcancermayimprovepatientoutcomes
AT stevenfiering proactiveimmunotherapeuticapproachesagainstinflammatorybreastcancermayimprovepatientoutcomes
AT hugoariaspulido proactiveimmunotherapeuticapproachesagainstinflammatorybreastcancermayimprovepatientoutcomes