Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance

Immune checkpoint inhibitors (ICIs) have significantly advanced colorectal cancer treatment in recent years. Antibodies that target the proteins programmed cell death-1 (PD-1), programmed cell death-1 ligand 1 (PD-L1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) are among the ICIs that...

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Main Authors: Hassan Abushukair, Obada Ababneh, Sara Zaitoun, Anwaar Saeed
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:Cancer Treatment and Research Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468294222001344
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author Hassan Abushukair
Obada Ababneh
Sara Zaitoun
Anwaar Saeed
author_facet Hassan Abushukair
Obada Ababneh
Sara Zaitoun
Anwaar Saeed
author_sort Hassan Abushukair
collection DOAJ
description Immune checkpoint inhibitors (ICIs) have significantly advanced colorectal cancer treatment in recent years. Antibodies that target the proteins programmed cell death-1 (PD-1), programmed cell death-1 ligand 1 (PD-L1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) are among the ICIs that are currently being used in clinical practice. However, in colorectal cancer, ICI's effectiveness is limited to a fraction of patients with microsatellite instability-high (MSI-H), which only accounts for about 5% of advanced cases. The tumor microenvironment and intrinsic changes in tumor cells are just a couple of the many mechanisms that play a role in ICI primary or secondary resistance. In order to advance precision medicine and broaden the population benefiting from ICI, this paper highlights the main underlying mechanisms of ICIs resistance and suggested techniques to overcome it.
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spelling doaj.art-77289718d9c0471ab99794dbd4b271962022-12-22T03:00:15ZengElsevierCancer Treatment and Research Communications2468-29422022-01-0133100643Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistanceHassan Abushukair0Obada Ababneh1Sara Zaitoun2Anwaar Saeed3Faculty of Medicine, Jordan University of Science and Technology, 22110, Irbid, JordanFaculty of Medicine, Jordan University of Science and Technology, 22110, Irbid, JordanFaculty of Medicine, Yarmouk University, 21163, Irbid, JordanDepartment of Medicine, Division of Medical Oncology, University of Kansas Cancer Center, 66205, Kansas City, KS, United States of America; Corresponding author at: Department of Medicine, Division of Medical Oncology, University of Kansas Cancer Center, 2330 Shawnee Mission Pkwy, 66205, Kansas City, KS, United States of America.Immune checkpoint inhibitors (ICIs) have significantly advanced colorectal cancer treatment in recent years. Antibodies that target the proteins programmed cell death-1 (PD-1), programmed cell death-1 ligand 1 (PD-L1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) are among the ICIs that are currently being used in clinical practice. However, in colorectal cancer, ICI's effectiveness is limited to a fraction of patients with microsatellite instability-high (MSI-H), which only accounts for about 5% of advanced cases. The tumor microenvironment and intrinsic changes in tumor cells are just a couple of the many mechanisms that play a role in ICI primary or secondary resistance. In order to advance precision medicine and broaden the population benefiting from ICI, this paper highlights the main underlying mechanisms of ICIs resistance and suggested techniques to overcome it.http://www.sciencedirect.com/science/article/pii/S2468294222001344Colorectal cancerImmune checkpoint inhibitorsResistanceMechanismCombination therapy
spellingShingle Hassan Abushukair
Obada Ababneh
Sara Zaitoun
Anwaar Saeed
Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
Cancer Treatment and Research Communications
Colorectal cancer
Immune checkpoint inhibitors
Resistance
Mechanism
Combination therapy
title Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
title_full Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
title_fullStr Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
title_full_unstemmed Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
title_short Primary and secondary immune checkpoint inhibitors resistance in colorectal cancer: Key mechanisms and ways to overcome resistance
title_sort primary and secondary immune checkpoint inhibitors resistance in colorectal cancer key mechanisms and ways to overcome resistance
topic Colorectal cancer
Immune checkpoint inhibitors
Resistance
Mechanism
Combination therapy
url http://www.sciencedirect.com/science/article/pii/S2468294222001344
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AT sarazaitoun primaryandsecondaryimmunecheckpointinhibitorsresistanceincolorectalcancerkeymechanismsandwaystoovercomeresistance
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