Insights into immuno-oncology drug development landscape with focus on bone metastasis

Bone is among the main sites of metastasis in breast, prostate and other major cancers. Bone metastases remain incurable causing high mortality, severe skeletal-related effects and decreased quality of life. Despite the success of immunotherapies in oncology, no immunotherapies are approved for bone...

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Main Authors: Tiina E. Kähkönen, Jussi M. Halleen, Gary MacRitchie, Ronnie M. Andersson, Jenni Bernoulli
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1121878/full
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author Tiina E. Kähkönen
Jussi M. Halleen
Gary MacRitchie
Ronnie M. Andersson
Jenni Bernoulli
author_facet Tiina E. Kähkönen
Jussi M. Halleen
Gary MacRitchie
Ronnie M. Andersson
Jenni Bernoulli
author_sort Tiina E. Kähkönen
collection DOAJ
description Bone is among the main sites of metastasis in breast, prostate and other major cancers. Bone metastases remain incurable causing high mortality, severe skeletal-related effects and decreased quality of life. Despite the success of immunotherapies in oncology, no immunotherapies are approved for bone metastasis and no clear benefit has been observed with approved immunotherapies in treatment of bone metastatic disease. Therefore, it is crucial to consider unique features of tumor microenvironment in bone metastasis when developing novel therapies. The vicious cycle of bone metastasis, referring to crosstalk between tumor and bone cells that enables the tumor cells to grow in the bone microenvironment, is a well-established concept. Very recently, a novel osteoimmuno-oncology (OIO) concept was introduced to the scientific community. OIO emphasizes the significance of interactions between tumor, immune and bone cells in promoting tumor growth in bone metastasis, and it can be used to reveal the most promising targets for bone metastasis. In order to provide an insight into the current immuno-oncology drug development landscape, we used 1stOncology database, a cancer drug development resource to identify novel immunotherapies in preclinical or clinical development for breast and prostate cancer bone metastasis. Based on the database search, 24 immunotherapies were identified in preclinical or clinical development that included evaluation of effects on bone metastasis. This review provides an insight to novel immuno-oncology drug development in the context of bone metastasis. Bone metastases can be approached using different modalities, and tumor microenvironment in bone provides many potential targets for bone metastasis. Noting current increasing interest in the field of OIO, more therapeutic opportunities that primarily target bone metastasis are expected in the future.
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spelling doaj.art-c880064a4f1d483585bc6bdebaca425b2023-07-05T15:06:11ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-07-011410.3389/fimmu.2023.11218781121878Insights into immuno-oncology drug development landscape with focus on bone metastasisTiina E. Kähkönen0Jussi M. Halleen1Gary MacRitchie2Ronnie M. Andersson3Jenni Bernoulli4OncoBone Ltd, Oulu, FinlandOncoBone Ltd, Oulu, Finland1stOncology, BioSeeker Group AB, Stockholm, Sweden1stOncology, BioSeeker Group AB, Stockholm, SwedenUniversity of Turku, Institute of Biomedicine, Turku, FinlandBone is among the main sites of metastasis in breast, prostate and other major cancers. Bone metastases remain incurable causing high mortality, severe skeletal-related effects and decreased quality of life. Despite the success of immunotherapies in oncology, no immunotherapies are approved for bone metastasis and no clear benefit has been observed with approved immunotherapies in treatment of bone metastatic disease. Therefore, it is crucial to consider unique features of tumor microenvironment in bone metastasis when developing novel therapies. The vicious cycle of bone metastasis, referring to crosstalk between tumor and bone cells that enables the tumor cells to grow in the bone microenvironment, is a well-established concept. Very recently, a novel osteoimmuno-oncology (OIO) concept was introduced to the scientific community. OIO emphasizes the significance of interactions between tumor, immune and bone cells in promoting tumor growth in bone metastasis, and it can be used to reveal the most promising targets for bone metastasis. In order to provide an insight into the current immuno-oncology drug development landscape, we used 1stOncology database, a cancer drug development resource to identify novel immunotherapies in preclinical or clinical development for breast and prostate cancer bone metastasis. Based on the database search, 24 immunotherapies were identified in preclinical or clinical development that included evaluation of effects on bone metastasis. This review provides an insight to novel immuno-oncology drug development in the context of bone metastasis. Bone metastases can be approached using different modalities, and tumor microenvironment in bone provides many potential targets for bone metastasis. Noting current increasing interest in the field of OIO, more therapeutic opportunities that primarily target bone metastasis are expected in the future.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1121878/fullcancerbone metastasisimmuno-oncologyosteoimmuno-oncologyimmunotherapiesdrug development
spellingShingle Tiina E. Kähkönen
Jussi M. Halleen
Gary MacRitchie
Ronnie M. Andersson
Jenni Bernoulli
Insights into immuno-oncology drug development landscape with focus on bone metastasis
Frontiers in Immunology
cancer
bone metastasis
immuno-oncology
osteoimmuno-oncology
immunotherapies
drug development
title Insights into immuno-oncology drug development landscape with focus on bone metastasis
title_full Insights into immuno-oncology drug development landscape with focus on bone metastasis
title_fullStr Insights into immuno-oncology drug development landscape with focus on bone metastasis
title_full_unstemmed Insights into immuno-oncology drug development landscape with focus on bone metastasis
title_short Insights into immuno-oncology drug development landscape with focus on bone metastasis
title_sort insights into immuno oncology drug development landscape with focus on bone metastasis
topic cancer
bone metastasis
immuno-oncology
osteoimmuno-oncology
immunotherapies
drug development
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1121878/full
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AT garymacritchie insightsintoimmunooncologydrugdevelopmentlandscapewithfocusonbonemetastasis
AT ronniemandersson insightsintoimmunooncologydrugdevelopmentlandscapewithfocusonbonemetastasis
AT jennibernoulli insightsintoimmunooncologydrugdevelopmentlandscapewithfocusonbonemetastasis