Immunomodulation in Pancreatic Cancer

Pancreatic cancer has a high mortality rate, and its incidence is increasing worldwide. The almost universal poor prognosis of pancreatic cancer is partly due to symptoms presenting only at late stages and limited effective treatments. Recently, immune checkpoint blockade inhibitors have drastically...

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Main Authors: Mithunah Krishnamoorthy, John G. Lenehan, Jeremy P. Burton, Saman Maleki Vareki
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/11/3340
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author Mithunah Krishnamoorthy
John G. Lenehan
Jeremy P. Burton
Saman Maleki Vareki
author_facet Mithunah Krishnamoorthy
John G. Lenehan
Jeremy P. Burton
Saman Maleki Vareki
author_sort Mithunah Krishnamoorthy
collection DOAJ
description Pancreatic cancer has a high mortality rate, and its incidence is increasing worldwide. The almost universal poor prognosis of pancreatic cancer is partly due to symptoms presenting only at late stages and limited effective treatments. Recently, immune checkpoint blockade inhibitors have drastically improved patient survival in metastatic and advanced settings in certain cancers. Unfortunately, these therapies are ineffective in pancreatic cancer. However, tumor biopsies from long-term survivors of pancreatic cancer are more likely to be infiltrated by cytotoxic T-cells and certain species of bacteria that activate T-cells. These observations suggest that T-cell activation is essential for anti-tumor immunity in pancreatic cancers. This review discusses the immunological mechanisms responsible for effective anti-tumor immunity and how immune-based strategies can be exploited to develop new pancreatic cancer treatments.
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spelling doaj.art-da60ac2c09f94749817c905a879485b62023-11-20T20:38:53ZengMDPI AGCancers2072-66942020-11-011211334010.3390/cancers12113340Immunomodulation in Pancreatic CancerMithunah Krishnamoorthy0John G. Lenehan1Jeremy P. Burton2Saman Maleki Vareki3Department of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, CanadaDivision of Medical Oncology, Department of Oncology, University of Western Ontario, London, ON N6A 3K7, CanadaDepartment of Microbiology and Immunology, University of Western Ontario, London, ON N6A 3K7, CanadaCancer Research Laboratory Program, Lawson Health Research Institute, London, ON N6A 5W9, CanadaPancreatic cancer has a high mortality rate, and its incidence is increasing worldwide. The almost universal poor prognosis of pancreatic cancer is partly due to symptoms presenting only at late stages and limited effective treatments. Recently, immune checkpoint blockade inhibitors have drastically improved patient survival in metastatic and advanced settings in certain cancers. Unfortunately, these therapies are ineffective in pancreatic cancer. However, tumor biopsies from long-term survivors of pancreatic cancer are more likely to be infiltrated by cytotoxic T-cells and certain species of bacteria that activate T-cells. These observations suggest that T-cell activation is essential for anti-tumor immunity in pancreatic cancers. This review discusses the immunological mechanisms responsible for effective anti-tumor immunity and how immune-based strategies can be exploited to develop new pancreatic cancer treatments.https://www.mdpi.com/2072-6694/12/11/3340pancreatic cancerpancreatic ductal carcinomaimmunotherapyanti-PD1microbiomefecal microbiota transplant
spellingShingle Mithunah Krishnamoorthy
John G. Lenehan
Jeremy P. Burton
Saman Maleki Vareki
Immunomodulation in Pancreatic Cancer
Cancers
pancreatic cancer
pancreatic ductal carcinoma
immunotherapy
anti-PD1
microbiome
fecal microbiota transplant
title Immunomodulation in Pancreatic Cancer
title_full Immunomodulation in Pancreatic Cancer
title_fullStr Immunomodulation in Pancreatic Cancer
title_full_unstemmed Immunomodulation in Pancreatic Cancer
title_short Immunomodulation in Pancreatic Cancer
title_sort immunomodulation in pancreatic cancer
topic pancreatic cancer
pancreatic ductal carcinoma
immunotherapy
anti-PD1
microbiome
fecal microbiota transplant
url https://www.mdpi.com/2072-6694/12/11/3340
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