Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma

Hepatocellular carcinoma (HCC) is the most common liver cancer and a relevant global health problem. Immune checkpoint inhibitors (ICIs) represent the most effective systemic treatment for HCC. However, due to primary resistance, approximately 40% of HCC patients do not achieve a disease control wit...

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Main Authors: Stefania De Lorenzo, Francesco Tovoli, Franco Trevisani
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/19/4616
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author Stefania De Lorenzo
Francesco Tovoli
Franco Trevisani
author_facet Stefania De Lorenzo
Francesco Tovoli
Franco Trevisani
author_sort Stefania De Lorenzo
collection DOAJ
description Hepatocellular carcinoma (HCC) is the most common liver cancer and a relevant global health problem. Immune checkpoint inhibitors (ICIs) represent the most effective systemic treatment for HCC. However, due to primary resistance, approximately 40% of HCC patients do not achieve a disease control with ICIs. Moreover, a similar proportion will experience disease progression after an initial response caused by secondary resistance. This review describes the mechanisms of primary and secondary resistance and reports the ongoing therapeutic strategies to overcome these obstacles.
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spelling doaj.art-f2d78139a4e84a6d9fab06eca35e293e2023-11-23T19:53:43ZengMDPI AGCancers2072-66942022-09-011419461610.3390/cancers14194616Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular CarcinomaStefania De Lorenzo0Francesco Tovoli1Franco Trevisani2Oncology Unit, Azienda USL Bologna, 40124 Bologna, ItalyDepartment of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, ItalyDepartment of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, ItalyHepatocellular carcinoma (HCC) is the most common liver cancer and a relevant global health problem. Immune checkpoint inhibitors (ICIs) represent the most effective systemic treatment for HCC. However, due to primary resistance, approximately 40% of HCC patients do not achieve a disease control with ICIs. Moreover, a similar proportion will experience disease progression after an initial response caused by secondary resistance. This review describes the mechanisms of primary and secondary resistance and reports the ongoing therapeutic strategies to overcome these obstacles.https://www.mdpi.com/2072-6694/14/19/4616liver cancerhepatocellular carcinomaimmunotherapyimmune checkpoint inhibitorsatezolizumabbevacizumab
spellingShingle Stefania De Lorenzo
Francesco Tovoli
Franco Trevisani
Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
Cancers
liver cancer
hepatocellular carcinoma
immunotherapy
immune checkpoint inhibitors
atezolizumab
bevacizumab
title Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
title_full Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
title_fullStr Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
title_full_unstemmed Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
title_short Mechanisms of Primary and Acquired Resistance to Immune Checkpoint Inhibitors in Patients with Hepatocellular Carcinoma
title_sort mechanisms of primary and acquired resistance to immune checkpoint inhibitors in patients with hepatocellular carcinoma
topic liver cancer
hepatocellular carcinoma
immunotherapy
immune checkpoint inhibitors
atezolizumab
bevacizumab
url https://www.mdpi.com/2072-6694/14/19/4616
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AT francotrevisani mechanismsofprimaryandacquiredresistancetoimmunecheckpointinhibitorsinpatientswithhepatocellularcarcinoma