The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma

Immunotherapies with immune checkpoint inhibitors or adoptive cell transfer have become powerful tools to treat cancer. These treatments act via overcoming or alleviating tumor-induced immunosuppression, thereby enabling effective tumor clearance. Glioblastoma (GBM) represents the most aggressive, p...

Full description

Bibliographic Details
Main Authors: Mitrajit Ghosh, Anna M. Lenkiewicz, Bozena Kaminska
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/9/2292
_version_ 1827663222765780992
author Mitrajit Ghosh
Anna M. Lenkiewicz
Bozena Kaminska
author_facet Mitrajit Ghosh
Anna M. Lenkiewicz
Bozena Kaminska
author_sort Mitrajit Ghosh
collection DOAJ
description Immunotherapies with immune checkpoint inhibitors or adoptive cell transfer have become powerful tools to treat cancer. These treatments act via overcoming or alleviating tumor-induced immunosuppression, thereby enabling effective tumor clearance. Glioblastoma (GBM) represents the most aggressive, primary brain tumor that remains refractory to the benefits of immunotherapy. The immunosuppressive immune tumor microenvironment (TME), genetic and cellular heterogeneity, and disorganized vasculature hinder drug delivery and block effector immune cell trafficking and activation, consequently rendering immunotherapy ineffective. Within the TME, the mutual interactions between tumor, immune and endothelial cells result in the generation of positive feedback loops, which intensify immunosuppression and support tumor progression. We focus here on the role of aberrant tumor vasculature and how it can mediate hypoxia and immunosuppression. We discuss how immune cells use immunosuppressive signaling for tumor progression and contribute to the development of resistance to immunotherapy. Finally, we assess how a positive feedback loop between vascular normalization and immune cells, including myeloid cells, could be targeted by combinatorial therapies with immune checkpoint blockers and sensitize the tumor to immunotherapy.
first_indexed 2024-03-10T00:38:51Z
format Article
id doaj.art-f6f1e4c11fac4982bbed6b4d0edf4193
institution Directory Open Access Journal
issn 2227-9059
language English
last_indexed 2024-03-10T00:38:51Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Biomedicines
spelling doaj.art-f6f1e4c11fac4982bbed6b4d0edf41932023-11-23T15:12:20ZengMDPI AGBiomedicines2227-90592022-09-01109229210.3390/biomedicines10092292The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of GlioblastomaMitrajit Ghosh0Anna M. Lenkiewicz1Bozena Kaminska2Laboratory of Molecular Neurobiology, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, PolandLaboratory of Molecular Neurobiology, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, PolandLaboratory of Molecular Neurobiology, Nencki Institute of Experimental Biology of Polish Academy of Sciences, 02-093 Warsaw, PolandImmunotherapies with immune checkpoint inhibitors or adoptive cell transfer have become powerful tools to treat cancer. These treatments act via overcoming or alleviating tumor-induced immunosuppression, thereby enabling effective tumor clearance. Glioblastoma (GBM) represents the most aggressive, primary brain tumor that remains refractory to the benefits of immunotherapy. The immunosuppressive immune tumor microenvironment (TME), genetic and cellular heterogeneity, and disorganized vasculature hinder drug delivery and block effector immune cell trafficking and activation, consequently rendering immunotherapy ineffective. Within the TME, the mutual interactions between tumor, immune and endothelial cells result in the generation of positive feedback loops, which intensify immunosuppression and support tumor progression. We focus here on the role of aberrant tumor vasculature and how it can mediate hypoxia and immunosuppression. We discuss how immune cells use immunosuppressive signaling for tumor progression and contribute to the development of resistance to immunotherapy. Finally, we assess how a positive feedback loop between vascular normalization and immune cells, including myeloid cells, could be targeted by combinatorial therapies with immune checkpoint blockers and sensitize the tumor to immunotherapy.https://www.mdpi.com/2227-9059/10/9/2292tumor vasculatureimmune suppressionvascular normalizationglioblastomaimmunotherapyimmune checkpoint blockade
spellingShingle Mitrajit Ghosh
Anna M. Lenkiewicz
Bozena Kaminska
The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
Biomedicines
tumor vasculature
immune suppression
vascular normalization
glioblastoma
immunotherapy
immune checkpoint blockade
title The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
title_full The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
title_fullStr The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
title_full_unstemmed The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
title_short The Interplay of Tumor Vessels and Immune Cells Affects Immunotherapy of Glioblastoma
title_sort interplay of tumor vessels and immune cells affects immunotherapy of glioblastoma
topic tumor vasculature
immune suppression
vascular normalization
glioblastoma
immunotherapy
immune checkpoint blockade
url https://www.mdpi.com/2227-9059/10/9/2292
work_keys_str_mv AT mitrajitghosh theinterplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma
AT annamlenkiewicz theinterplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma
AT bozenakaminska theinterplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma
AT mitrajitghosh interplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma
AT annamlenkiewicz interplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma
AT bozenakaminska interplayoftumorvesselsandimmunecellsaffectsimmunotherapyofglioblastoma