Immune suppressive mechanisms in the tumor microenvironment

DH Munn, V Bronte - Current opinion in immunology, 2016 - Elsevier
DH Munn, V Bronte
Current opinion in immunology, 2016Elsevier
Highlights•Tumors exaggerate and exploit natural immunosuppressive and tolerogenic
mechanisms.•This milieu favors angiogenesis and tissue remodeling but is suppressive for T
cells.•T cell activation in tumors may paradoxically elicit counter-regulatory
suppression.Effective immunotherapy, whether by checkpoint blockade or adoptive cell
therapy, is limited in most patients by a key barrier: the immunosuppressive tumor
microenvironment. Suppression of tumor-specific T cells is orchestrated by the activity of a …
Highlights
  • Tumors exaggerate and exploit natural immunosuppressive and tolerogenic mechanisms.
  • This milieu favors angiogenesis and tissue remodeling but is suppressive for T cells.
  • T cell activation in tumors may paradoxically elicit counter-regulatory suppression.
Effective immunotherapy, whether by checkpoint blockade or adoptive cell therapy, is limited in most patients by a key barrier: the immunosuppressive tumor microenvironment. Suppression of tumor-specific T cells is orchestrated by the activity of a variety of stromal myeloid and lymphoid cells. These often display inducible suppressive mechanisms that are triggered by the same anti-tumor inflammatory response that the immunotherapy intends to create. Therefore, a more comprehensive understanding of how the immunosuppressive milieu develops and persists is critical in order to harness the full power of immunotherapy of cancer.
Elsevier