[PDF][PDF] Challenges and opportunities for pancreatic cancer immunotherapy

AS Bear, RH Vonderheide, MH O'Hara - Cancer cell, 2020 - cell.com
AS Bear, RH Vonderheide, MH O'Hara
Cancer cell, 2020cell.com
Pancreatic ductal adenocarcinoma (PDA) is among the most immune-resistant tumor types.
Its unique genomic landscape shaped by oncogenic drivers promotes immune suppression
from the earliest stages of tumor inception to subvert adaptive T cell immunity. Single-agent
immune modulators have thus far proven clinically ineffective, and multi-modal therapies
targeting mechanisms of immunotherapy resistance are likely needed. Here, we review
novel immunotherapy strategies currently under investigation to (1) confer antigen …
Summary
Pancreatic ductal adenocarcinoma (PDA) is among the most immune-resistant tumor types. Its unique genomic landscape shaped by oncogenic drivers promotes immune suppression from the earliest stages of tumor inception to subvert adaptive T cell immunity. Single-agent immune modulators have thus far proven clinically ineffective, and multi-modal therapies targeting mechanisms of immunotherapy resistance are likely needed. Here, we review novel immunotherapy strategies currently under investigation to (1) confer antigen specificity, (2) enhance T cell effector function, and (3) neutralize immunosuppressive elements within the tumor microenvironment that may be rationally combined to untangle the web of immune resistance in PDA and other tumors.
cell.com