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Principles of Immunotherapy in Breast and Gastrointestinal Cancers : Activity, Mechanisms of Resistance and New Sensitization Strategies / Michele Ghidini, editor.

Elsevier ScienceDirect eBook - Immunology and Microbiology 2024 Available online

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Format:
Book
Contributor:
Ghidini, Michele, editor.
Series:
Breaking tolerance to anti-cancer cell-mediated immunotherapy.
Breaking Tolerance to Anti-Cancer Cell-Mediated Immunotherapy Series
Language:
English
Subjects (All):
Stomach--Cancer.
Stomach.
Digestive organs--Cancer.
Digestive organs.
Physical Description:
1 online resource (206 pages)
Edition:
First edition.
Place of Publication:
London, England : Academic Press, [2025]
Summary:
Principles of Immunotherapy in Breast and Gastrointestinal Cancers: Activity, Mechanisms of Resistance and New Sensitization Strategies presents updated research findings on immunotherapy, with special focus on the mechanisms of resistance of those cancer types and how to overcome them.The book discusses topics such as tumor cell-intrinsic and.
Contents:
Intro
Principles of Immunotherapy in Breast and Gastrointestinal Cancers: Activity, Mechanisms of Resistance and New Sensitizat...
Copyright
Cover Image Insert
Aims and Scope of Series ``Breaking Tolerance to Anti-Cancer Cell-Mediated Immunotherapy´´
About the Series Editor
Aims and scope of the volume
About the Volume Editor
Preface
Contents
Contributors
Chapter 1: Mechanisms of resistance to immunotherapy
Introduction
The immune system
The innate immune system
The adaptive immune system
How does the immune system control cancer?
Immunosurveillance
Immunity cycle
Historic achievements in immunotherapy
Overview of immunogenic approaches
Monoclonal antibodies
Monoclonal antibodies against tumor antigens
Monoclonal antibodies against checkpoint molecules
Antibody drug conjugates
Nonspecific immunotherapies
Oncolytic virus therapies
T-cell therapy
Cancer vaccines
Rational of combination treatments
Resistance factors
Primary, adaptive, and acquired resistance
Mechanisms of resistance to immunotherapy
Tumor cell intrinsic resistance to immunotherapy
Alterations in antitumor immune response pathways
Aberrant tumor antigen expression and absence of antigenic proteins
Antigen presentation pathways
Alterations in signaling pathways within tumor cells
Interference with IFNγ signaling pathway
Aberrant Wnt/β-catenin signaling
Changes in EGFR, RAS, and MAPK signaling
(Secreted) Immunosuppressive molecules
Tumor cell extrinsic resistance to immunotherapy
Immunosuppressive cells and molecules
T cells
MDSCs
TAMs
T-cell dysfunction
Metabolic shifts in tumor cells affecting the TME
Abnormal neovascularization
Host-related factors
The gut microbiome
Gut microbiota and the intestinal mucosal immune system.
The modulatory effect of gut microbiome on cancer immunotherapies
Age, biological sex, and obesity
Conclusion
References
Chapter 2: Biomarker-based immunotherapy in breast cancer
Predictive biomarkers for tailoring patient selection
PD-L1
Harmonization of the diagnostic strategies for the PD-L1 assessment
Rationale for PD-L1 assessment based on SP142 and 22C3 assays
Challenges and overcoming strategies
Mismatch repair and microsatellite instability
Conclusions
Acknowledgments
Chapter 3: Immunotherapy for breast cancer: New strategies to enhance the patient selection and overcome therapeutic resis
The immune system in BC
Immune elimination, equilibrium, and escape
Tumor-infiltrating lymphocytes
Immunogenic properties of BC
Immunotherapy of BC
Immunotherapy in triple-negative BC
Immunotherapy in HER2+ BCs
Immunotherapy in HR+ BCs
Immunotherapy in BRCA (BC gene)-mutated BC
Patterns of clinical response to immunotherapy
Biomarkers of response to immunotherapy
Tumor-associated features that can predict cancer antigenicity
Immune system-related predictors of benefit from immunotherapy
Novel approaches
Resistance to immunotherapy
Cancer cell-intrinsic mechanisms of resistance: The presentation of the antigen
Cancer cell-intrinsic mechanisms of resistance: The oncogenic activation of various signaling pathways
Cancer cell-extrinsic mechanisms of resistance: Immunosuppressive TME and exhausted T cells
Cancer cell-extrinsic mechanisms of resistance: Characteristics of the host
Strategies to overcome immunoresistance
Increasing tumor immunogenicity and T-cell priming
Overcoming T-cell exhaustion
Improving tumor immune microenvironment
Combination with target therapy
Epigenetic modulation.
Enhancing tumor infiltration by T cells
Microbiome
Future perspectives
Chapter 4: Immunotherapy in gastrointestinal cancers: Spotlight on the pivotal role of currently available biomarkers
Gastroesophageal cancer
MMR/MSI
EBV
TMB
Other biomarkers for combinatorial therapies with ICIs
Her2
CLDN18.2
Small bowel and colorectal cancer
Anal cancer
TILs
Biliopancreatic cancers
Gastroenteropancreatic neuroendocrine neoplasms
Chapter 5: Immunotherapeutic strategies in hepatopancreatobiliary cancers
Hepatocellular carcinoma
MSI status
Gene mutations
Gut microbiome
Pancreatic cancer
Predictive immune biomarkers
Looking for the holy grail of PDAC immunotherapy
Biliary tract cancer (BTC)
Tumor-immune microenvironment of BTC
Immune checkpoint inhibitors in BTC management
Predictive biomarkers
Perspectives on how to increase the success of immunotherapy in BTC
Chapter 6: Immunotherapeutic strategies for the treatment of colorectal cancer
ICIs in dMMR/MSI-H mCRC
Rationale for the use of ICIs in dMMR/MSI-H mCRC
Approved treatments and ongoing studies in dMMR/MSI-H mCRC
Mechanisms of primary and secondary resistance to ICIs in dMMR/MSI-H mCRC patients
MSI testing and radiological assessment
Site of metastatic disease
Immune-related molecular biomarkers
ICIs in MSS mCRC
The challenge of ICIs in MSS mCRC
How to overcome primary and secondary resistance to ICI in MSS and MSI mCRC
Combination of ICIs, antiangiogenic agents, with or without chemotherapy.
Combination of ICIs, tyrosine kinase inhibitors, with or without chemotherapy
Rationale and clinical trials of ICI combination with anti-EGFR antibodies
Rationale and clinical trials of PD1/PD-L1 with or without CTLA4 and LAG3 ICI
Adoptive cell transfer therapy (ACT) and tumor vaccines
Immunotherapy in early colorectal cancer
Neoadjuvant therapy for MSI/dMMR tumors
Adjuvant therapy for MSI/dMMR tumors
Immunotherapy for localized tumors beyond MSI/dMMR
Predictive factors of response to immunotherapy in colorectal cancer and biomarkers for patients selection
Tumor mutational burden and PD-L1 expression
Tumor-infiltrating lymphocytes, immunoscore
POLE, consensus molecular subtype and other gene signatures
Chapter 7: Immunotherapeutic strategies in gastroesophageal tumors
The role of immunotherapy in early-stage GEC
Immunotherapy for advanced GEC
Esophageal squamous cell carcinoma
First-line treatment
Second and further lines of treatment
Esophageal, gastric, and GEJ adenocarcinoma
Later lines of treatment
Mechanisms of resistance and further perspectives
Chapter 8: Concluding remarks and future perspectives
Index.
Notes:
Includes bibliographical references and index.
Description based on publisher supplied metadata and other sources.
Description based on print version record.
Other Format:
Print version: Ghidini, Michele Principles of Immunotherapy in Breast and Gastrointestinal Cancers
ISBN:
9780443133756
OCLC:
1453198802

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