2016
DOI: 10.1158/0008-5472.can-15-2125
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Combining Epigenetic and Immunotherapy to Combat Cancer

Abstract: The most exciting recent advance for achieving durable management of advanced human cancers is immune therapy, especially the concept of immune checkpoint blockade. However, with the exception of melanoma, most patients do not respond to immune therapy alone. A growing body of work has shown that epigenetic drugs, specifically DNA methyltransferase inhibitors, can upregulate immune signaling in epithelial cancer cells through demethylation of endogenous retroviruses and cancer testis antigens. These demethylat… Show more

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Cited by 264 publications
(215 citation statements)
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“…This finding is consistent with previous reports showing that CTAs are epigenetically activated in multiple cancers (45) and that the expression of CTAs can be activated by a demethylating agent (46,47). Upregulation of CTAs as immunogenic targets by a demethylating agent could be therapeutically attractive, in particular in combination with immunotherapy in NSCLC (48,49). However, we note that three epi-markers activated by a demethylating agent (MYEOV, ARL14, and LINC00857) were also associated with poor prognosis, which can have implications when considering demethylating agents for therapeutic use in NSCLC, as oncogenic/carcinogenic genes can be activated by such treatment.…”
Section: Discussionsupporting
confidence: 92%
“…This finding is consistent with previous reports showing that CTAs are epigenetically activated in multiple cancers (45) and that the expression of CTAs can be activated by a demethylating agent (46,47). Upregulation of CTAs as immunogenic targets by a demethylating agent could be therapeutically attractive, in particular in combination with immunotherapy in NSCLC (48,49). However, we note that three epi-markers activated by a demethylating agent (MYEOV, ARL14, and LINC00857) were also associated with poor prognosis, which can have implications when considering demethylating agents for therapeutic use in NSCLC, as oncogenic/carcinogenic genes can be activated by such treatment.…”
Section: Discussionsupporting
confidence: 92%
“…2I). These data highlight the concept that epigenetic therapy, including KDM5i, may be able to improve the efficacy of immunotherapy (38). …”
Section: Resultsmentioning
confidence: 63%
“…A number of small molecule inhibitors have been developed to target epigenetic mechanisms (so-called epidrugs) and there is increasing interest in using these compounds in solo or combination treatments for cancer [106][107][108][109][110]. Thus far, the DNMT inhibitors, 5-AzaC and 5-AzaDC, and the HDAC inhibitors, vorinostat and romidepsin, have been approved by the US FDA for use future science group Epigenetic control of the tumor microenvironment Review in humans [37].…”
Section: Opportunities To Epigenetically Remodel Stromal Cellsmentioning
confidence: 99%