2022
DOI: 10.3389/fimmu.2022.1018903
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Regulation of autophagy fires up the cold tumor microenvironment to improve cancer immunotherapy

Abstract: Immunotherapies, such as immune checkpoint inhibitors (ICIs) and chimeric antigen receptor (CAR) T cells, have revolutionized the treatment of patients with advanced and metastatic tumors resistant to traditional therapies. However, the immunosuppressed tumor microenvironment (TME) results in a weak response to immunotherapy. Therefore, to realize the full potential of immunotherapy and obstacle barriers, it is essential to explore how to convert cold TME to hot TME. Autophagy is a crucial cellular process tha… Show more

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Cited by 18 publications
(14 citation statements)
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“…In recent decades, current studies noticed the significance of autophagy in the TME gradually, demonstrating that autophagy and immunity work synergistically to affect tumor progression, indicating that autophagy could become a potential target for cancer immunotherapy ( 23 , 24 ). Therefore, it is necessary to clarify the correlation between autophagy and various tumor-infiltrating immune cells in the TME and broaden new insights into cancer therapy.…”
Section: Autophagy and Tumor Immune Cell Infiltrationmentioning
confidence: 99%
“…In recent decades, current studies noticed the significance of autophagy in the TME gradually, demonstrating that autophagy and immunity work synergistically to affect tumor progression, indicating that autophagy could become a potential target for cancer immunotherapy ( 23 , 24 ). Therefore, it is necessary to clarify the correlation between autophagy and various tumor-infiltrating immune cells in the TME and broaden new insights into cancer therapy.…”
Section: Autophagy and Tumor Immune Cell Infiltrationmentioning
confidence: 99%
“…The vital cellular function of autophagy helps to characterize the immunosuppressive TME by maintaining cellular integrity in the cellular components of the TME. By affecting antigen release, presentation, recognition, and immune cell trafficking, targeted autophagy ignites the immunosuppressive TME, improving the efficacy of cancer immunotherapy and conquering immunotherapy resistance . There is mounting evidence that autophagy plays a significant role in suppressing the antitumor immune response through many overlapping pathways, allowing tumors to evade immune cell attack by cytotoxic T-lymphocytes cells and natural killer .…”
Section: Hypoxia-induced Impediments In Tumor Treatmentmentioning
confidence: 99%
“…By affecting antigen release, presentation, recognition, and immune cell trafficking, targeted autophagy ignites the immunosuppressive TME, improving the efficacy of cancer immunotherapy and conquering immunotherapy resistance. 160 There is mounting evidence that autophagy plays a significant role in suppressing the antitumor immune response through many overlapping pathways, allowing tumors to evade immune cell attack by cytotoxic T-lymphocytes cells and natural killer. 161 The treatment of malignancies resistant to standard therapies may be improved by combining immunotherapy with drugs that target hypoxia or hypoxia-induced angiogenesis by increasing the combination's specificity, efficacy, and safety.…”
Section: Hypoxia-induced Impediments In Tumor Treatmentmentioning
confidence: 99%
“…Numerous studies suggest that the inflammatory response in the TME is regulated by autophagy via TAMs and CAFs. By influencing monocyte development into macrophages [ 86 , 87 ], monocyte and macrophage recruitment [ 88 , 89 ], and macrophage polarization [ 90 , 91 ], these cells deliver conclusive proof that autophagy functions as a critical regulator of macrophage development. Autophagy also regulates fibroblast development into CAFs; hence, it is the key component of the immune response within the TME [ 92 , 93 , 94 ].…”
Section: Autophagy and Carcinogenesismentioning
confidence: 99%