Immunomodulation by targeted anticancer agents

Cancer Cell. 2021 Mar 8;39(3):310-345. doi: 10.1016/j.ccell.2020.11.009. Epub 2020 Dec 17.

Abstract

At odds with conventional chemotherapeutics, targeted anticancer agents are designed to inhibit precise molecular alterations that support oncogenesis or tumor progression. Despite such an elevated degree of molecular specificity, many clinically employed and experimental targeted anticancer agents also mediate immunostimulatory or immunosuppressive effects that (at least in some settings) influence therapeutic efficacy. Here, we discuss the main immunomodulatory effects of targeted anticancer agents and explore potential avenues to harness them in support of superior clinical efficacy.

Keywords: BRAF; CD8(+) cytotoxic T lymphocytes; CDK4/CDK6; CGAS signaling; DNA damage response; EGFR; KRAS; T(REG) cells; TGF-β; immune checkpoint blockers; immunogenic cell death.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / immunology*
  • Disease Progression
  • Humans
  • Immunomodulation / immunology*
  • Neoplasms / immunology*
  • Neoplasms / therapy*

Substances

  • Antineoplastic Agents