[PDF][PDF] Obstacles posed by the tumor microenvironment to T cell activity: a case for synergistic therapies

KG Anderson, IM Stromnes, PD Greenberg - Cancer cell, 2017 - cell.com
Cancer cell, 2017cell.com
T cell dysfunction in solid tumors results from multiple mechanisms. Altered signaling
pathways in tumor cells help produce a suppressive tumor microenvironment enriched for
inhibitory cells, posing a major obstacle for cancer immunity. Metabolic constraints to cell
function and survival shape tumor progression and immune cell function. In the face of
persistent antigen, chronic T cell receptor signaling drives T lymphocytes to a functionally
exhausted state. Here we discuss how the tumor and its microenvironment influences T cell …
T cell dysfunction in solid tumors results from multiple mechanisms. Altered signaling pathways in tumor cells help produce a suppressive tumor microenvironment enriched for inhibitory cells, posing a major obstacle for cancer immunity. Metabolic constraints to cell function and survival shape tumor progression and immune cell function. In the face of persistent antigen, chronic T cell receptor signaling drives T lymphocytes to a functionally exhausted state. Here we discuss how the tumor and its microenvironment influences T cell trafficking and function with a focus on melanoma, and pancreatic and ovarian cancer, and discuss how scientific advances may help overcome these hurdles.
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