Pathology of Immunotherapy-induced Responses in Cutaneous Melanoma: Current Evidences and Future Perspectives.


Journal

Advances in anatomic pathology
ISSN: 1533-4031
Titre abrégé: Adv Anat Pathol
Pays: United States
ID NLM: 9435676

Informations de publication

Date de publication:
01 May 2023
Historique:
medline: 12 4 2023
pubmed: 13 10 2022
entrez: 12 10 2022
Statut: ppublish

Résumé

Over the last years, immune checkpoint inhibitors (ICIs) have demonstrated remarkable anti-tumor activity and beneficial effects in patients with early and advanced melanoma. However, ICIs provide clinical benefit only in a minority of patients due to primary and/or acquired resistance mechanisms. Immunotherapy resistance is a complex phenomenon relying on genetic and epigenetic factors, which ultimately influence the interplay between cancer cells and the tumor microenvironment. Information is accumulating on the cellular and molecular mechanisms underlying the production of resistance and the resulting diminished therapeutic efficacy. In addition, current knowledge on predictors of response and toxicity to immunotherapy and on biomarkers that reliably identify resistant patients is in progress. In this review, we will focus on the tumor microenvironment changes induced by ICIs in melanoma, summarizing the available evidence of clinical trials in the neoadjuvant and metastatic setting. We will also overview the role of potential biomarkers in predicting disease response to ICIs, providing insight into current and future research in this field.

Identifiants

pubmed: 36221225
doi: 10.1097/PAP.0000000000000375
pii: 00125480-202305000-00009
doi:

Substances chimiques

Immune Checkpoint Inhibitors 0
Biomarkers 0

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

218-229

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors have no funding or conflicts of interest to disclose.

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Auteurs

Alice Indini (A)

Division of Medical Oncology.

Maurizio Lombardo (M)

Division of Dermatology, Department of Medicine and Surgery, Ospedale di Circolo e Fondazione Macchi, ASST dei Sette Laghi, Varese.

Angelo Sidoni (A)

Section of Anatomic Pathology and Histology, Department of Medicine and Surgery, University of Perugia.

Andrea Gianatti (A)

Pathology Unit, ASST Papa Giovanni XXIII, Bergamo.

Mario Mandalà (M)

Unit of Medical Oncology, Department of Medicine and Surgery, University of Perugia, Perugia.

Daniela Massi (D)

Section of Pathological Anatomy, Department of Health Sciences, University of Florence, Florence, Italy.

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