This review explores the hallmarks of response, resistance, and toxicity to immune checkpoint blockade (ICB) in cancer treatment. It details various immune checkpoint molecules and strategies, including CTLA-4, PD-1, and emerging targets, alongside their clinical applications and associated adverse events. The text also thoroughly examines factors influencing ICB efficacy, categorizing them into host-intrinsic elements like tumor genetics, the tumor microenvironment (stromal and immune cells, metabolic status, microbes), and systemic host factors (gut microbiota, obesity, hormones). Finally, the review discusses host-extrinsic factors, or the exposome, which encompasses environmental, dietary, and behavioral influences, and highlights current and future diagnostic and therapeutic strategies to enhance treatment responses and mitigate toxicity.
References:
- Morad G, Helmink B A, Sharma P, et al. Hallmarks of response, resistance, and toxicity to immune checkpoint blockade[J]. Cell, 2021, 184(21): 5309-5337.