Transplant oncology and anti-cancer immunosuppressants

Organ transplantation is a life-saving intervention that enhances the quality of life for patients with end-stage organ failure. However, long-term immunosuppressive therapy is required to prevent allogeneic graft rejection, which inadvertently elevates the risk of post-transplant malignancies, espe...

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Main Authors: Dejun Kong, Jinliang Duan, Shaofeng Chen, Zhenglu Wang, Jiashu Ren, Jianing Lu, Tao Chen, Zhuolun Song, Di Wu, Yuan Chang, Zhongqian Yin, Zhongyang Shen, Hong Zheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1520083/full
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author Dejun Kong
Jinliang Duan
Shaofeng Chen
Zhenglu Wang
Zhenglu Wang
Jiashu Ren
Jianing Lu
Tao Chen
Zhuolun Song
Di Wu
Yuan Chang
Zhongqian Yin
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Hong Zheng
Hong Zheng
Hong Zheng
Hong Zheng
author_facet Dejun Kong
Jinliang Duan
Shaofeng Chen
Zhenglu Wang
Zhenglu Wang
Jiashu Ren
Jianing Lu
Tao Chen
Zhuolun Song
Di Wu
Yuan Chang
Zhongqian Yin
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Hong Zheng
Hong Zheng
Hong Zheng
Hong Zheng
author_sort Dejun Kong
collection DOAJ
description Organ transplantation is a life-saving intervention that enhances the quality of life for patients with end-stage organ failure. However, long-term immunosuppressive therapy is required to prevent allogeneic graft rejection, which inadvertently elevates the risk of post-transplant malignancies, especially for liver transplant recipients with a prior history of liver cancer. In response, the emerging field of transplant oncology integrates principles from oncology and immunology to improve outcomes for patients at high risk of tumor occurrence or recurrence following transplantation. Therefore, it is of substantial clinical significance to develop immunosuppressants that possess both immunosuppressive and anti-tumor properties. For instance, mTOR inhibitors demonstrate anti-tumor effects among antimetabolite immunosuppressive drugs, and recent studies indicate that capecitabine, an antimetabolite chemotherapeutic, may also exhibit immunosuppressive activity in the clinic for liver transplants suffering from hepatocellular carcinoma. This review systematically explores potential immunosuppressants with dual anti-tumor and immunosuppressive effects to support the management of transplant patients at elevated risk of tumor occurrence or recurrence.
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institution Kabale University
issn 1664-3224
language English
publishDate 2025-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-25f19db6c5974199a4b4b2686b06c4a32025-01-07T06:47:45ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15200831520083Transplant oncology and anti-cancer immunosuppressantsDejun Kong0Jinliang Duan1Shaofeng Chen2Zhenglu Wang3Zhenglu Wang4Jiashu Ren5Jianing Lu6Tao Chen7Zhuolun Song8Di Wu9Yuan Chang10Zhongqian Yin11Zhongyang Shen12Zhongyang Shen13Zhongyang Shen14Zhongyang Shen15Hong Zheng16Hong Zheng17Hong Zheng18Hong Zheng19Nankai University School of Medicine, Tianjin, ChinaNankai University School of Medicine, Tianjin, ChinaNankai University School of Medicine, Tianjin, ChinaTianjin Organ Transplantation Research Center, Tianjin First Central Hospital, Nankai University School of Medicine, Tianjin, ChinaKey Laboratory of Transplant Medicine, Chinese Academy of Medical Sciences, Tianjin, ChinaTianjin First Central Clinical College, Tianjin, ChinaTianjin First Central Clinical College, Tianjin, ChinaNankai University School of Medicine, Tianjin, ChinaTianjin Organ Transplantation Research Center, Tianjin First Central Hospital, Nankai University School of Medicine, Tianjin, ChinaTianjin Organ Transplantation Research Center, Tianjin First Central Hospital, Nankai University School of Medicine, Tianjin, ChinaNankai University School of Medicine, Tianjin, ChinaTianjin First Central Clinical College, Tianjin, ChinaTianjin Organ Transplantation Research Center, Tianjin First Central Hospital, Nankai University School of Medicine, Tianjin, ChinaKey Laboratory of Transplant Medicine, Chinese Academy of Medical Sciences, Tianjin, ChinaResearch Institute of Transplant Medicine, Nankai University, Tianjin, ChinaTianjin Key Laboratory for Organ Transplantation, Tianjin, ChinaTianjin Organ Transplantation Research Center, Tianjin First Central Hospital, Nankai University School of Medicine, Tianjin, ChinaKey Laboratory of Transplant Medicine, Chinese Academy of Medical Sciences, Tianjin, ChinaResearch Institute of Transplant Medicine, Nankai University, Tianjin, ChinaTianjin Key Laboratory for Organ Transplantation, Tianjin, ChinaOrgan transplantation is a life-saving intervention that enhances the quality of life for patients with end-stage organ failure. However, long-term immunosuppressive therapy is required to prevent allogeneic graft rejection, which inadvertently elevates the risk of post-transplant malignancies, especially for liver transplant recipients with a prior history of liver cancer. In response, the emerging field of transplant oncology integrates principles from oncology and immunology to improve outcomes for patients at high risk of tumor occurrence or recurrence following transplantation. Therefore, it is of substantial clinical significance to develop immunosuppressants that possess both immunosuppressive and anti-tumor properties. For instance, mTOR inhibitors demonstrate anti-tumor effects among antimetabolite immunosuppressive drugs, and recent studies indicate that capecitabine, an antimetabolite chemotherapeutic, may also exhibit immunosuppressive activity in the clinic for liver transplants suffering from hepatocellular carcinoma. This review systematically explores potential immunosuppressants with dual anti-tumor and immunosuppressive effects to support the management of transplant patients at elevated risk of tumor occurrence or recurrence.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1520083/fullorgan transplantationtransplant oncologyimmunosuppressantanti-metabolic drugsanti-tumor
spellingShingle Dejun Kong
Jinliang Duan
Shaofeng Chen
Zhenglu Wang
Zhenglu Wang
Jiashu Ren
Jianing Lu
Tao Chen
Zhuolun Song
Di Wu
Yuan Chang
Zhongqian Yin
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Zhongyang Shen
Hong Zheng
Hong Zheng
Hong Zheng
Hong Zheng
Transplant oncology and anti-cancer immunosuppressants
Frontiers in Immunology
organ transplantation
transplant oncology
immunosuppressant
anti-metabolic drugs
anti-tumor
title Transplant oncology and anti-cancer immunosuppressants
title_full Transplant oncology and anti-cancer immunosuppressants
title_fullStr Transplant oncology and anti-cancer immunosuppressants
title_full_unstemmed Transplant oncology and anti-cancer immunosuppressants
title_short Transplant oncology and anti-cancer immunosuppressants
title_sort transplant oncology and anti cancer immunosuppressants
topic organ transplantation
transplant oncology
immunosuppressant
anti-metabolic drugs
anti-tumor
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1520083/full
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