New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma

Osteosarcoma, a malignant bone tumor primarily affecting adolescents, is highly invasive with a poor prognosis. While surgery and chemotherapy have improved survival for localized cases, pulmonary metastasis significantly reduces survival to approximately 20%, highlighting the need for novel treatme...

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Main Authors: Cong Luo, Xingxing Min, Danying Zhang
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.2024.1539696/full
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author Cong Luo
Xingxing Min
Danying Zhang
author_facet Cong Luo
Xingxing Min
Danying Zhang
author_sort Cong Luo
collection DOAJ
description Osteosarcoma, a malignant bone tumor primarily affecting adolescents, is highly invasive with a poor prognosis. While surgery and chemotherapy have improved survival for localized cases, pulmonary metastasis significantly reduces survival to approximately 20%, highlighting the need for novel treatments. Immunotherapy, which leverages the immune system to target osteosarcoma cells, shows promise. This review summarizes the biological characteristics of osteosarcoma, mechanisms of pulmonary metastasis, and the tumor immune microenvironment (TME). It involves recent immunotherapy advances, including monoclonal antibodies, tumor vaccines, immune cell therapies, checkpoint inhibitors, and oncolytic viruses, and discusses combining these with standard treatments.
format Article
id doaj-art-8068c6e52489451585098bbba68a9bb4
institution Kabale University
issn 1664-3224
language English
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publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-8068c6e52489451585098bbba68a9bb42025-01-17T06:50:59ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15396961539696New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcomaCong Luo0Xingxing Min1Danying Zhang2Department of Orthopedic Trauma, Zhuji People’s Hospital of Zhejiang Province, Zhuji, Zhejiang, ChinaDepartment of Orthopedic Trauma, Zhuji People’s Hospital of Zhejiang Province, Zhuji, Zhejiang, ChinaDepartment of Emergency and Critical Care, Shanghai Changzheng Hospital, Shanghai, ChinaOsteosarcoma, a malignant bone tumor primarily affecting adolescents, is highly invasive with a poor prognosis. While surgery and chemotherapy have improved survival for localized cases, pulmonary metastasis significantly reduces survival to approximately 20%, highlighting the need for novel treatments. Immunotherapy, which leverages the immune system to target osteosarcoma cells, shows promise. This review summarizes the biological characteristics of osteosarcoma, mechanisms of pulmonary metastasis, and the tumor immune microenvironment (TME). It involves recent immunotherapy advances, including monoclonal antibodies, tumor vaccines, immune cell therapies, checkpoint inhibitors, and oncolytic viruses, and discusses combining these with standard treatments.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1539696/fullosteosarcomaimmune microenvironmentimmunotherapyimmune evasioncombination therapy
spellingShingle Cong Luo
Xingxing Min
Danying Zhang
New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
Frontiers in Immunology
osteosarcoma
immune microenvironment
immunotherapy
immune evasion
combination therapy
title New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
title_full New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
title_fullStr New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
title_full_unstemmed New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
title_short New insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
title_sort new insights into the mechanisms of the immune microenvironment and immunotherapy in osteosarcoma
topic osteosarcoma
immune microenvironment
immunotherapy
immune evasion
combination therapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1539696/full
work_keys_str_mv AT congluo newinsightsintothemechanismsoftheimmunemicroenvironmentandimmunotherapyinosteosarcoma
AT xingxingmin newinsightsintothemechanismsoftheimmunemicroenvironmentandimmunotherapyinosteosarcoma
AT danyingzhang newinsightsintothemechanismsoftheimmunemicroenvironmentandimmunotherapyinosteosarcoma