Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions

Cancer is a major threat to public health today, particularly due to the emergence of drug resistance and disease re-emergence post-traditional treatment. Regulatory T cells (Tregs) support cancer progression through their immunosuppressive mechanisms expressing co-inhibitory molecules like programm...

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Main Authors: Neeharika Vatsavai, Sumeet Kaur Bhinder, Rahaman Shaik, Shaheen Mahira, Shruti Kapoor, Md Shadab Ali, Deepak Verma, Jay Singh, Sreelakshmi Badavenkatappa Gari, Prabhat Upadhyay, Yeva Meshkovska, Chandraiah Godugu, Sowjanya Thatikonda, Venkatesh Pooladanda
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1602529/full
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author Neeharika Vatsavai
Sumeet Kaur Bhinder
Rahaman Shaik
Shaheen Mahira
Shruti Kapoor
Md Shadab Ali
Deepak Verma
Jay Singh
Sreelakshmi Badavenkatappa Gari
Prabhat Upadhyay
Prabhat Upadhyay
Yeva Meshkovska
Chandraiah Godugu
Sowjanya Thatikonda
Venkatesh Pooladanda
Venkatesh Pooladanda
author_facet Neeharika Vatsavai
Sumeet Kaur Bhinder
Rahaman Shaik
Shaheen Mahira
Shruti Kapoor
Md Shadab Ali
Deepak Verma
Jay Singh
Sreelakshmi Badavenkatappa Gari
Prabhat Upadhyay
Prabhat Upadhyay
Yeva Meshkovska
Chandraiah Godugu
Sowjanya Thatikonda
Venkatesh Pooladanda
Venkatesh Pooladanda
author_sort Neeharika Vatsavai
collection DOAJ
description Cancer is a major threat to public health today, particularly due to the emergence of drug resistance and disease re-emergence post-traditional treatment. Regulatory T cells (Tregs) support cancer progression through their immunosuppressive mechanisms expressing co-inhibitory molecules like programmed cell death-1 (PD-1), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), T cell immunoglobin-3 (TIM-3), and T-cell immunoglobin and ITIM domain (TIGIT), that suppress T-cell activation and allow tumor cells to grow uncontrollably. Emerging cancer immunotherapeutic strategies targeting these checkpoints inhibit tumor-immune escape and impede cancer progression. This review highlights the mechanistic effects of these drugs and enumerates various critical combinatorial strategies that can be utilized for effective cancer treatment.
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institution Kabale University
issn 1663-9812
language English
publishDate 2025-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Pharmacology
spelling doaj-art-ada2a38b93b34f71a8531781a74650142025-08-20T03:25:42ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-06-011610.3389/fphar.2025.16025291602529Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directionsNeeharika Vatsavai0Sumeet Kaur Bhinder1Rahaman Shaik2Shaheen Mahira3Shruti Kapoor4Md Shadab Ali5Deepak Verma6Jay Singh7Sreelakshmi Badavenkatappa Gari8Prabhat Upadhyay9Prabhat Upadhyay10Yeva Meshkovska11Chandraiah Godugu12Sowjanya Thatikonda13Venkatesh Pooladanda14Venkatesh Pooladanda15Department of Pharmacy, Birla Institute of Technology and Science (BITS) Pilani, Hyderabad Campus, Hyderabad, Telangana, IndiaDepartment of Pharmaceutical Sciences and Drug Research, Punjabi University, Patiala, IndiaDepartment of Pharmacology, School of Pharmaceutical Education and Research, Jamia Hamdard, New Delhi, IndiaDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, PA, United StatesMolecular, Cellular and Developmental Biology, University of California Santa Cruz, Santa Cruz, CA, United StatesDepartment of Pulmonary, Critical Care, and Sleep Medicine, All India Institute of Medical Sciences, New Delhi, IndiaDepartment of Oncology, School of Medicine, Sidney Kimmel Comprehensive Cancer Center (SKCCC), Johns Hopkins Medicine, Baltimore, MD, United StatesLaboratory Oncology Unit, Dr. Bhim Rao Ambedkar Institute Rotary Cancer Hospital (Dr BRA-IRCH), All India Institute of Medical Sciences, New Delhi, IndiaFaculty of Pharmaceutical Sciences, Jawaharlal Nehru Technological University Anantapur (JNTUA), Anantapur, Andhra Pradesh, India0Department of Obstetrics & Gynecology, Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA, United States1Obstetrics, Gynecology & Reproductive Biology, Harvard Medical School, Boston, MA, United States2Department of Head & Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa, FL, United States3Department of Regulatory Toxicology, Biological Sciences, National Institute of Pharmaceutical Education and Research (NIPER), Hyderabad, Telangana, India2Department of Head & Neck-Endocrine Oncology, Moffitt Cancer Center, Tampa, FL, United States0Department of Obstetrics & Gynecology, Vincent Center for Reproductive Biology, Massachusetts General Hospital, Boston, MA, United States1Obstetrics, Gynecology & Reproductive Biology, Harvard Medical School, Boston, MA, United StatesCancer is a major threat to public health today, particularly due to the emergence of drug resistance and disease re-emergence post-traditional treatment. Regulatory T cells (Tregs) support cancer progression through their immunosuppressive mechanisms expressing co-inhibitory molecules like programmed cell death-1 (PD-1), cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), T cell immunoglobin-3 (TIM-3), and T-cell immunoglobin and ITIM domain (TIGIT), that suppress T-cell activation and allow tumor cells to grow uncontrollably. Emerging cancer immunotherapeutic strategies targeting these checkpoints inhibit tumor-immune escape and impede cancer progression. This review highlights the mechanistic effects of these drugs and enumerates various critical combinatorial strategies that can be utilized for effective cancer treatment.https://www.frontiersin.org/articles/10.3389/fphar.2025.1602529/fullcancer immunotherapyregulatory T cellsimmune checkpointsPD-1CTLA-4tumor immune evasion
spellingShingle Neeharika Vatsavai
Sumeet Kaur Bhinder
Rahaman Shaik
Shaheen Mahira
Shruti Kapoor
Md Shadab Ali
Deepak Verma
Jay Singh
Sreelakshmi Badavenkatappa Gari
Prabhat Upadhyay
Prabhat Upadhyay
Yeva Meshkovska
Chandraiah Godugu
Sowjanya Thatikonda
Venkatesh Pooladanda
Venkatesh Pooladanda
Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
Frontiers in Pharmacology
cancer immunotherapy
regulatory T cells
immune checkpoints
PD-1
CTLA-4
tumor immune evasion
title Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
title_full Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
title_fullStr Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
title_full_unstemmed Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
title_short Advances and challenges in cancer immunotherapy: mechanisms, clinical applications, and future directions
title_sort advances and challenges in cancer immunotherapy mechanisms clinical applications and future directions
topic cancer immunotherapy
regulatory T cells
immune checkpoints
PD-1
CTLA-4
tumor immune evasion
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1602529/full
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