Immunotherapy resistance in solid tumors: mechanisms and potential solutions

While the emergence of immunotherapies has fundamentally altered the management of solid tumors, cancers exploit many complex biological mechanisms that result in resistance to these agents. These encompass a broad range of cellular activities – from modification of traditional paradigms of immunity...

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Main Authors: Daniel S. Lefler, Steven A. Manobianco, Babar Bashir
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Cancer Biology & Therapy
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/15384047.2024.2315655
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author Daniel S. Lefler
Steven A. Manobianco
Babar Bashir
author_facet Daniel S. Lefler
Steven A. Manobianco
Babar Bashir
author_sort Daniel S. Lefler
collection DOAJ
description While the emergence of immunotherapies has fundamentally altered the management of solid tumors, cancers exploit many complex biological mechanisms that result in resistance to these agents. These encompass a broad range of cellular activities – from modification of traditional paradigms of immunity via antigen presentation and immunoregulation to metabolic modifications and manipulation of the tumor microenvironment. Intervening on these intricate processes may provide clinical benefit in patients with solid tumors by overcoming resistance to immunotherapies, which is why it has become an area of tremendous research interest with practice-changing implications. This review details the major ways cancers avoid both natural immunity and immunotherapies through primary (innate) and secondary (acquired) mechanisms of resistance, and it considers available and emerging therapeutic approaches to overcoming immunotherapy resistance.
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publishDate 2024-12-01
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record_format Article
series Cancer Biology & Therapy
spelling doaj-art-ba2082a83f7d41ecb8d13b09d322499e2025-08-20T01:58:48ZengTaylor & Francis GroupCancer Biology & Therapy1538-40471555-85762024-12-0125110.1080/15384047.2024.2315655Immunotherapy resistance in solid tumors: mechanisms and potential solutionsDaniel S. Lefler0Steven A. Manobianco1Babar Bashir2Department of Medicine, Division of Hematology and Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USADepartment of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USADepartment of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USAWhile the emergence of immunotherapies has fundamentally altered the management of solid tumors, cancers exploit many complex biological mechanisms that result in resistance to these agents. These encompass a broad range of cellular activities – from modification of traditional paradigms of immunity via antigen presentation and immunoregulation to metabolic modifications and manipulation of the tumor microenvironment. Intervening on these intricate processes may provide clinical benefit in patients with solid tumors by overcoming resistance to immunotherapies, which is why it has become an area of tremendous research interest with practice-changing implications. This review details the major ways cancers avoid both natural immunity and immunotherapies through primary (innate) and secondary (acquired) mechanisms of resistance, and it considers available and emerging therapeutic approaches to overcoming immunotherapy resistance.https://www.tandfonline.com/doi/10.1080/15384047.2024.2315655Immunoresistancecancer treatmentimmune checkpoint inhibitorscytokinestumor microenvironment
spellingShingle Daniel S. Lefler
Steven A. Manobianco
Babar Bashir
Immunotherapy resistance in solid tumors: mechanisms and potential solutions
Cancer Biology & Therapy
Immunoresistance
cancer treatment
immune checkpoint inhibitors
cytokines
tumor microenvironment
title Immunotherapy resistance in solid tumors: mechanisms and potential solutions
title_full Immunotherapy resistance in solid tumors: mechanisms and potential solutions
title_fullStr Immunotherapy resistance in solid tumors: mechanisms and potential solutions
title_full_unstemmed Immunotherapy resistance in solid tumors: mechanisms and potential solutions
title_short Immunotherapy resistance in solid tumors: mechanisms and potential solutions
title_sort immunotherapy resistance in solid tumors mechanisms and potential solutions
topic Immunoresistance
cancer treatment
immune checkpoint inhibitors
cytokines
tumor microenvironment
url https://www.tandfonline.com/doi/10.1080/15384047.2024.2315655
work_keys_str_mv AT danielslefler immunotherapyresistanceinsolidtumorsmechanismsandpotentialsolutions
AT stevenamanobianco immunotherapyresistanceinsolidtumorsmechanismsandpotentialsolutions
AT babarbashir immunotherapyresistanceinsolidtumorsmechanismsandpotentialsolutions