About this Research Topic
Cancer cells use several strategies to resist the effect of immunotherapy, such as loss of MHC class I molecules, expression of neo-antigens, and over-expression of immunosuppressive molecules (IDO, PD-L1). Furthermore, cancer cells can secrete molecules that favour the accumulation of myeloid-derived suppressor cells (MDSCs) in the tumor microenvironment. These cells will release immunosuppressive cytokines, such as IL-10 and TGF-β, leading to the exhaustion of CTLs. MDSCs can also induce the generation of regulatory T cells, which suppress anti-tumor immune responses through the expression of inhibitory receptors and cytokines (TGF-β, IL-10, IDO, Tim-3 and LAG-3). To overcome tumor cells escaping from the immune pressure generated by immunotherapy, and to counteract the inhibitory activity of the tumor microenvironment on the immune system, next-generation immunotherapeutics have been generated or are under investigation and development. These include bispecific monoclonal antibodies, immunotoxins, fusion proteins, CAR-T cells, gene therapy and monoclonal antibodies with ADCC or CDC activity.
In this Research Topic, we are particularly interested in high-quality Original Research and Review articles that report the pre-clinical development of anti-tumor next-generation immunotherapeutics, such as bispecific monoclonal antibodies, immunotoxins, fusion proteins, CAR-T cells, gene therapy, cancer vaccines and monoclonal antibodies with ADCC or CDC activity. Manuscripts should focus on the impact of these new drugs in enhancing the immune system and overcoming the resistance of cancer cells to conventional immunotherapies. In addition to in vitro studies, manuscripts may also focus on the anti-tumoral activity of these drugs in vivo and report results from clinical trials. We are also interested in manuscripts reporting pre-clinical and clinical results derived from combination strategies between new drugs and conventional therapies.
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Massimo Fantini is an employee of Precision Biologics, Inc., a biotech company producing monoclonal antibodies for the treatment of solid tumors (Phase 1/2 clinical trials). Massimo Fantini holds a patent for one of these monoclonal antibodies.
Keywords: Monoclonal antibodies, Bispecific antibodies, CAR-T cells, Fusion proteins, Immunotoxins, Cancer vaccines, Gene therapy
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