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Cancer immunotherapy in clinical practice-the past, present, and future.pdf
Cancerimmunotherapyl■ncl0in0ical■practic‘e--
thepast,present,andfuture
GauravGoelandWeijingSun
Abstract
Considerableprogresshasbeenmade inthefieldofcancerimmunotherapy inrecentyears.This
hasbeenmadepossible in largepartbythe identificationofnew immune-basedcellulartargetsand
thedevelopmentofnovelapproachesaimedatstimulatingthe immunesystem.Theroleplayedby
the immunosuppressivemicroenvironmentinthedevelopmentoftumorshasbeenestablished.The
Successofcheckpoint-inhibitingantibodiesandcancervaccineshasmarkedthebeginningofanew era
incancertreatment.Thisreview highlightstheclinicallyrelevantprinciplesofcancerimmunologyand
variousimmunotherapeuticapproachesthathaveeitheralreadyenteredmainstream oncologicpractice
orarecurrently intheprocessofbeingevaluatedinclinicaltrials.Furtherm0re.thecurrentbarriersto
thedevelopmentofeffectiveimmunotherapiesandthepotentialstrategiesofovercomingthem arealso
discussed.
Keywords Cancerimmunotherapy,immunoediting,checkpointinhibitors,cancervaccines,adoptivecelltransfer
Cancerlherapyisacontinuouslyevolvingfield.andnoveI anoverview ofclinicallyrelevantimmunologyandimmunotherapy
immunOlheraDeuljcapproachesarenow emergingaseffective principles,andvariousimmunOlherapeulicapproachesthatarebeing
freatmentoptionsagainstvariouslypesofcancers.Cancer integratedintocurrentoncologicpractice.
immunOtherapVreliesOnIheprincipleofmobilizingthehosl
Immunesystem tofighIagainslcancercells.Variousapproaches HistoricaIOverview
havebeenattemptedduringthelaslseveraIdecadesloharness
Iheinnatepowersoflheimmunesystem lofightcancer.Despite Theantitumorpotentialoftheimmunesystem hasbeen
lhebeslefforts.however,onlyIimitedsuccesshasbeenachieved recognizedforaIonglime.Thefirslknownattemptlouselhe
Indevelopingeffectiveantitumorimmun0lheraDjes.Theinability powe
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