Modulation of CTLA-4 and GITR for cancer immunotherapy Journal Article


Authors: Avogadri, F.; Yuan, J.; Yang, A.; Schaer, D.; Wolchok, J. D.
Article Title: Modulation of CTLA-4 and GITR for cancer immunotherapy
Abstract: The rational manipulation of antigen-specific T cells to reignite a tumor-specific immune response in cancer patients is a challenge for cancer immunotherapy. Targeting coinhibitory and costimulatory T cell receptors with specific antibodies in cancer patients is an emerging approach to T cell manipulation, namely "immune modulation." Cytotoxic T-lymphocyte antigen-4 (CTLA-4) and glucocorticoid-induced tumor necrosis factor family receptor (GITR) are potential targets for immune modulation through anti-CTLA-4 blocking antibodies and anti-GITR agonistic antibodies, respectively. In this review, we first discuss preclinical findings key to the understanding of the mechanisms of action of these immunomodulatory antibodies and the preclinical evidence of antitumor activity which preceded translation into the clinic. We next describe the outcomes and immune related adverse effects associated with anti-CTLA-4 based clinical trials with particular emphasis on specific biomarkers used to elucidate the mechanisms of tumor immunity in patients. The experience with anti-CTLA-4 therapy and the durable clinical benefit observed provide proof of principle to effective antitumor immune modulation and the promise of future clinical immune modulatory antibodies.
Keywords: review; drug potentiation; neoplasm; neoplasms; animal; animals; ipilimumab; ticilimumab; physiology; monoclonal antibody; immunology; lymphocyte activation; antibodies, monoclonal; immunotherapy; tumor necrosis factor receptor; antigens, cd; cytotoxic t lymphocyte antigen 4; leukocyte antigen; receptors, tumor necrosis factor; cp-675,206; cytotoxic t-lymphocyte antigen 4; nerve growth factor receptor; receptors, nerve growth factor; tnfrsf18 protein, human
Journal Title: Current Topics in Microbiology and Immunology
Volume: 344
ISSN: 0070-217X
Publisher: Springer Verlag  
Date Published: 2011-01-01
Start Page: 211
End Page: 244
Language: English
DOI: 10.1007/82_2010_49
PUBMED: 20563707
PROVIDER: scopus
PMCID: PMC4060248
DOI/URL:
Notes: --- Chapter in "Cancer Immunology and Immunotherapy" (ISBN: 978-3-642-14135-5) - "Export Date: 17 August 2011" - "Source: Scopus"
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  1. Jedd D Wolchok
    905 Wolchok
  2. Arvin Yang
    6 Yang
  3. David A Schaer
    25 Schaer
  4. Jianda Yuan
    105 Yuan