A decade of checkpoint blockade immunotherapy in melanoma: understanding the molecular basis for immune sensitivity and resistance.

TitleA decade of checkpoint blockade immunotherapy in melanoma: understanding the molecular basis for immune sensitivity and resistance.
Publication TypeJournal Article
Year of Publication2022
AuthorsHuang AC, Zappasodi R
JournalNat Immunol
Volume23
Issue5
Pagination660-670
Date Published2022 May
ISSN1529-2916
KeywordsHumans, Immune Checkpoint Inhibitors, Immunotherapy, Ipilimumab, Melanoma, Tumor Microenvironment
Abstract

Ten years since the immune checkpoint inhibitor ipilimumab was approved for advanced melanoma, it is time to reflect on the lessons learned regarding modulation of the immune system to treat cancer and on novel approaches to further extend the efficacy of current and emerging immunotherapies. Here, we review the studies that led to our current understanding of the melanoma immune microenvironment in humans and the mechanistic work supporting these observations. We discuss how this information is guiding more precise analyses of the mechanisms of action of immune checkpoint blockade and novel immunotherapeutic approaches. Lastly, we review emerging evidence supporting the negative impact of melanoma metabolic adaptation on anti-tumor immunity and discuss how to counteract such mechanisms for more successful use of immunotherapy.

DOI10.1038/s41590-022-01141-1
Alternate JournalNat Immunol
PubMed ID35241833
PubMed Central IDPMC9106900
Grant ListK08 CA230157 / CA / NCI NIH HHS / United States
P30 CA008748 / CA / NCI NIH HHS / United States
P50 CA192937 / CA / NCI NIH HHS / United States