Cited by 124Cancer Immunotherapy and BiomarkersImmunotherapy and Immune ResponsesT-cell and B-cell Immunology

Opportunities for Small Molecules in Cancer Immunotherapy

van der Zanden, Sabina Y., Luimstra, Jolien J., Neefjes, Jacques, Borst, Jannie, Ovaa, Huib·2020·Trends in Immunology

Abstract

Cancer immunotherapy has proven remarkably successful through instigation of systemic antitumor T cell responses. Despite this achievement, further advancements are needed to expand the scope of susceptible cancer types and overcome variation in treatment outcomes between patients. Small-molecule drugs targeting defined pathways and/or cells capable of immune modulation are expected to substantially improve efficacy of cancer immunotherapy. Small-molecule drugs possess unique properties compatible with systemic administration and amenable to both extracellular and intracellular targets. These compounds can modify molecular pathways to overcome immune tolerance and suppression towards effective antitumor responses. Here, we provide an overview of how such effects might be achieved by combining immunotherapy with conventional and/or new small-molecule chemotherapeutics.

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Crossref · 10.1016/j.it.2020.04.004

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124 of 124 references verified0 citation errors · 0 not checkable

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  • STING-activating agents have shown limited efficacy in early-phase clinical trials in cancer patients, either as monotherapy or in combination with immune checkpoint inhibitors.

    “early-phase clinical trials with these agents in cancer patients, either as monotherapy or in combination with immune checkpoint inhibitors, have so far shown lack of efficacy26–28.”
  • Clinical trials in cancer patients currently testing STING activating drugs as monotherapy or in combination with immune checkpoint inhibitors have so far provided little, if any, evidence of objective responses.

    “However, clinical trials in cancer patients currently testing STING activating drugs as a monotherapy or in combination with immune checkpoint inhibitors have so far provided little, if any, evidence of objective responses26–28.”
  • Small-molecule-mediated activation of the immune response against tumours is a rich area of drug development.

    “Following in the footsteps of immunotherapy, small-molecule-mediated activation of the immune response against tumours is a rich area of drug development176,177.”

    From PROTAC targeted protein degraders: the past is prologue (2022) · cites this paper as [176]

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Authors
van der Zanden, S. Y., Luimstra, J. J., Neefjes, J., Borst, J., & Ovaa, H.
Affiliations
Leiden University Medical Center (NL)
Corresponding author
  • Neefjes, Jacques
  • Ovaa, Huib
Venue
Trends in Immunology
Publisher
Elsevier BV
Published
2020-06
Volume
41
Issue
6
Pages
493-511
ISSN
1471-4906 (ISSN-L)
OpenAlex
W3021559561
Cited by
119
References
127
Citations by year
2026: 9 · 2025: 15 · 2024: 15 · 2023: 25 · 2022: 18 · 2021: 33 · 2020: 4
FWCI
2.28
Type
journal article
Language
en
Open access
closed
Locations
  • Trends in Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Leiden Repository (Leiden University) (submittedVersion)
Funders
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek
  • European Research Council
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
Keywords
cancer immunotherapy, small molecule drugs, immune checkpoint inhibitors, immune tolerance, antitumor T-cell responses, combination therapy, chemotherapeutics, immunomodulation, systemic drug administration
MeSH terms
Antineoplastic Agents, Humans, Immune Tolerance, Immunotherapy, Neoplasms, T-Lymphocytes, Small Molecule Libraries

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