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Opportunities for Small Molecules in Cancer Immunotherapy
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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“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.”
From Epigenetic state determines the in vivo efficacy of STING agonist therapy (2023) · cites this paper as [27]
In the citing paper
“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.”
From Epigenetic state determines the in vivo efficacy of STING agonist therapy (2023) · cites this paper as [27]
In the citing paper
“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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Metadata
- 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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