Cited by 96Cancer Immunotherapy and BiomarkersImmunotherapy and Immune ResponsesFrailty in Older Adults

Aging, immune senescence, and immunotherapy: a comprehensive review

Elias, Rawad, Hartshorn, Kevan, Rahma, Osama, Lin, Nina, Snyder-Cappione, Jennifer E.·2018·Seminars in Oncology

Abstract

The advent of immune checkpoint inhibitors (ICIs) has changed the landscape of cancer treatment. Older adults represent the majority of cancer patients; however, direct data evaluating ICIs in this patient population is lacking. Aging is associated with changes in the immune system known as "immunosenescence" that could impact the efficacy and safety profile of ICIs. In this paper, we review aging-associated changes in the immune system as they may relate to cancer and immunotherapy, with mention of the effect of chronic viral infections and frailty. Furthermore, we summarize the current clinical evidence of ICI effectiveness and toxicity among older adults with cancer.

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Crossref · 10.1053/j.seminoncol.2018.08.006

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170 of 170 references verified0 citation errors · 0 not checkable

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  • Immune checkpoint inhibitors promote the immunological control of cancer cells by blocking immune inhibitory responses that are evolutionarily designed to prevent continuing immunological responses once an antigenic stimulus has been eradicated.

    “In fact, immune checkpoint inhibitors promote the immunological control of cancer cells by blocking the immune inhibitory responses that are evolutionary designed to prevent continuing immunological responses once an antigenic stimulus has been eradicated (165).”

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Authors
Elias, R., Hartshorn, K., Rahma, O., Lin, N., & Snyder-Cappione, J. E.
Affiliations
  • Hartford Hospital (US)
  • Boston University (US)
  • Harvard University (US)
Corresponding author
Elias, Rawad
Venue
Seminars in Oncology
Publisher
Elsevier BV
Published
2018-08
Volume
45
Issue
4
Pages
187-200
ISSN
0093-7754 (ISSN-L)
OpenAlex
W2898258916
Cited by
96
References
172
Citations by year
2026: 8 · 2025: 12 · 2024: 10 · 2023: 12 · 2022: 11 · 2021: 19 · 2020: 12 · 2019: 12
FWCI
1.12
Type
journal article
Language
en
Open access
closed
Locations
  • Seminars in Oncology (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Allergy and Infectious Diseases (P30AI042853)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
immunosenescence, aging, immune checkpoint inhibitors, immunotherapy, older adults, cancer immunotherapy, chronic viral infection, frailty, immunotherapy toxicity, immunotherapy efficacy
MeSH terms
Immunosenescence, Aging, Animals, Humans, Immunotherapy

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