Cell Fate Reprogramming in the Era of Cancer Immunotherapy
Open accessAbstract
Advances in understanding how cancer cells interact with the immune system allowed the development of immunotherapeutic strategies, harnessing patients’ immune system to fight cancer. Dendritic cell-based vaccines are being explored to reactivate anti-tumor adaptive immunity. Immune checkpoint inhibitors and chimeric antigen receptor T-cells (CAR T) were however the main approaches that catapulted the therapeutic success of immunotherapy. Despite their success across a broad range of human cancers, many challenges remain for basic understanding and clinical progress as only a minority of patients benefit from immunotherapy. In addition, cellular immunotherapies face important limitations imposed by the availability and quality of immune cells isolated from donors. Cell fate reprogramming is offering interesting alternatives to meet these challenges. Induced pluripotent stem cell (iPSC) technology not only enables studying immune cell specification but also serves as a platform for the differentiation of a myriad of clinically useful immune cells including T-cells, NK cells, or monocytes at scale. Moreover, the utilization of iPSCs allows introduction of genetic modifications and generation of T/NK cells with enhanced anti-tumor properties. Immune cells, such as macrophages and dendritic cells, can also be generated by direct cellular reprogramming employing lineage-specific master regulators bypassing the pluripotent stage. Thus, the cellular reprogramming toolbox is now providing the means to address the potential of patient-tailored immune cell types for cancer immunotherapy. In parallel, development of viral vectors for gene delivery has opened the door for in vivo reprogramming in regenerative medicine, an elegant strategy circumventing the current limitations of in vitro cell manipulation. An analogous paradigm has been recently developed in cancer immunotherapy by the generation of CAR T-cells in vivo. These new ideas on endogenous reprogramming, cross-fertilized from the fields of regenerative medicine and gene therapy, are opening exciting avenues for direct modulation of immune or tumor cells in situ, widening our strategies to remove cancer immunotherapy roadblocks. Here, we review current strategies for cancer immunotherapy, summarize technologies for generation of immune cells by cell fate reprogramming as well as highlight the future potential of inducing these unique cell identities in vivo, providing new and exciting tools for the fast-paced field of cancer immunotherapy.
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ACT has notable toxicity risks, particularly cytokine release syndrome.
“Secondly, while ACT demonstrates high efficacy, it also comes with notable toxicity risks, particularly concerning cytokine release syndrome (CRS).”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [133]
There are challenges associated with delivering tumor-specific lymphocytes efficiently to the tumor site.
“Lastly, there are challenges associated with delivering tumor-specific lymphocytes efficiently to the tumor site [133].”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [133]
Application of ACT in solid tumors encounters significant limitations and challenges, primarily stemming from the availability and quality of isolated immune cells.
“However, the application of ACT in solid tumors encounters significant limitations and challenges, primarily stemming from the availability and quality of isolated immune cells.”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [133]
Telomere length has emerged as a potential predictive biomarker for the clinical outcome of anti-EGFR monoclonal antibody therapy in patients with KRAS wild-type metastatic CRC.
“Furthermore, TL has emerged as a potential predictive biomarker for the clinical outcome of anti-EGFR monoclonal antibody therapy in patients with KRAS wild-type metastatic CRC.”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [133]
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Hypoxia-induced cancer cell reprogramming: a review on how cancer stem cells arise
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- Authors
- Zimmermannova, O., Caiado, I., Ferreira, A. G., & Pereira, C.-F.
- Affiliations
- Lund University (SE)
- Corresponding author
- Pereira, Carlos-Filipe
- Venue
- Frontiers in Immunology
- Publisher
- Frontiers Media SA
- Published
- 2021-07-21
- Volume
- 12
- Pages
- 714822-714822
- ISSN
- 1664-3224 (ISSN-L)
- PMC
- PMC8336566
- OpenAlex
- W3184553415
- Cited by
- 56
- References
- 238
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 12 · 2023: 13 · 2022: 15
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Immunology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Estudo Geral (Universidad de Coimbra) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Cancerfonden (200939 PjF)
- Vetenskapsrådet
- European Research Council
- Novo Nordisk Fonden
- Fundação para a Ciência e a Tecnologia (PTDC/MED-IMU/4520/2020, SFRH/BD/130845/2017)
- Knut och Alice Wallenbergs Stiftelse
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Pluripotent Stem Cells Research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- cellular reprogramming, cancer immunotherapy, induced pluripotent stem cells, immune cell differentiation, T cells, natural killer cells, macrophages, dendritic cells, in vivo reprogramming, viral vectors, gene delivery, chimeric antigen receptor T cells, immune checkpoint inhibitors, dendritic cell vaccine, cellular immunotherapy
- MeSH terms
- Cellular Reprogramming Techniques, Antineoplastic Agents, Immunological, Animals, Combined Modality Therapy, Genetic Engineering, Humans, Immunotherapy, Neoplasms, Genetic Therapy, Immunotherapy, Adoptive, Disease Management, Cancer Vaccines, Molecular Targeted Therapy, Cellular Reprogramming
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