The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment

Most anticancer therapies including immunotherapies are given systemically; yet therapies given directly into tumors may be more effective, particularly those that overcome natural suppressive factors in the tumor microenvironment. The “Trojan Horse” approach of intratumoural delivery aims to promot...

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Main Authors: Nelson, Delia, Fisher, S., Robinson, B.
Format: Journal Article
Published: Hindawi Publication Corporation 2014
Online Access:http://hdl.handle.net/20.500.11937/32544
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author Nelson, Delia
Fisher, S.
Robinson, B.
author_facet Nelson, Delia
Fisher, S.
Robinson, B.
author_sort Nelson, Delia
building Curtin Institutional Repository
collection Online Access
description Most anticancer therapies including immunotherapies are given systemically; yet therapies given directly into tumors may be more effective, particularly those that overcome natural suppressive factors in the tumor microenvironment. The “Trojan Horse” approach of intratumoural delivery aims to promote immune-mediated destruction by inducing microenvironmental changes within the tumour at the same time as avoiding the systemic toxicity that is often associated with more “full frontal” treatments such as transfer of large numbers of laboratory-expanded tumor-specific cytotoxic T lymphocytes or large intravenous doses of cytokine. Numerous studies have demonstrated that intratumoural therapy has the capacity to minimizing local suppression, inducing sufficient “dangerous” tumor cell death to cross-prime strong immune responses, and rending tumor blood vessels amenable to immune cell traffic to induce effector cell changes in secondary lymphoid organs. However, the key to its success is the design of a sound rational approach based on evidence. There is compelling preclinical data for local immunotherapy approaches in tumor immunology. This review summarises how immune events within a tumour can be modified by local approaches, how this can affect systemic antitumor immunity such that distal sites are attacked, and what approaches have been proven most successful so far in animals and patients.
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spelling curtin-20.500.11937-325442017-09-13T15:25:11Z The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment Nelson, Delia Fisher, S. Robinson, B. Most anticancer therapies including immunotherapies are given systemically; yet therapies given directly into tumors may be more effective, particularly those that overcome natural suppressive factors in the tumor microenvironment. The “Trojan Horse” approach of intratumoural delivery aims to promote immune-mediated destruction by inducing microenvironmental changes within the tumour at the same time as avoiding the systemic toxicity that is often associated with more “full frontal” treatments such as transfer of large numbers of laboratory-expanded tumor-specific cytotoxic T lymphocytes or large intravenous doses of cytokine. Numerous studies have demonstrated that intratumoural therapy has the capacity to minimizing local suppression, inducing sufficient “dangerous” tumor cell death to cross-prime strong immune responses, and rending tumor blood vessels amenable to immune cell traffic to induce effector cell changes in secondary lymphoid organs. However, the key to its success is the design of a sound rational approach based on evidence. There is compelling preclinical data for local immunotherapy approaches in tumor immunology. This review summarises how immune events within a tumour can be modified by local approaches, how this can affect systemic antitumor immunity such that distal sites are attacked, and what approaches have been proven most successful so far in animals and patients. 2014 Journal Article http://hdl.handle.net/20.500.11937/32544 10.1155/2014/789069 Hindawi Publication Corporation unknown
spellingShingle Nelson, Delia
Fisher, S.
Robinson, B.
The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title_full The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title_fullStr The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title_full_unstemmed The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title_short The “Trojan Horse” Approach to Tumor Immunotherapy: Targeting the Tumor Microenvironment
title_sort “trojan horse” approach to tumor immunotherapy: targeting the tumor microenvironment
url http://hdl.handle.net/20.500.11937/32544