Immunological off-target effects of standard treatments in gastrointestinal cancers

Ann Oncol. 2014 Jan;25(1):24-32. doi: 10.1093/annonc/mdt349. Epub 2013 Nov 7.

Abstract

The effects on immune cells and the inflammatory microenvironment of commonly applied cancer treatments (chemotherapeutic or biologic agents, interventional radiologic procedures) have become better appreciated. Likewise, the contribution of the immune system toward the effectiveness of these treatments is clearer. The relevance of immune evasion by developing tumors is endorsed by its inclusion as one of the (updated) hallmarks of cancer. A greater understanding of this dimension can potentially lead to novel applications of existing standard of care therapies, in addition to potentiating their effect. This review summarizes the immune aspects of currently employed therapies-cytotoxic chemotherapeutics, biologic agents and interventional radiologic procedures-in solid tumor malignancies with a particular focus on those agents used in gastrointestinal cancers.

Keywords: CTLA4; colorectal; immune; myeloid-derived suppressor cells; pancreatic.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use
  • Camptothecin / analogs & derivatives
  • Camptothecin / pharmacology
  • Camptothecin / therapeutic use
  • Cytotoxicity, Immunologic / drug effects*
  • Deoxycytidine / analogs & derivatives
  • Deoxycytidine / pharmacology
  • Deoxycytidine / therapeutic use
  • Fluorouracil / pharmacology
  • Fluorouracil / therapeutic use
  • Gastrointestinal Neoplasms / drug therapy*
  • Gastrointestinal Neoplasms / immunology
  • Gemcitabine
  • Humans
  • Irinotecan
  • Organoplatinum Compounds / pharmacology
  • Organoplatinum Compounds / therapeutic use
  • Oxaliplatin
  • Taxoids / pharmacology
  • Taxoids / therapeutic use
  • Tumor Escape
  • Tumor Microenvironment / immunology

Substances

  • Antineoplastic Agents
  • Organoplatinum Compounds
  • Taxoids
  • Oxaliplatin
  • Deoxycytidine
  • Irinotecan
  • Fluorouracil
  • Camptothecin
  • Gemcitabine