T cell exhaustion in cancer: Mechanisms and clinical implications

J Cell Biochem. 2018 Jun;119(6):4279-4286. doi: 10.1002/jcb.26645. Epub 2018 Mar 7.

Abstract

During chronic viral infection or cancer, the immune system usually induces a corresponding immune response against pathogens or cancer cells so as to prevent worsening disease. T cell exhaustion in which reduced and dysfunctional effector T cells lead to immune escape is one of the mechanisms that pathogens or cancer cells get rid of control from the immune system. In this review, we discuss some mechanisms associated with T cell exhaustion and enumerate current methods of reversing T cell exhaustion. We also summarize current targeted treatment strategies and put forward following aspects that required to research.

Keywords: T cell exhaustion; cancer; inhibitory receptors; reversal; treatment strategy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Clonal Anergy*
  • Humans
  • Neoplasms / immunology*
  • Neoplasms / pathology
  • Neoplasms / virology
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / pathology
  • Virus Diseases / immunology*
  • Virus Diseases / pathology