Targeting oncogene and non-oncogene addiction to inflame the tumour microenvironment

Nat Rev Drug Discov. 2022 Jun;21(6):440-462. doi: 10.1038/s41573-022-00415-5. Epub 2022 Mar 15.

Abstract

Immune checkpoint inhibitors (ICIs) have revolutionized the clinical management of multiple tumours. However, only a few patients respond to ICIs, which has generated considerable interest in the identification of resistance mechanisms. One such mechanism reflects the ability of various oncogenic pathways, as well as stress response pathways required for the survival of transformed cells (a situation commonly referred to as 'non-oncogene addiction'), to support tumour progression not only by providing malignant cells with survival and/or proliferation advantages, but also by establishing immunologically 'cold' tumour microenvironments (TMEs). Thus, both oncogene and non-oncogene addiction stand out as promising targets to robustly inflame the TME and potentially enable superior responses to ICIs.

Publication types

  • Review

MeSH terms

  • Humans
  • Immune Checkpoint Inhibitors* / pharmacology
  • Immune Checkpoint Inhibitors* / therapeutic use
  • Immunotherapy
  • Neoplasms* / drug therapy
  • Neoplasms* / genetics
  • Oncogenes / genetics
  • Tumor Microenvironment* / drug effects
  • Tumor Microenvironment* / genetics

Substances

  • Immune Checkpoint Inhibitors