Targeting CTLA-4: a possible solution for microsatellite-stable colorectal cancer.

Fiche publication


Date publication

décembre 2023

Journal

Genes and immunity

Auteurs

Membres identifiés du Cancéropôle Est :
Pr GHIRINGHELLI François, Dr THIBAUDIN Marion


Tous les auteurs :
Ghiringhelli F, Thibaudin M

Résumé

Checkpoint blockade immunotherapy is a therapeutic revolution in cancer treatment. However, only 5% of patients with metastatic colorectal cancer benefit from these therapies, and these tumors genetically harbored microsatellite instability status. In contrast, tumors with stable microsatellites are considered resistant to immunotherapy, and standard treatment with chemotherapies is standard of care, with few chances of curative intent. In a recent clinical trial, we demonstrated that the combination of two chemotherapies with two immunotherapies promotes the recruitment and activation of the adaptive immune system at the tumor level, resulting in clinical benefit in a significant number of patients. In parallel, a biological study revealed biomarkers of response, including CTLA-4 expression and induction of a tumor-specific immune response.

Référence

Genes Immun. 2023 12 8;: