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Review

Modern Aspects of Immunotherapy with Checkpoint Inhibitors in Melanoma

1
Clinical Cooperation Unit Dermato-Oncology, German Cancer Research Center (DKFZ), 69120 Heidelberg, Germany
2
Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, University of Heidelberg, 68167 Mannheim, Germany
*
Author to whom correspondence should be addressed.
Int. J. Mol. Sci. 2020, 21(7), 2367; https://doi.org/10.3390/ijms21072367
Submission received: 10 March 2020 / Revised: 26 March 2020 / Accepted: 27 March 2020 / Published: 30 March 2020

Abstract

Although melanoma is one of the most immunogenic tumors, it has an ability to evade anti-tumor immune responses by exploiting tolerance mechanisms, including negative immune checkpoint molecules. The most extensively studied checkpoints represent cytotoxic T lymphocyte-associated protein-4 (CTLA-4) and programmed cell death protein 1 (PD-1). Immune checkpoint inhibitors (ICI), which were broadly applied for melanoma treatment in the past decade, can unleash anti-tumor immune responses and result in melanoma regression. Patients responding to the ICI treatment showed long-lasting remission or disease control status. However, a large group of patients failed to respond to this therapy, indicating the development of resistance mechanisms. Among them are intrinsic tumor properties, the dysfunction of effector cells, and the generation of immunosuppressive tumor microenvironment (TME). This review discusses achievements of ICI treatment in melanoma, reasons for its failure, and promising approaches for overcoming the resistance. These methods include combinations of different ICI with each other, strategies for neutralizing the immunosuppressive TME and combining ICI with other anti-cancer therapies such as radiation, oncolytic viral, or targeted therapy. New therapeutic approaches targeting other immune checkpoint molecules are also discussed.
Keywords: melanoma; immunotherapy; immune checkpoint inhibitors; immunosuppression; tumor microenvironment melanoma; immunotherapy; immune checkpoint inhibitors; immunosuppression; tumor microenvironment

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MDPI and ACS Style

Petrova, V.; Arkhypov, I.; Weber, R.; Groth, C.; Altevogt, P.; Utikal, J.; Umansky, V. Modern Aspects of Immunotherapy with Checkpoint Inhibitors in Melanoma. Int. J. Mol. Sci. 2020, 21, 2367. https://doi.org/10.3390/ijms21072367

AMA Style

Petrova V, Arkhypov I, Weber R, Groth C, Altevogt P, Utikal J, Umansky V. Modern Aspects of Immunotherapy with Checkpoint Inhibitors in Melanoma. International Journal of Molecular Sciences. 2020; 21(7):2367. https://doi.org/10.3390/ijms21072367

Chicago/Turabian Style

Petrova, Vera, Ihor Arkhypov, Rebekka Weber, Christopher Groth, Peter Altevogt, Jochen Utikal, and Viktor Umansky. 2020. "Modern Aspects of Immunotherapy with Checkpoint Inhibitors in Melanoma" International Journal of Molecular Sciences 21, no. 7: 2367. https://doi.org/10.3390/ijms21072367

APA Style

Petrova, V., Arkhypov, I., Weber, R., Groth, C., Altevogt, P., Utikal, J., & Umansky, V. (2020). Modern Aspects of Immunotherapy with Checkpoint Inhibitors in Melanoma. International Journal of Molecular Sciences, 21(7), 2367. https://doi.org/10.3390/ijms21072367

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