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Journal Article Review Research Support, N.I.H., Extramural Ppublish 134 citations

PubMed: 39242276 DOI: 10.1016/j.trecan.2024.07.009

CD4 + T cells in antitumor immunity.

Trends Cancer 10(10):969-985

Authors: Elena Montauti, David Y Oh, Lawrence Fong

Affiliations

  • Division of Hematology/Oncology, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
  • Division of Hematology/Oncology, Department of Medicine, University of California San Francisco, San Francisco, CA, USA; Immunotherapy Integrated Research Center, Fred Hutchison Cancer Center, Seattle, WA, USA.

Abstract

Advances in cancer immunotherapy have transformed cancer care and realized unprecedented responses in many patients. The growing arsenal of novel therapeutics - including immune checkpoint inhibition (ICI), adoptive T cell therapies (ACTs), and cancer vaccines - reflects the success of cancer immunotherapy. The therapeutic benefits of these treatment modalities are generally attributed to the enhanced quantity and quality of antitumor CD8 + T cell responses. Nevertheless, CD4 + T cells are now recognized to play key roles in both the priming and effector phases of the antitumor immune response. In addition to providing T cell help through co-stimulation and cytokine production, CD4 + T cells can also possess cytotoxicity either directly on MHC class II-expressing tumor cells or to other cells within the tumor microenvironment (TME). The presence of specific populations of CD4 + T cells, and their intrinsic plasticity, within the TME can represent an important determinant of clinical response to immune checkpoint inhibitors, vaccines, and chimeric antigen receptor (CAR) T cell therapies. Understanding how the antitumor functions of specific CD4 + T cell types are induced while limiting their protumorigenic attributes will enable more successful immunotherapies.

MeSH

Cells, Vaccines, Neoplasms, Immunotherapy, Immunity, Therapeutics

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