Molecular Therapy: Oncolytics (Dec 2019)

Immunotherapeutic Challenges for Pediatric Cancers

  • Brian Hutzen,
  • Mohammed Ghonime,
  • Joel Lee,
  • Elaine R. Mardis,
  • Ruoning Wang,
  • Dean A. Lee,
  • Mitchell S. Cairo,
  • Ryan D. Roberts,
  • Timothy P. Cripe,
  • Kevin A. Cassady

Journal volume & issue
Vol. 15
pp. 38 – 48

Abstract

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Solid tumors contain a mixture of malignant cells and non-malignant infiltrating cells that often create a chronic inflammatory and immunosuppressive microenvironment that restricts immunotherapeutic approaches. Although childhood and adult cancers share some similarities related to microenvironmental changes, pediatric cancers are unique, and adult cancer practices may not be wholly applicable to our pediatric patients. This review highlights the differences in tumorigenesis, viral infection, and immunologic response between children and adults that need to be considered when trying to apply experiences from experimental therapies in adult cancer patients to pediatric cancers. Keywords: natural killer cells, CAR T cells, oncolytic virotherapy, sarcoma, brain tumor, immunotherapy, metabolic antagonism, dendritic cell vaccine, immunosuppression, neo-antigen