Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer

Bladder cancer accounts for nearly 200,000 deaths worldwide yearly. Urothelial carcinoma (UC) accounts for nearly 90% of cases of bladder cancer. Cisplatin-based chemotherapy has remained the mainstay of treatment in the first-line setting for locally advanced or metastatic UC. More recently, the tr...

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Autores principales: David J. Benjamin, Yung Lyou
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/26625f45f9874fcfa537b6f572bfa57c
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spelling oai:doaj.org-article:26625f45f9874fcfa537b6f572bfa57c2021-11-25T17:03:18ZAdvances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer10.3390/cancers132257242072-6694https://doaj.org/article/26625f45f9874fcfa537b6f572bfa57c2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/22/5724https://doaj.org/toc/2072-6694Bladder cancer accounts for nearly 200,000 deaths worldwide yearly. Urothelial carcinoma (UC) accounts for nearly 90% of cases of bladder cancer. Cisplatin-based chemotherapy has remained the mainstay of treatment in the first-line setting for locally advanced or metastatic UC. More recently, the treatment paradigm in the second-line setting was drastically altered with the approval of several immune checkpoint inhibitors (ICIs). Given that only a small subset of patients respond to ICI, further studies have been undertaken to understand potential resistance mechanisms to ICI. One potential resistance mechanism that has been identified in the setting of metastatic UC is the TGF-β signaling pathway. Several pre-clinical and ongoing clinical trials in multiple advanced tumor types have evaluated several therapies that target the TGF-β pathway. In addition, there are ongoing and planned clinical trials combining TGF-β inhibition with ICI, which may provide a promising therapeutic approach for patients with advanced and metastatic UC.David J. BenjaminYung LyouMDPI AGarticleurothelial carcinomabladder cancerimmunotherapyTGF-β resistance pathwayNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5724, p 5724 (2021)
institution DOAJ
collection DOAJ
language EN
topic urothelial carcinoma
bladder cancer
immunotherapy
TGF-β resistance pathway
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle urothelial carcinoma
bladder cancer
immunotherapy
TGF-β resistance pathway
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
David J. Benjamin
Yung Lyou
Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
description Bladder cancer accounts for nearly 200,000 deaths worldwide yearly. Urothelial carcinoma (UC) accounts for nearly 90% of cases of bladder cancer. Cisplatin-based chemotherapy has remained the mainstay of treatment in the first-line setting for locally advanced or metastatic UC. More recently, the treatment paradigm in the second-line setting was drastically altered with the approval of several immune checkpoint inhibitors (ICIs). Given that only a small subset of patients respond to ICI, further studies have been undertaken to understand potential resistance mechanisms to ICI. One potential resistance mechanism that has been identified in the setting of metastatic UC is the TGF-β signaling pathway. Several pre-clinical and ongoing clinical trials in multiple advanced tumor types have evaluated several therapies that target the TGF-β pathway. In addition, there are ongoing and planned clinical trials combining TGF-β inhibition with ICI, which may provide a promising therapeutic approach for patients with advanced and metastatic UC.
format article
author David J. Benjamin
Yung Lyou
author_facet David J. Benjamin
Yung Lyou
author_sort David J. Benjamin
title Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
title_short Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
title_full Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
title_fullStr Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
title_full_unstemmed Advances in Immunotherapy and the TGF-β Resistance Pathway in Metastatic Bladder Cancer
title_sort advances in immunotherapy and the tgf-β resistance pathway in metastatic bladder cancer
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/26625f45f9874fcfa537b6f572bfa57c
work_keys_str_mv AT davidjbenjamin advancesinimmunotherapyandthetgfbresistancepathwayinmetastaticbladdercancer
AT yunglyou advancesinimmunotherapyandthetgfbresistancepathwayinmetastaticbladdercancer
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