Abstract
T cells play a key role in tumour surveillance, both identifying and eliminating transformed cells. However, as tumours become established they form their own suppressive microenvironments capable of shutting down T cell function, and allowing tumours to persist and grow. To further understand the tumour microenvironment, including the interplay between different immune cells and their role in anti-tumour immune responses, a number of studies from mouse models to clinical trials have been performed. In this review, we examine mechanisms utilized by tumour cells to reduce their visibility to CD8+ Cytotoxic T lymphocytes (CTL), as well as therapeutic strategies trialled to overcome these tumour-evasion mechanisms. Next, we summarize recent advances in approaches to enhance CAR T cell activity and persistence over the past 10 years, including bispecific CAR T cell design and early evidence of efficacy. Lastly, we examine mechanisms of T cell infiltration and tumour regression, and discuss the strengths and weaknesses of different strategies to investigate T cell function in murine tumour models.
Highlights
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Internal proteins are broken up by proteasomes to form peptides that are transported by transporter associated with antigen processing (TAP) to major histocompatibility (MHC) I molecules in the lumen of the endoplasmic reticulum
The peptide–MHC I complexes generated via these antigen processing and presentation pathways can be recognized by T cell receptors (TCRs) on Cytotoxic T lymphocytes (CTLs)
Summary
As a part of the body’s immunosurveillance mechanism, all nucleated cells display major histocompatibility (MHC) class I molecules, enabling the routine presentation of cellular peptide fragments on their plasma membrane. An abundance of suppressive immune cells, including regulatory T cells (Tregs), myeloid-derived suppressor cells, and tumour-associated macrophages, infiltrate into the tumour and deliver a host of negative signals to tumourspecific T cells and antigen-presenting cells including dendritic cells. As these features of the tumour microenvironment have been reviewed extensively elsewhere (see Refs [6,7,8,9,10,11]), we will focus here on an examination of alterations to antigen processing and presentation. Imal studies [19H,2e4n,2c5e],. iHt iesnicme,piotritsanimt tpoocratarneftutlolycdareefifnuellythdeemfinoeletchuelamr molechualanrismmeschreas-ponsible for a nisms responsibplearftoicrualapraarlttiecrualtaiornalitnerMatHioCnIinphMenHoCtypI ephperinoorttyopdeepsirgionrintgo sdpeesciigfincinwgaysps eto- restore in situ cific ways to restuomreoiunrsMituHtCumI eoxuprrMessHioCn.I expression
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