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Combining Epigenetic and Immune Therapy to Combat Cancer #MMPMID26988985
Chiappinelli KB; Zahnow CA; Ahuja N; Baylin SB
Cancer Res 2016[Apr]; 76 (7): 1683-9 PMID26988985show ga
The most exciting recent advance for achieving durable management of advanced human cancers is immune therapy, especially the concept of immune checkpoint blockade. However, with the exception of melanoma, most patients do not respond to immune therapy alone. A growing body of work has shown that epigenetic drugs, specifically DNA methyltransferase inhibitors, can upregulate immune signaling in epithelial cancer cells through demethylation of endogenous retroviruses and cancer testis antigens. These demethylating agents may induce T-cell attraction and enhance immune checkpoint inhibitor efficacy in mouse models. Current clinical trials are testing this combination therapy as a potent new cancer management strategy.