Immunological effects of anticancer therapy.

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Immunological effects of anticancer therapy. Immunological effects of anticancer therapy. Human neoplasms develop in the context of an intimate, bidirectional relationship with the host immune system, which eventually results in the selection of tumor variants displaying reduced antigenicity and adjuvanticity, as well as in the establishment of local and systemic immunosuppressive networks (A). The clinical success of several treatments currently used against solid malignancies (including conventional chemotherapeutics, in red, targeted anticancer agents, in blue, and radiotherapy) depends (at least in part) on their ability to promote therapeutically relevant tumor-targeting immune responses, either as they increase the immunogenicity (antigenicity or adjuvanticity) of malignant cells (“on-target” immunostimulation), or as they interact with immune effectors or immunosuppressive cell populations (“off-target” immunostimulation; B). CTL, CD8+ cytotoxic T lymphocyte; MDSC, myeloid-derived suppressor cell; NK, natural killer; TAM, tumor-associated macrophage; Treg, CD4+CD25+FOXP3+ T. Lorenzo Galluzzi et al. Cancer Immunol Res 2016;4:895-902 ©2016 by American Association for Cancer Research