PMID- 25912622 OWN - NLM STAT- MEDLINE DCOM- 20160224 LR - 20231111 IS - 2164-554X (Electronic) IS - 2164-5515 (Print) IS - 2164-5515 (Linking) VI - 11 IP - 5 DP - 2015 TI - Checkpoint modulation--A new way to direct the immune system against renal cell carcinoma. PG - 1201-8 LID - 10.1080/21645515.2015.1016657 [doi] AB - The introduction of targeted therapies like the tyrosine kinase (TKI) and mammalian target of rapamycin (mTOR) inhibitors has improved patients' survival in general. Nevertheless the prognosis remains limited. Therapies with a new mode of action are urgently warranted, especially those who would provoke long-term responders or long-lasting complete remissions as observed with unspecific immunotherapy with the cytokines interleukin-2 and interferon-alpha. In the recent years a deeper understanding of the underlying immunology of T cell activation led to the development of checkpoint inhibitors, which are mainly monocloncal antibodies and which enhances the presence of the co-stimulatory signals needed for T cell activation or priming. This review discusses the clinical data and ongoing studies available for the inhibition of the PD-1 (CD279) and CTLA-4 (CD152) axis in mRCC. In addition, potential future immunological targets are discussed. This approach of T-cell activation or re-activation by immunological checkpoint inhibition holds the inherent promise to directly affect the tumor cell and thereby to potentially cure a subset of patients with mRCC. FAU - Bedke, Jens AU - Bedke J AD - a Department of Urology; Eberhard Karls University ; Tubingen , Germany. FAU - Kruck, Stephan AU - Kruck S FAU - Gakis, Georgios AU - Gakis G FAU - Stenzl, Arnulf AU - Stenzl A FAU - Goebell, Peter J AU - Goebell PJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Hum Vaccin Immunother JT - Human vaccines & immunotherapeutics JID - 101572652 RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Immunologic Factors) RN - 0 (PDCD1 protein, human) RN - 0 (Programmed Cell Death 1 Receptor) SB - IM MH - CTLA-4 Antigen/antagonists & inhibitors MH - Carcinoma, Renal Cell/*immunology MH - Humans MH - Immune System/*drug effects MH - Immunologic Factors/*metabolism MH - Immunotherapy/*methods MH - Lymphocyte Activation/*drug effects MH - Programmed Cell Death 1 Receptor/antagonists & inhibitors PMC - PMC4514323 OTO - NOTNLM OT - IMP321 OT - checkpoint inhibition OT - immunotherapy OT - ipilimumab OT - nivolumab OT - renal cell carcinoma OT - tremelimumab OT - tyrosine kinase inhibitor EDAT- 2015/04/29 06:00 MHDA- 2016/02/26 06:00 PMCR- 2016/02/03 CRDT- 2015/04/28 06:00 PHST- 2015/04/28 06:00 [entrez] PHST- 2015/04/29 06:00 [pubmed] PHST- 2016/02/26 06:00 [medline] PHST- 2016/02/03 00:00 [pmc-release] AID - 1016657 [pii] AID - 10.1080/21645515.2015.1016657 [doi] PST - ppublish SO - Hum Vaccin Immunother. 2015;11(5):1201-8. doi: 10.1080/21645515.2015.1016657.