Immunotherapy in Metastatic Genito-Urinary Malignancies: A Prelude to Cure?

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Medical Research".

Deadline for manuscript submissions: closed (27 February 2022) | Viewed by 6038

Special Issue Editor


E-Mail Website
Guest Editor
Department of Clinical Therapeutics, Alexandra General Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece
Interests: cancer immunotherapy, genito-urinary cancers

Special Issue Information

Dear Colleagues,

Urogenital cancers originate from the kidney, urothelium (renal pelvis, ureter, urinary bladder, urethra), prostate, testes and penis. This Special Issue will focus on kidney cancer (renal-cell carcinoma, RCC) and urothelial cancer (UC). Although the majority of patients with non-metastatic disease recover, most patients with metastatic RCC (mRCC) and UC (mUC) die from their disease. Immunotherapy has long been used with success in both tumors. For the last 50 years we have known that interleukin could cure about 10% of mRCC, while the intravesical administration of Bacillus–Calmette Guerin (BCG) still remains the treatment of choice for high-risk, non-muscle-invasive bladder cancer. Recent advents in our understanding of how cancer evades immune surveillance have influenced the modern era of cancer immunotherapy. A major mechanism of immune escape operates through the interaction between the T cell receptor programmed-death 1 (PD-1) and its ligand (PD-L1), which is produced by the tumor. The development of anti-PD1 and anti-PDL1 agents, which disrupt this interaction and restore anti-cancer immune response, represents the most recent milestone in anti-cancer therapy. Such agents are now being used in almost all human malignancies. mRCC and mUC have been shown to cause prolongation of survival. Moreover, responses to these agents are long-lived in about 20% of treated patients. This Special Issue of Life aims to provide a critical review of the state-of-the-art in immunotherapy of mRCC and mUC, and especially the significance of long-term disease remission in our effort to cure a substantial proportion of patients with these cancers.

Dr. Aristotelis Bamias
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • renal cancer
  • urothelial cancer
  • immunotheraphy
  • long-term survival
  • biomarkers

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Review

10 pages, 260 KiB  
Review
Treatment Equity in the Immunotherapy Era: Options for Patients with Both Autoimmune Disease and GU Cancers
by Gavin Hui, Claire Drolen, Christopher A. Hannigan and Alexandra Drakaki
Life 2022, 12(3), 360; https://doi.org/10.3390/life12030360 - 2 Mar 2022
Cited by 1 | Viewed by 1925
Abstract
Numerous immunotherapeutic agents, such as immune checkpoint inhibitors (ICIs), have been approved for the treatment of genitourinary (GU) malignancies. While ICIs have improved treatment outcomes and expanded treatment options, they can cause immune-related adverse events (irAEs). The scope of irAEs is broad, and [...] Read more.
Numerous immunotherapeutic agents, such as immune checkpoint inhibitors (ICIs), have been approved for the treatment of genitourinary (GU) malignancies. While ICIs have improved treatment outcomes and expanded treatment options, they can cause immune-related adverse events (irAEs). The scope of irAEs is broad, and this paper aims to review the rheumatologic side effects associated with immunotherapy drugs approved for bladder cancer and renal cell carcinoma. IrAEs are graded by the common terminology criteria for adverse events (CTCAE), which ranges from 1 to 5. The management of irAEs includes corticosteroids or other immunosuppressive therapies, and it may require discontinuation of immunotherapy. Several real world experience studies suggest that most patients with pre-existing autoimmune diseases treated with ICI did not have to discontinue treatment due to immune-mediated side effects. While data suggest autoimmune side effects are manageable, patients with pre-existing autoimmune diseases are often excluded from immunotherapy clinical trials. Better understanding of these irAEs will improve its safety and expand its use in those with underlying autoimmune disease. Full article
10 pages, 589 KiB  
Review
Immunotherapy and Metastatic Renal Cell Carcinoma: A Review of New Treatment Approaches
by Nikhita Kathuria-Prakash, Claire Drolen, Christopher A. Hannigan and Alexandra Drakaki
Life 2022, 12(1), 24; https://doi.org/10.3390/life12010024 - 24 Dec 2021
Cited by 19 | Viewed by 3650
Abstract
Introduction: Renal cell carcinomas (RCC) have been treated with immunotherapy for decades; the use of immune checkpoint inhibitors represents the most recent advance. In this review, we compare these new RCC immunotherapies, with a focus on achieving durable complete responses (CR). Review: Sorafenib [...] Read more.
Introduction: Renal cell carcinomas (RCC) have been treated with immunotherapy for decades; the use of immune checkpoint inhibitors represents the most recent advance. In this review, we compare these new RCC immunotherapies, with a focus on achieving durable complete responses (CR). Review: Sorafenib and sunitinib were the first Food and Drug Administration (FDA)-approved targeted agents for RCC, with sunitinib eventually becoming the standard-of-care agent against which novel therapies are compared. In the last five years, many combination therapies based on the use of immune checkpoint inhibitors (ICIs) and receptor tyrosine kinase inhibitors (TKIs), including ipilimumab/nivolumab, nivolumab/cabozantinib, avelumab/axitinib, pembrolizumab/axitinib, and pembrolizumab/lenvatinib, have demonstrated superior overall survival (OS) and progression-free survival (PFS) compared to sunitinib. Ongoing clinical trials of hypoxia-induced factor-2 alpha (HIF-2a) inhibitors, chimeric antigen receptor T cell (CAR-T) therapy targeting CD70, and other new combination therapies have also shown promise and are currently under investigation. Conclusions: Many new combination therapies are approved for RCC treatment, and CR rates suggest that, in the era of immunotherapy, it may be possible to achieve durable responses and survival benefit in patients with metastatic RCC. Full article
Show Figures

Figure 1

Back to TopTop