Serveur d'exploration sur les relations entre la France et l'Australie

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<title xml:lang="en">Classification of current anticancer immunotherapies</title>
<author>
<name sortKey="Galluzzi, Lorenzo" sort="Galluzzi, Lorenzo" uniqKey="Galluzzi L" first="Lorenzo" last="Galluzzi">Lorenzo Galluzzi</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vacchelli, Erika" sort="Vacchelli, Erika" uniqKey="Vacchelli E" first="Erika" last="Vacchelli">Erika Vacchelli</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pedro, Jose Manuel Bravo San" sort="Pedro, Jose Manuel Bravo San" uniqKey="Pedro J" first="José-Manuel Bravo-San" last="Pedro">José-Manuel Bravo-San Pedro</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Buque, Aitziber" sort="Buque, Aitziber" uniqKey="Buque A" first="Aitziber" last="Buqué">Aitziber Buqué</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Senovilla, Laura" sort="Senovilla, Laura" uniqKey="Senovilla L" first="Laura" last="Senovilla">Laura Senovilla</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baracco, Elisa Elena" sort="Baracco, Elisa Elena" uniqKey="Baracco E" first="Elisa Elena" last="Baracco">Elisa Elena Baracco</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bloy, Norma" sort="Bloy, Norma" uniqKey="Bloy N" first="Norma" last="Bloy">Norma Bloy</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Castoldi, Francesca" sort="Castoldi, Francesca" uniqKey="Castoldi F" first="Francesca" last="Castoldi">Francesca Castoldi</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Abastado, Jean Pierre" sort="Abastado, Jean Pierre" uniqKey="Abastado J" first="Jean-Pierre" last="Abastado">Jean-Pierre Abastado</name>
<affiliation>
<nlm:aff id="A7"> Pole d'innovation thérapeutique en oncologie, Institut de Recherches Internationales Servier, Suresnes, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Agostinis, Patrizia" sort="Agostinis, Patrizia" uniqKey="Agostinis P" first="Patrizia" last="Agostinis">Patrizia Agostinis</name>
<affiliation>
<nlm:aff id="A8"> Cell Death Research and Therapy (CDRT) Laboratory, Dept. of Cellular and Molecular Medicine, University of Leuven, Leuven, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Apte, Ron N" sort="Apte, Ron N" uniqKey="Apte R" first="Ron N." last="Apte">Ron N. Apte</name>
<affiliation>
<nlm:aff id="A9"> The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Aranda, Fernando" sort="Aranda, Fernando" uniqKey="Aranda F" first="Fernando" last="Aranda">Fernando Aranda</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A10"> Group of Immune receptors of the Innate and Adaptive System, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ayyoub, Maha" sort="Ayyoub, Maha" uniqKey="Ayyoub M" first="Maha" last="Ayyoub">Maha Ayyoub</name>
<affiliation>
<nlm:aff id="A11"> INSERM, U1102, Saint Herblain, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A12"> Institut de Cancérologie de l'Ouest, Saint Herblain, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Beckhove, Philipp" sort="Beckhove, Philipp" uniqKey="Beckhove P" first="Philipp" last="Beckhove">Philipp Beckhove</name>
<affiliation>
<nlm:aff id="A13"> Translational Immunology Division, German Cancer Research Center, Heidelberg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Blay, Jean Yves" sort="Blay, Jean Yves" uniqKey="Blay J" first="Jean-Yves" last="Blay">Jean-Yves Blay</name>
<affiliation>
<nlm:aff id="A14"> Equipe 11, Centre Léon Bérard (CLR), Lyon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A15"> Centre de Recherche en Cancérologie de Lyon (CRCL), Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bracci, Laura" sort="Bracci, Laura" uniqKey="Bracci L" first="Laura" last="Bracci">Laura Bracci</name>
<affiliation>
<nlm:aff id="A16"> Dept. of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Caignard, Anne" sort="Caignard, Anne" uniqKey="Caignard A" first="Anne" last="Caignard">Anne Caignard</name>
<affiliation>
<nlm:aff id="A17"> INSERM, U1160, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A18"> Groupe Hospitalier Saint Louis-Lariboisière - F. Vidal, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Castelli, Chiara" sort="Castelli, Chiara" uniqKey="Castelli C" first="Chiara" last="Castelli">Chiara Castelli</name>
<affiliation>
<nlm:aff id="A19"> Unit of Immunotherapy of Human Tumors, Dept. of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cavallo, Federica" sort="Cavallo, Federica" uniqKey="Cavallo F" first="Federica" last="Cavallo">Federica Cavallo</name>
<affiliation>
<nlm:aff id="A20"> Molecular Biotechnology Center, Dept. of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Celis, Estaban" sort="Celis, Estaban" uniqKey="Celis E" first="Estaban" last="Celis">Estaban Celis</name>
<affiliation>
<nlm:aff id="A21"> Cancer Immunology, Inflammation and Tolerance Program, Georgia Regents University Cancer Center, Augusta, GA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cerundolo, Vincenzo" sort="Cerundolo, Vincenzo" uniqKey="Cerundolo V" first="Vincenzo" last="Cerundolo">Vincenzo Cerundolo</name>
<affiliation>
<nlm:aff id="A22"> MRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clayton, Aled" sort="Clayton, Aled" uniqKey="Clayton A" first="Aled" last="Clayton">Aled Clayton</name>
<affiliation>
<nlm:aff id="A23"> Institute of Cancer & Genetics, School of Medicine, Cardiff University, Cardiff, UK</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A24"> Velindre Cancer Centre, Cardiff, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Colombo, Mario P" sort="Colombo, Mario P" uniqKey="Colombo M" first="Mario P." last="Colombo">Mario P. Colombo</name>
<affiliation>
<nlm:aff id="A19"> Unit of Immunotherapy of Human Tumors, Dept. of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Coussens, Lisa" sort="Coussens, Lisa" uniqKey="Coussens L" first="Lisa" last="Coussens">Lisa Coussens</name>
<affiliation>
<nlm:aff id="A25"> Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dhodapkar, Madhav V" sort="Dhodapkar, Madhav V" uniqKey="Dhodapkar M" first="Madhav V." last="Dhodapkar">Madhav V. Dhodapkar</name>
<affiliation>
<nlm:aff id="A26"> Sect. of Hematology and Immunobiology, Yale Cancer Center, Yale University, New Haven, CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Eggermont, Alexander M" sort="Eggermont, Alexander M" uniqKey="Eggermont A" first="Alexander M." last="Eggermont">Alexander M. Eggermont</name>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fearon, Douglas T" sort="Fearon, Douglas T" uniqKey="Fearon D" first="Douglas T." last="Fearon">Douglas T. Fearon</name>
<affiliation>
<nlm:aff id="A27"> Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fridman, Wolf H" sort="Fridman, Wolf H" uniqKey="Fridman W" first="Wolf H." last="Fridman">Wolf H. Fridman</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A29"> Equipe 13, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fu Kova, Jitka" sort="Fu Kova, Jitka" uniqKey="Fu Kova J" first="Jitka" last="Fu Ková">Jitka Fu Ková</name>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A30"> Dept. of Immunology, 2nd Faculty of Medicine and University Hospital Motol, Charles University, Prague, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gabrilovich, Dmitry I" sort="Gabrilovich, Dmitry I" uniqKey="Gabrilovich D" first="Dmitry I." last="Gabrilovich">Dmitry I. Gabrilovich</name>
<affiliation>
<nlm:aff id="A31"> Dept. of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Galon, Jerome" sort="Galon, Jerome" uniqKey="Galon J" first="Jérôme" last="Galon">Jérôme Galon</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A32"> Laboratory of Integrative Cancer Immunology, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Garg, Abhishek" sort="Garg, Abhishek" uniqKey="Garg A" first="Abhishek" last="Garg">Abhishek Garg</name>
<affiliation>
<nlm:aff id="A8"> Cell Death Research and Therapy (CDRT) Laboratory, Dept. of Cellular and Molecular Medicine, University of Leuven, Leuven, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ghiringhelli, Francois" sort="Ghiringhelli, Francois" uniqKey="Ghiringhelli F" first="François" last="Ghiringhelli">François Ghiringhelli</name>
<affiliation>
<nlm:aff id="A33"> INSERM, UMR866, Dijon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A34"> Centre Georges François Leclerc, Dijon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A35"> Université de Bourgogne, Dijon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Giaccone, Giuseppe" sort="Giaccone, Giuseppe" uniqKey="Giaccone G" first="Giuseppe" last="Giaccone">Giuseppe Giaccone</name>
<affiliation>
<nlm:aff id="A36"> Center for Cancer Research, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A37"> Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gilboa, Eli" sort="Gilboa, Eli" uniqKey="Gilboa E" first="Eli" last="Gilboa">Eli Gilboa</name>
<affiliation>
<nlm:aff id="A38"> Dept. of Microbiology and Immunology, Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gnjatic, Sacha" sort="Gnjatic, Sacha" uniqKey="Gnjatic S" first="Sacha" last="Gnjatic">Sacha Gnjatic</name>
<affiliation>
<nlm:aff id="A39"> Sect. of Hematology/Oncology, Immunology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hoos, Axel" sort="Hoos, Axel" uniqKey="Hoos A" first="Axel" last="Hoos">Axel Hoos</name>
<affiliation>
<nlm:aff id="A40"> Glaxo Smith Kline, Cancer Immunotherapy Consortium, Collegeville, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hosmalin, Anne" sort="Hosmalin, Anne" uniqKey="Hosmalin A" first="Anne" last="Hosmalin">Anne Hosmalin</name>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A41"> INSERM, U1016, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A42"> CNRS, UMR8104, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A43"> Hôpital Cochin, AP-HP, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="J Ger, Dirk" sort="J Ger, Dirk" uniqKey="J Ger D" first="Dirk" last="J Ger">Dirk J Ger</name>
<affiliation>
<nlm:aff id="A44"> National Center for Tumor Diseases, University Medical Center Heidelberg, Heidelberg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kalinski, Pawel" sort="Kalinski, Pawel" uniqKey="Kalinski P" first="Pawel" last="Kalinski">Pawel Kalinski</name>
<affiliation>
<nlm:aff id="A45"> Dept. of Surgery, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A46"> University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A47"> Dept. of Immunology and Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="K Rre, Klas" sort="K Rre, Klas" uniqKey="K Rre K" first="Klas" last="K Rre">Klas K Rre</name>
<affiliation>
<nlm:aff id="A48"> Dept. of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kepp, Oliver" sort="Kepp, Oliver" uniqKey="Kepp O" first="Oliver" last="Kepp">Oliver Kepp</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A49"> Metabolomics and Cell Biology Platforms, Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kiessling, Rolf" sort="Kiessling, Rolf" uniqKey="Kiessling R" first="Rolf" last="Kiessling">Rolf Kiessling</name>
<affiliation>
<nlm:aff id="A50"> Dept. of Oncology, Karolinska Institute Hospital, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kirkwood, John M" sort="Kirkwood, John M" uniqKey="Kirkwood J" first="John M." last="Kirkwood">John M. Kirkwood</name>
<affiliation>
<nlm:aff id="A51"> University of Pittsburgh Cancer Institute Laboratory, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Klein, Eva" sort="Klein, Eva" uniqKey="Klein E" first="Eva" last="Klein">Eva Klein</name>
<affiliation>
<nlm:aff id="A48"> Dept. of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Knuth, Alexander" sort="Knuth, Alexander" uniqKey="Knuth A" first="Alexander" last="Knuth">Alexander Knuth</name>
<affiliation>
<nlm:aff id="A52"> National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lewis, Claire E" sort="Lewis, Claire E" uniqKey="Lewis C" first="Claire E." last="Lewis">Claire E. Lewis</name>
<affiliation>
<nlm:aff id="A53"> Academic Unit of Inflammation and Tumour Targeting, Dept. of Oncology, University of Sheffield Medical School, Sheffield, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Liblau, Roland" sort="Liblau, Roland" uniqKey="Liblau R" first="Roland" last="Liblau">Roland Liblau</name>
<affiliation>
<nlm:aff id="A54"> INSERM, UMR1043, Toulouse, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A55"> CNRS, UMR5282, Toulouse, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A56"> Laboratoire d'Immunologie, CHU Toulouse, Université Toulouse II, Toulouse, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lotze, Michael T" sort="Lotze, Michael T" uniqKey="Lotze M" first="Michael T." last="Lotze">Michael T. Lotze</name>
<affiliation>
<nlm:aff id="A45"> Dept. of Surgery, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A46"> University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lugli, Enrico" sort="Lugli, Enrico" uniqKey="Lugli E" first="Enrico" last="Lugli">Enrico Lugli</name>
<affiliation>
<nlm:aff id="A57"> Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Institute, Rozzano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mach, Jean Pierre" sort="Mach, Jean Pierre" uniqKey="Mach J" first="Jean-Pierre" last="Mach">Jean-Pierre Mach</name>
<affiliation>
<nlm:aff id="A58"> Dept. of Biochemistry, University of Lausanne, Epalinges, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mattei, Fabrizio" sort="Mattei, Fabrizio" uniqKey="Mattei F" first="Fabrizio" last="Mattei">Fabrizio Mattei</name>
<affiliation>
<nlm:aff id="A16"> Dept. of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mavilio, Domenico" sort="Mavilio, Domenico" uniqKey="Mavilio D" first="Domenico" last="Mavilio">Domenico Mavilio</name>
<affiliation>
<nlm:aff id="A57"> Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Institute, Rozzano, Italy</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A59"> Dept. of Medical Biotechnologies and Translational Medicine, University of Milan, Rozzano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Melero, Ignacio" sort="Melero, Ignacio" uniqKey="Melero I" first="Ignacio" last="Melero">Ignacio Melero</name>
<affiliation>
<nlm:aff id="A60"> Dept. of Immunology, Centro de Investigación Médica Aplicada (CIMA), Universidad de Navarra, Pamplona, Spain</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A61"> Dept. of Oncology, Clínica Universidad de Navarra, Pamplona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Melief, Cornelis J" sort="Melief, Cornelis J" uniqKey="Melief C" first="Cornelis J." last="Melief">Cornelis J. Melief</name>
<affiliation>
<nlm:aff id="A62"> ISA Therapeutics, Leiden, The Netherlands</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A63"> Dept. of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mittendorf, Elizabeth A" sort="Mittendorf, Elizabeth A" uniqKey="Mittendorf E" first="Elizabeth A." last="Mittendorf">Elizabeth A. Mittendorf</name>
<affiliation>
<nlm:aff id="A64"> Research Dept. of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moretta, Lorenzo" sort="Moretta, Lorenzo" uniqKey="Moretta L" first="Lorenzo" last="Moretta">Lorenzo Moretta</name>
<affiliation>
<nlm:aff id="A65"> Istituto Giannina Gaslini, Genova, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Odunsi, Adekunke" sort="Odunsi, Adekunke" uniqKey="Odunsi A" first="Adekunke" last="Odunsi">Adekunke Odunsi</name>
<affiliation>
<nlm:aff id="A66"> Center for Immunotherapy, Roswell Park Cancer Institute, Buffalo, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Okada, Hideho" sort="Okada, Hideho" uniqKey="Okada H" first="Hideho" last="Okada">Hideho Okada</name>
<affiliation>
<nlm:aff id="A67"> Dept. of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Palucka, Anna Karolina" sort="Palucka, Anna Karolina" uniqKey="Palucka A" first="Anna Karolina" last="Palucka">Anna Karolina Palucka</name>
<affiliation>
<nlm:aff id="A68"> The Jackson Laboratory for Genomics Medicine, Farmington, CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Peter, Marcus E" sort="Peter, Marcus E" uniqKey="Peter M" first="Marcus E." last="Peter">Marcus E. Peter</name>
<affiliation>
<nlm:aff id="A69"> Div. of Hematology/Oncology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pienta, Kenneth J" sort="Pienta, Kenneth J" uniqKey="Pienta K" first="Kenneth J." last="Pienta">Kenneth J. Pienta</name>
<affiliation>
<nlm:aff id="A70"> The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Porgador, Angel" sort="Porgador, Angel" uniqKey="Porgador A" first="Angel" last="Porgador">Angel Porgador</name>
<affiliation>
<nlm:aff id="A9"> The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Prendergast, George C" sort="Prendergast, George C" uniqKey="Prendergast G" first="George C." last="Prendergast">George C. Prendergast</name>
<affiliation>
<nlm:aff id="A71"> Lankenau Institute for Medical Research, Wynnewood, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A72"> Dept. of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Philadelphia, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A73"> Cell Biology and Signaling Program, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rabinovich, Gabriel A" sort="Rabinovich, Gabriel A" uniqKey="Rabinovich G" first="Gabriel A." last="Rabinovich">Gabriel A. Rabinovich</name>
<affiliation>
<nlm:aff id="A74"> Laboratorio de Inmunopatología, Instituto de Biología y Medicina Experimental (IBYME), Buenos Aires, Argentina</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Restifo, Nicholas P" sort="Restifo, Nicholas P" uniqKey="Restifo N" first="Nicholas P." last="Restifo">Nicholas P. Restifo</name>
<affiliation>
<nlm:aff id="A75"> National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rizvi, Naiyer" sort="Rizvi, Naiyer" uniqKey="Rizvi N" first="Naiyer" last="Rizvi">Naiyer Rizvi</name>
<affiliation>
<nlm:aff id="A76"> Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sautes Fridman, Catherine" sort="Sautes Fridman, Catherine" uniqKey="Sautes Fridman C" first="Catherine" last="Sautès-Fridman">Catherine Sautès-Fridman</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A29"> Equipe 13, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schreiber, Hans" sort="Schreiber, Hans" uniqKey="Schreiber H" first="Hans" last="Schreiber">Hans Schreiber</name>
<affiliation>
<nlm:aff id="A77"> Dept. of Pathology, The Cancer Research Center, The University of Chicago, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Seliger, Barbara" sort="Seliger, Barbara" uniqKey="Seliger B" first="Barbara" last="Seliger">Barbara Seliger</name>
<affiliation>
<nlm:aff id="A78"> Institute of Medical Immunology, Martin Luther University Halle-Wittenberg, Halle, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shiku, Hiroshi" sort="Shiku, Hiroshi" uniqKey="Shiku H" first="Hiroshi" last="Shiku">Hiroshi Shiku</name>
<affiliation>
<nlm:aff id="A79"> Dept. of Immuno-GeneTherapy, Mie University Graduate School of Medicine, Tsu, Japan</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Silva Santos, Bruno" sort="Silva Santos, Bruno" uniqKey="Silva Santos B" first="Bruno" last="Silva-Santos">Bruno Silva-Santos</name>
<affiliation>
<nlm:aff id="A80"> Instituto de Medicina Molecular, Universidade de Lisboa, Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Smyth, Mark J" sort="Smyth, Mark J" uniqKey="Smyth M" first="Mark J." last="Smyth">Mark J. Smyth</name>
<affiliation>
<nlm:aff id="A81"> Immunology in Cancer and Infection Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A82"> School of Medicine, University of Queensland, Herston, Queensland, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Speiser, Daniel E" sort="Speiser, Daniel E" uniqKey="Speiser D" first="Daniel E." last="Speiser">Daniel E. Speiser</name>
<affiliation>
<nlm:aff id="A83"> Dept. of Oncology, University of Lausanne, Lausanne, Switzerland</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A84"> Ludwig Cancer Research Center, Lausanne, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spisek, Radek" sort="Spisek, Radek" uniqKey="Spisek R" first="Radek" last="Spisek">Radek Spisek</name>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A30"> Dept. of Immunology, 2nd Faculty of Medicine and University Hospital Motol, Charles University, Prague, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Srivastava, Pramod K" sort="Srivastava, Pramod K" uniqKey="Srivastava P" first="Pramod K." last="Srivastava">Pramod K. Srivastava</name>
<affiliation>
<nlm:aff id="A85"> Dept. of Immunology, University of Connecticut School of Medicine, Farmington, CT, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A86"> Carole and Ray Neag Comprehensive Cancer Center, Farmington, CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Talmadge, James E" sort="Talmadge, James E" uniqKey="Talmadge J" first="James E." last="Talmadge">James E. Talmadge</name>
<affiliation>
<nlm:aff id="A87"> Laboratory of Transplantation Immunology, Dept. of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tartour, Eric" sort="Tartour, Eric" uniqKey="Tartour E" first="Eric" last="Tartour">Eric Tartour</name>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A88"> INSERM, U970, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A89"> Paris-Cardiovascular Research Center (PARCC), Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A90"> Service d'Immunologie Biologique, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Der Burg, Sjoerd H" sort="Van Der Burg, Sjoerd H" uniqKey="Van Der Burg S" first="Sjoerd H." last="Van Der Burg">Sjoerd H. Van Der Burg</name>
<affiliation>
<nlm:aff id="A91"> Dept. of Clinical Oncology, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Van Den Eynde, Benoit J" sort="Van Den Eynde, Benoit J" uniqKey="Van Den Eynde B" first="Benoît J." last="Van Den Eynde">Benoît J. Van Den Eynde</name>
<affiliation>
<nlm:aff id="A92"> Ludwig Institute for Cancer Research, Brussels, Belgium</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A93"> de Duve Institute, Brussels, Belgium</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A94"> Université Catholique de Louvain, Brussels, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vile, Richard" sort="Vile, Richard" uniqKey="Vile R" first="Richard" last="Vile">Richard Vile</name>
<affiliation>
<nlm:aff id="A95"> Dept. of Molecular Medicine and Immunology, Mayo Clinic College of Medicine, Rochester, MN, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wagner, Hermann" sort="Wagner, Hermann" uniqKey="Wagner H" first="Hermann" last="Wagner">Hermann Wagner</name>
<affiliation>
<nlm:aff id="A96"> Institute of Medical Microbiology, Immunology and Hygiene, Technical University Munich, Munich, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Weber, Jeffrey S" sort="Weber, Jeffrey S" uniqKey="Weber J" first="Jeffrey S." last="Weber">Jeffrey S. Weber</name>
<affiliation>
<nlm:aff id="A97"> Donald A. Adam Comprehensive Melanoma Research Center, Moffitt Cancer Center, Tampa, FL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Whiteside, Theresa L" sort="Whiteside, Theresa L" uniqKey="Whiteside T" first="Theresa L." last="Whiteside">Theresa L. Whiteside</name>
<affiliation>
<nlm:aff id="A46"> University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A98"> University of Pittsburgh School of Medicine, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Wolchok, Jedd D" sort="Wolchok, Jedd D" uniqKey="Wolchok J" first="Jedd D." last="Wolchok">Jedd D. Wolchok</name>
<affiliation>
<nlm:aff id="A99"> Dept. of Medicine and Ludwig Center, Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A100"> Weill Cornell Medical College, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zitvogel, Laurence" sort="Zitvogel, Laurence" uniqKey="Zitvogel L" first="Laurence" last="Zitvogel">Laurence Zitvogel</name>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A101"> INSERM, U1015, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A102"> Centre d'Investigation Clinique Biothérapie 507 (CICBT507), Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Zou, Weiping" sort="Zou, Weiping" uniqKey="Zou W" first="Weiping" last="Zou">Weiping Zou</name>
<affiliation>
<nlm:aff id="A103"> University of Michigan, School of Medicine, Ann Arbor, MI, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A49"> Metabolomics and Cell Biology Platforms, Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A104"> Pôle de Biologie, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</nlm:aff>
</affiliation>
</author>
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<title xml:lang="en" level="a" type="main">Classification of current anticancer immunotherapies</title>
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<name sortKey="Galluzzi, Lorenzo" sort="Galluzzi, Lorenzo" uniqKey="Galluzzi L" first="Lorenzo" last="Galluzzi">Lorenzo Galluzzi</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Vacchelli, Erika" sort="Vacchelli, Erika" uniqKey="Vacchelli E" first="Erika" last="Vacchelli">Erika Vacchelli</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pedro, Jose Manuel Bravo San" sort="Pedro, Jose Manuel Bravo San" uniqKey="Pedro J" first="José-Manuel Bravo-San" last="Pedro">José-Manuel Bravo-San Pedro</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Buque, Aitziber" sort="Buque, Aitziber" uniqKey="Buque A" first="Aitziber" last="Buqué">Aitziber Buqué</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Senovilla, Laura" sort="Senovilla, Laura" uniqKey="Senovilla L" first="Laura" last="Senovilla">Laura Senovilla</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Baracco, Elisa Elena" sort="Baracco, Elisa Elena" uniqKey="Baracco E" first="Elisa Elena" last="Baracco">Elisa Elena Baracco</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bloy, Norma" sort="Bloy, Norma" uniqKey="Bloy N" first="Norma" last="Bloy">Norma Bloy</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Castoldi, Francesca" sort="Castoldi, Francesca" uniqKey="Castoldi F" first="Francesca" last="Castoldi">Francesca Castoldi</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5"> Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Abastado, Jean Pierre" sort="Abastado, Jean Pierre" uniqKey="Abastado J" first="Jean-Pierre" last="Abastado">Jean-Pierre Abastado</name>
<affiliation>
<nlm:aff id="A7"> Pole d'innovation thérapeutique en oncologie, Institut de Recherches Internationales Servier, Suresnes, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Agostinis, Patrizia" sort="Agostinis, Patrizia" uniqKey="Agostinis P" first="Patrizia" last="Agostinis">Patrizia Agostinis</name>
<affiliation>
<nlm:aff id="A8"> Cell Death Research and Therapy (CDRT) Laboratory, Dept. of Cellular and Molecular Medicine, University of Leuven, Leuven, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Apte, Ron N" sort="Apte, Ron N" uniqKey="Apte R" first="Ron N." last="Apte">Ron N. Apte</name>
<affiliation>
<nlm:aff id="A9"> The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Aranda, Fernando" sort="Aranda, Fernando" uniqKey="Aranda F" first="Fernando" last="Aranda">Fernando Aranda</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A10"> Group of Immune receptors of the Innate and Adaptive System, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ayyoub, Maha" sort="Ayyoub, Maha" uniqKey="Ayyoub M" first="Maha" last="Ayyoub">Maha Ayyoub</name>
<affiliation>
<nlm:aff id="A11"> INSERM, U1102, Saint Herblain, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A12"> Institut de Cancérologie de l'Ouest, Saint Herblain, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Beckhove, Philipp" sort="Beckhove, Philipp" uniqKey="Beckhove P" first="Philipp" last="Beckhove">Philipp Beckhove</name>
<affiliation>
<nlm:aff id="A13"> Translational Immunology Division, German Cancer Research Center, Heidelberg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Blay, Jean Yves" sort="Blay, Jean Yves" uniqKey="Blay J" first="Jean-Yves" last="Blay">Jean-Yves Blay</name>
<affiliation>
<nlm:aff id="A14"> Equipe 11, Centre Léon Bérard (CLR), Lyon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A15"> Centre de Recherche en Cancérologie de Lyon (CRCL), Lyon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bracci, Laura" sort="Bracci, Laura" uniqKey="Bracci L" first="Laura" last="Bracci">Laura Bracci</name>
<affiliation>
<nlm:aff id="A16"> Dept. of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Caignard, Anne" sort="Caignard, Anne" uniqKey="Caignard A" first="Anne" last="Caignard">Anne Caignard</name>
<affiliation>
<nlm:aff id="A17"> INSERM, U1160, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A18"> Groupe Hospitalier Saint Louis-Lariboisière - F. Vidal, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Castelli, Chiara" sort="Castelli, Chiara" uniqKey="Castelli C" first="Chiara" last="Castelli">Chiara Castelli</name>
<affiliation>
<nlm:aff id="A19"> Unit of Immunotherapy of Human Tumors, Dept. of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cavallo, Federica" sort="Cavallo, Federica" uniqKey="Cavallo F" first="Federica" last="Cavallo">Federica Cavallo</name>
<affiliation>
<nlm:aff id="A20"> Molecular Biotechnology Center, Dept. of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Celis, Estaban" sort="Celis, Estaban" uniqKey="Celis E" first="Estaban" last="Celis">Estaban Celis</name>
<affiliation>
<nlm:aff id="A21"> Cancer Immunology, Inflammation and Tolerance Program, Georgia Regents University Cancer Center, Augusta, GA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cerundolo, Vincenzo" sort="Cerundolo, Vincenzo" uniqKey="Cerundolo V" first="Vincenzo" last="Cerundolo">Vincenzo Cerundolo</name>
<affiliation>
<nlm:aff id="A22"> MRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Clayton, Aled" sort="Clayton, Aled" uniqKey="Clayton A" first="Aled" last="Clayton">Aled Clayton</name>
<affiliation>
<nlm:aff id="A23"> Institute of Cancer & Genetics, School of Medicine, Cardiff University, Cardiff, UK</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A24"> Velindre Cancer Centre, Cardiff, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Colombo, Mario P" sort="Colombo, Mario P" uniqKey="Colombo M" first="Mario P." last="Colombo">Mario P. Colombo</name>
<affiliation>
<nlm:aff id="A19"> Unit of Immunotherapy of Human Tumors, Dept. of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Coussens, Lisa" sort="Coussens, Lisa" uniqKey="Coussens L" first="Lisa" last="Coussens">Lisa Coussens</name>
<affiliation>
<nlm:aff id="A25"> Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dhodapkar, Madhav V" sort="Dhodapkar, Madhav V" uniqKey="Dhodapkar M" first="Madhav V." last="Dhodapkar">Madhav V. Dhodapkar</name>
<affiliation>
<nlm:aff id="A26"> Sect. of Hematology and Immunobiology, Yale Cancer Center, Yale University, New Haven, CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Eggermont, Alexander M" sort="Eggermont, Alexander M" uniqKey="Eggermont A" first="Alexander M." last="Eggermont">Alexander M. Eggermont</name>
<affiliation>
<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fearon, Douglas T" sort="Fearon, Douglas T" uniqKey="Fearon D" first="Douglas T." last="Fearon">Douglas T. Fearon</name>
<affiliation>
<nlm:aff id="A27"> Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fridman, Wolf H" sort="Fridman, Wolf H" uniqKey="Fridman W" first="Wolf H." last="Fridman">Wolf H. Fridman</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A29"> Equipe 13, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Fu Kova, Jitka" sort="Fu Kova, Jitka" uniqKey="Fu Kova J" first="Jitka" last="Fu Ková">Jitka Fu Ková</name>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A30"> Dept. of Immunology, 2nd Faculty of Medicine and University Hospital Motol, Charles University, Prague, Czech Republic</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gabrilovich, Dmitry I" sort="Gabrilovich, Dmitry I" uniqKey="Gabrilovich D" first="Dmitry I." last="Gabrilovich">Dmitry I. Gabrilovich</name>
<affiliation>
<nlm:aff id="A31"> Dept. of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Galon, Jerome" sort="Galon, Jerome" uniqKey="Galon J" first="Jérôme" last="Galon">Jérôme Galon</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A32"> Laboratory of Integrative Cancer Immunology, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Garg, Abhishek" sort="Garg, Abhishek" uniqKey="Garg A" first="Abhishek" last="Garg">Abhishek Garg</name>
<affiliation>
<nlm:aff id="A8"> Cell Death Research and Therapy (CDRT) Laboratory, Dept. of Cellular and Molecular Medicine, University of Leuven, Leuven, Belgium</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ghiringhelli, Francois" sort="Ghiringhelli, Francois" uniqKey="Ghiringhelli F" first="François" last="Ghiringhelli">François Ghiringhelli</name>
<affiliation>
<nlm:aff id="A33"> INSERM, UMR866, Dijon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A34"> Centre Georges François Leclerc, Dijon, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A35"> Université de Bourgogne, Dijon, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Giaccone, Giuseppe" sort="Giaccone, Giuseppe" uniqKey="Giaccone G" first="Giuseppe" last="Giaccone">Giuseppe Giaccone</name>
<affiliation>
<nlm:aff id="A36"> Center for Cancer Research, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A37"> Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gilboa, Eli" sort="Gilboa, Eli" uniqKey="Gilboa E" first="Eli" last="Gilboa">Eli Gilboa</name>
<affiliation>
<nlm:aff id="A38"> Dept. of Microbiology and Immunology, Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Gnjatic, Sacha" sort="Gnjatic, Sacha" uniqKey="Gnjatic S" first="Sacha" last="Gnjatic">Sacha Gnjatic</name>
<affiliation>
<nlm:aff id="A39"> Sect. of Hematology/Oncology, Immunology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hoos, Axel" sort="Hoos, Axel" uniqKey="Hoos A" first="Axel" last="Hoos">Axel Hoos</name>
<affiliation>
<nlm:aff id="A40"> Glaxo Smith Kline, Cancer Immunotherapy Consortium, Collegeville, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hosmalin, Anne" sort="Hosmalin, Anne" uniqKey="Hosmalin A" first="Anne" last="Hosmalin">Anne Hosmalin</name>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A41"> INSERM, U1016, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A42"> CNRS, UMR8104, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A43"> Hôpital Cochin, AP-HP, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="J Ger, Dirk" sort="J Ger, Dirk" uniqKey="J Ger D" first="Dirk" last="J Ger">Dirk J Ger</name>
<affiliation>
<nlm:aff id="A44"> National Center for Tumor Diseases, University Medical Center Heidelberg, Heidelberg, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kalinski, Pawel" sort="Kalinski, Pawel" uniqKey="Kalinski P" first="Pawel" last="Kalinski">Pawel Kalinski</name>
<affiliation>
<nlm:aff id="A45"> Dept. of Surgery, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A46"> University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A47"> Dept. of Immunology and Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="K Rre, Klas" sort="K Rre, Klas" uniqKey="K Rre K" first="Klas" last="K Rre">Klas K Rre</name>
<affiliation>
<nlm:aff id="A48"> Dept. of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kepp, Oliver" sort="Kepp, Oliver" uniqKey="Kepp O" first="Oliver" last="Kepp">Oliver Kepp</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A49"> Metabolomics and Cell Biology Platforms, Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kiessling, Rolf" sort="Kiessling, Rolf" uniqKey="Kiessling R" first="Rolf" last="Kiessling">Rolf Kiessling</name>
<affiliation>
<nlm:aff id="A50"> Dept. of Oncology, Karolinska Institute Hospital, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kirkwood, John M" sort="Kirkwood, John M" uniqKey="Kirkwood J" first="John M." last="Kirkwood">John M. Kirkwood</name>
<affiliation>
<nlm:aff id="A51"> University of Pittsburgh Cancer Institute Laboratory, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Klein, Eva" sort="Klein, Eva" uniqKey="Klein E" first="Eva" last="Klein">Eva Klein</name>
<affiliation>
<nlm:aff id="A48"> Dept. of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Knuth, Alexander" sort="Knuth, Alexander" uniqKey="Knuth A" first="Alexander" last="Knuth">Alexander Knuth</name>
<affiliation>
<nlm:aff id="A52"> National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lewis, Claire E" sort="Lewis, Claire E" uniqKey="Lewis C" first="Claire E." last="Lewis">Claire E. Lewis</name>
<affiliation>
<nlm:aff id="A53"> Academic Unit of Inflammation and Tumour Targeting, Dept. of Oncology, University of Sheffield Medical School, Sheffield, UK</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Liblau, Roland" sort="Liblau, Roland" uniqKey="Liblau R" first="Roland" last="Liblau">Roland Liblau</name>
<affiliation>
<nlm:aff id="A54"> INSERM, UMR1043, Toulouse, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A55"> CNRS, UMR5282, Toulouse, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A56"> Laboratoire d'Immunologie, CHU Toulouse, Université Toulouse II, Toulouse, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lotze, Michael T" sort="Lotze, Michael T" uniqKey="Lotze M" first="Michael T." last="Lotze">Michael T. Lotze</name>
<affiliation>
<nlm:aff id="A45"> Dept. of Surgery, University of Pittsburgh, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A46"> University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Lugli, Enrico" sort="Lugli, Enrico" uniqKey="Lugli E" first="Enrico" last="Lugli">Enrico Lugli</name>
<affiliation>
<nlm:aff id="A57"> Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Institute, Rozzano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mach, Jean Pierre" sort="Mach, Jean Pierre" uniqKey="Mach J" first="Jean-Pierre" last="Mach">Jean-Pierre Mach</name>
<affiliation>
<nlm:aff id="A58"> Dept. of Biochemistry, University of Lausanne, Epalinges, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mattei, Fabrizio" sort="Mattei, Fabrizio" uniqKey="Mattei F" first="Fabrizio" last="Mattei">Fabrizio Mattei</name>
<affiliation>
<nlm:aff id="A16"> Dept. of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mavilio, Domenico" sort="Mavilio, Domenico" uniqKey="Mavilio D" first="Domenico" last="Mavilio">Domenico Mavilio</name>
<affiliation>
<nlm:aff id="A57"> Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Institute, Rozzano, Italy</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A59"> Dept. of Medical Biotechnologies and Translational Medicine, University of Milan, Rozzano, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Melero, Ignacio" sort="Melero, Ignacio" uniqKey="Melero I" first="Ignacio" last="Melero">Ignacio Melero</name>
<affiliation>
<nlm:aff id="A60"> Dept. of Immunology, Centro de Investigación Médica Aplicada (CIMA), Universidad de Navarra, Pamplona, Spain</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A61"> Dept. of Oncology, Clínica Universidad de Navarra, Pamplona, Spain</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Melief, Cornelis J" sort="Melief, Cornelis J" uniqKey="Melief C" first="Cornelis J." last="Melief">Cornelis J. Melief</name>
<affiliation>
<nlm:aff id="A62"> ISA Therapeutics, Leiden, The Netherlands</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A63"> Dept. of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mittendorf, Elizabeth A" sort="Mittendorf, Elizabeth A" uniqKey="Mittendorf E" first="Elizabeth A." last="Mittendorf">Elizabeth A. Mittendorf</name>
<affiliation>
<nlm:aff id="A64"> Research Dept. of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Moretta, Lorenzo" sort="Moretta, Lorenzo" uniqKey="Moretta L" first="Lorenzo" last="Moretta">Lorenzo Moretta</name>
<affiliation>
<nlm:aff id="A65"> Istituto Giannina Gaslini, Genova, Italy</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Odunsi, Adekunke" sort="Odunsi, Adekunke" uniqKey="Odunsi A" first="Adekunke" last="Odunsi">Adekunke Odunsi</name>
<affiliation>
<nlm:aff id="A66"> Center for Immunotherapy, Roswell Park Cancer Institute, Buffalo, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Okada, Hideho" sort="Okada, Hideho" uniqKey="Okada H" first="Hideho" last="Okada">Hideho Okada</name>
<affiliation>
<nlm:aff id="A67"> Dept. of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Palucka, Anna Karolina" sort="Palucka, Anna Karolina" uniqKey="Palucka A" first="Anna Karolina" last="Palucka">Anna Karolina Palucka</name>
<affiliation>
<nlm:aff id="A68"> The Jackson Laboratory for Genomics Medicine, Farmington, CT, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Peter, Marcus E" sort="Peter, Marcus E" uniqKey="Peter M" first="Marcus E." last="Peter">Marcus E. Peter</name>
<affiliation>
<nlm:aff id="A69"> Div. of Hematology/Oncology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pienta, Kenneth J" sort="Pienta, Kenneth J" uniqKey="Pienta K" first="Kenneth J." last="Pienta">Kenneth J. Pienta</name>
<affiliation>
<nlm:aff id="A70"> The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Porgador, Angel" sort="Porgador, Angel" uniqKey="Porgador A" first="Angel" last="Porgador">Angel Porgador</name>
<affiliation>
<nlm:aff id="A9"> The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Prendergast, George C" sort="Prendergast, George C" uniqKey="Prendergast G" first="George C." last="Prendergast">George C. Prendergast</name>
<affiliation>
<nlm:aff id="A71"> Lankenau Institute for Medical Research, Wynnewood, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A72"> Dept. of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Philadelphia, PA, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A73"> Cell Biology and Signaling Program, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rabinovich, Gabriel A" sort="Rabinovich, Gabriel A" uniqKey="Rabinovich G" first="Gabriel A." last="Rabinovich">Gabriel A. Rabinovich</name>
<affiliation>
<nlm:aff id="A74"> Laboratorio de Inmunopatología, Instituto de Biología y Medicina Experimental (IBYME), Buenos Aires, Argentina</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Restifo, Nicholas P" sort="Restifo, Nicholas P" uniqKey="Restifo N" first="Nicholas P." last="Restifo">Nicholas P. Restifo</name>
<affiliation>
<nlm:aff id="A75"> National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rizvi, Naiyer" sort="Rizvi, Naiyer" uniqKey="Rizvi N" first="Naiyer" last="Rizvi">Naiyer Rizvi</name>
<affiliation>
<nlm:aff id="A76"> Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sautes Fridman, Catherine" sort="Sautes Fridman, Catherine" uniqKey="Sautes Fridman C" first="Catherine" last="Sautès-Fridman">Catherine Sautès-Fridman</name>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A28"> Université Pierre et Marie Curie/Paris VI, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A29"> Equipe 13, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Schreiber, Hans" sort="Schreiber, Hans" uniqKey="Schreiber H" first="Hans" last="Schreiber">Hans Schreiber</name>
<affiliation>
<nlm:aff id="A77"> Dept. of Pathology, The Cancer Research Center, The University of Chicago, Chicago, IL, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Seliger, Barbara" sort="Seliger, Barbara" uniqKey="Seliger B" first="Barbara" last="Seliger">Barbara Seliger</name>
<affiliation>
<nlm:aff id="A78"> Institute of Medical Immunology, Martin Luther University Halle-Wittenberg, Halle, Germany</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shiku, Hiroshi" sort="Shiku, Hiroshi" uniqKey="Shiku H" first="Hiroshi" last="Shiku">Hiroshi Shiku</name>
<affiliation>
<nlm:aff id="A79"> Dept. of Immuno-GeneTherapy, Mie University Graduate School of Medicine, Tsu, Japan</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Silva Santos, Bruno" sort="Silva Santos, Bruno" uniqKey="Silva Santos B" first="Bruno" last="Silva-Santos">Bruno Silva-Santos</name>
<affiliation>
<nlm:aff id="A80"> Instituto de Medicina Molecular, Universidade de Lisboa, Lisboa, Portugal</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Smyth, Mark J" sort="Smyth, Mark J" uniqKey="Smyth M" first="Mark J." last="Smyth">Mark J. Smyth</name>
<affiliation>
<nlm:aff id="A81"> Immunology in Cancer and Infection Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A82"> School of Medicine, University of Queensland, Herston, Queensland, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Speiser, Daniel E" sort="Speiser, Daniel E" uniqKey="Speiser D" first="Daniel E." last="Speiser">Daniel E. Speiser</name>
<affiliation>
<nlm:aff id="A83"> Dept. of Oncology, University of Lausanne, Lausanne, Switzerland</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A84"> Ludwig Cancer Research Center, Lausanne, Switzerland</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Spisek, Radek" sort="Spisek, Radek" uniqKey="Spisek R" first="Radek" last="Spisek">Radek Spisek</name>
<affiliation>
<nlm:aff id="A6"> Sotio a.c., Prague, Czech Republic</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A30"> Dept. of Immunology, 2nd Faculty of Medicine and University Hospital Motol, Charles University, Prague, Czech Republic</nlm:aff>
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</author>
<author>
<name sortKey="Srivastava, Pramod K" sort="Srivastava, Pramod K" uniqKey="Srivastava P" first="Pramod K." last="Srivastava">Pramod K. Srivastava</name>
<affiliation>
<nlm:aff id="A85"> Dept. of Immunology, University of Connecticut School of Medicine, Farmington, CT, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A86"> Carole and Ray Neag Comprehensive Cancer Center, Farmington, CT, USA</nlm:aff>
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<author>
<name sortKey="Tartour, Eric" sort="Tartour, Eric" uniqKey="Tartour E" first="Eric" last="Tartour">Eric Tartour</name>
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<affiliation>
<nlm:aff id="A88"> INSERM, U970, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A89"> Paris-Cardiovascular Research Center (PARCC), Paris, France</nlm:aff>
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<affiliation>
<nlm:aff id="A90"> Service d'Immunologie Biologique, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</nlm:aff>
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<author>
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<author>
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<affiliation>
<nlm:aff id="A93"> de Duve Institute, Brussels, Belgium</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A94"> Université Catholique de Louvain, Brussels, Belgium</nlm:aff>
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<author>
<name sortKey="Vile, Richard" sort="Vile, Richard" uniqKey="Vile R" first="Richard" last="Vile">Richard Vile</name>
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<nlm:aff id="A95"> Dept. of Molecular Medicine and Immunology, Mayo Clinic College of Medicine, Rochester, MN, USA</nlm:aff>
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<name sortKey="Wagner, Hermann" sort="Wagner, Hermann" uniqKey="Wagner H" first="Hermann" last="Wagner">Hermann Wagner</name>
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<nlm:aff id="A96"> Institute of Medical Microbiology, Immunology and Hygiene, Technical University Munich, Munich, Germany</nlm:aff>
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<author>
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<author>
<name sortKey="Whiteside, Theresa L" sort="Whiteside, Theresa L" uniqKey="Whiteside T" first="Theresa L." last="Whiteside">Theresa L. Whiteside</name>
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<affiliation>
<nlm:aff id="A98"> University of Pittsburgh School of Medicine, Pittsburgh, PA, USA</nlm:aff>
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</author>
<author>
<name sortKey="Wolchok, Jedd D" sort="Wolchok, Jedd D" uniqKey="Wolchok J" first="Jedd D." last="Wolchok">Jedd D. Wolchok</name>
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<nlm:aff id="A99"> Dept. of Medicine and Ludwig Center, Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A100"> Weill Cornell Medical College, New York, NY, USA</nlm:aff>
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<author>
<name sortKey="Zitvogel, Laurence" sort="Zitvogel, Laurence" uniqKey="Zitvogel L" first="Laurence" last="Zitvogel">Laurence Zitvogel</name>
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<nlm:aff id="A3"> Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A101"> INSERM, U1015, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A102"> Centre d'Investigation Clinique Biothérapie 507 (CICBT507), Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
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</author>
<author>
<name sortKey="Zou, Weiping" sort="Zou, Weiping" uniqKey="Zou W" first="Weiping" last="Zou">Weiping Zou</name>
<affiliation>
<nlm:aff id="A103"> University of Michigan, School of Medicine, Ann Arbor, MI, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kroemer, Guido" sort="Kroemer, Guido" uniqKey="Kroemer G" first="Guido" last="Kroemer">Guido Kroemer</name>
<affiliation>
<nlm:aff id="A1"> Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> INSERM, U1138, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4"> Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A49"> Metabolomics and Cell Biology Platforms, Gustave Roussy Cancer Campus, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A104"> Pôle de Biologie, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</nlm:aff>
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</author>
</analytic>
<series>
<title level="j">Oncotarget</title>
<idno type="eISSN">1949-2553</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass></textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>During the past decades, anticancer immunotherapy has evolved from a promising therapeutic option to a robust clinical reality. Many immunotherapeutic regimens are now approved by the US Food and Drug Administration and the European Medicines Agency for use in cancer patients, and many others are being investigated as standalone therapeutic interventions or combined with conventional treatments in clinical studies. Immunotherapies may be subdivided into “passive” and “active” based on their ability to engage the host immune system against cancer. Since the anticancer activity of most passive immunotherapeutics (including tumor-targeting monoclonal antibodies) also relies on the host immune system, this classification does not properly reflect the complexity of the drug-host-tumor interaction. Alternatively, anticancer immunotherapeutics can be classified according to their antigen specificity. While some immunotherapies specifically target one (or a few) defined tumor-associated antigen(s), others operate in a relatively non-specific manner and boost natural or therapy-elicited anticancer immune responses of unknown and often broad specificity. Here, we propose a critical, integrated classification of anticancer immunotherapies and discuss the clinical relevance of these approaches.</p>
</div>
</front>
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<pmc article-type="review-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Oncotarget</journal-id>
<journal-id journal-id-type="iso-abbrev">Oncotarget</journal-id>
<journal-id journal-id-type="publisher-id">ImpactJ</journal-id>
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<journal-title>Oncotarget</journal-title>
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<issn pub-type="epub">1949-2553</issn>
<publisher>
<publisher-name>Impact Journals LLC</publisher-name>
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</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25537519</article-id>
<article-id pub-id-type="pmc">4350348</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
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</article-categories>
<title-group>
<article-title>Classification of current anticancer immunotherapies</article-title>
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<given-names>Lorenzo</given-names>
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<sup>1</sup>
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<sup>2</sup>
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<sup>3</sup>
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<name>
<surname>Vacchelli</surname>
<given-names>Erika</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pedro</surname>
<given-names>José-Manuel Bravo-San</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Buqué</surname>
<given-names>Aitziber</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Senovilla</surname>
<given-names>Laura</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Baracco</surname>
<given-names>Elisa Elena</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="A5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bloy</surname>
<given-names>Norma</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="A5">
<sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Castoldi</surname>
<given-names>Francesca</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="A5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="A6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Abastado</surname>
<given-names>Jean-Pierre</given-names>
</name>
<xref ref-type="aff" rid="A7">
<sup>7</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Agostinis</surname>
<given-names>Patrizia</given-names>
</name>
<xref ref-type="aff" rid="A8">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Apte</surname>
<given-names>Ron N.</given-names>
</name>
<xref ref-type="aff" rid="A9">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Aranda</surname>
<given-names>Fernando</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="A10">
<sup>10</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ayyoub</surname>
<given-names>Maha</given-names>
</name>
<xref ref-type="aff" rid="A11">
<sup>11</sup>
</xref>
<xref ref-type="aff" rid="A12">
<sup>12</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Beckhove</surname>
<given-names>Philipp</given-names>
</name>
<xref ref-type="aff" rid="A13">
<sup>13</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Blay</surname>
<given-names>Jean-Yves</given-names>
</name>
<xref ref-type="aff" rid="A14">
<sup>14</sup>
</xref>
<xref ref-type="aff" rid="A15">
<sup>15</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bracci</surname>
<given-names>Laura</given-names>
</name>
<xref ref-type="aff" rid="A16">
<sup>16</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Caignard</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="A17">
<sup>17</sup>
</xref>
<xref ref-type="aff" rid="A18">
<sup>18</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Castelli</surname>
<given-names>Chiara</given-names>
</name>
<xref ref-type="aff" rid="A19">
<sup>19</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cavallo</surname>
<given-names>Federica</given-names>
</name>
<xref ref-type="aff" rid="A20">
<sup>20</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Celis</surname>
<given-names>Estaban</given-names>
</name>
<xref ref-type="aff" rid="A21">
<sup>21</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cerundolo</surname>
<given-names>Vincenzo</given-names>
</name>
<xref ref-type="aff" rid="A22">
<sup>22</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Clayton</surname>
<given-names>Aled</given-names>
</name>
<xref ref-type="aff" rid="A23">
<sup>23</sup>
</xref>
<xref ref-type="aff" rid="A24">
<sup>24</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Colombo</surname>
<given-names>Mario P.</given-names>
</name>
<xref ref-type="aff" rid="A19">
<sup>19</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Coussens</surname>
<given-names>Lisa</given-names>
</name>
<xref ref-type="aff" rid="A25">
<sup>25</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dhodapkar</surname>
<given-names>Madhav V.</given-names>
</name>
<xref ref-type="aff" rid="A26">
<sup>26</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Eggermont</surname>
<given-names>Alexander M.</given-names>
</name>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fearon</surname>
<given-names>Douglas T.</given-names>
</name>
<xref ref-type="aff" rid="A27">
<sup>27</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fridman</surname>
<given-names>Wolf H.</given-names>
</name>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A28">
<sup>28</sup>
</xref>
<xref ref-type="aff" rid="A29">
<sup>29</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fučíková</surname>
<given-names>Jitka</given-names>
</name>
<xref ref-type="aff" rid="A6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="A30">
<sup>30</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gabrilovich</surname>
<given-names>Dmitry I.</given-names>
</name>
<xref ref-type="aff" rid="A31">
<sup>31</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Galon</surname>
<given-names>Jérôme</given-names>
</name>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A28">
<sup>28</sup>
</xref>
<xref ref-type="aff" rid="A32">
<sup>32</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Garg</surname>
<given-names>Abhishek</given-names>
</name>
<xref ref-type="aff" rid="A8">
<sup>8</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ghiringhelli</surname>
<given-names>François</given-names>
</name>
<xref ref-type="aff" rid="A33">
<sup>33</sup>
</xref>
<xref ref-type="aff" rid="A34">
<sup>34</sup>
</xref>
<xref ref-type="aff" rid="A35">
<sup>35</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giaccone</surname>
<given-names>Giuseppe</given-names>
</name>
<xref ref-type="aff" rid="A36">
<sup>36</sup>
</xref>
<xref ref-type="aff" rid="A37">
<sup>37</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gilboa</surname>
<given-names>Eli</given-names>
</name>
<xref ref-type="aff" rid="A38">
<sup>38</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gnjatic</surname>
<given-names>Sacha</given-names>
</name>
<xref ref-type="aff" rid="A39">
<sup>39</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hoos</surname>
<given-names>Axel</given-names>
</name>
<xref ref-type="aff" rid="A40">
<sup>40</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hosmalin</surname>
<given-names>Anne</given-names>
</name>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A41">
<sup>41</sup>
</xref>
<xref ref-type="aff" rid="A42">
<sup>42</sup>
</xref>
<xref ref-type="aff" rid="A43">
<sup>43</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jäger</surname>
<given-names>Dirk</given-names>
</name>
<xref ref-type="aff" rid="A44">
<sup>44</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kalinski</surname>
<given-names>Pawel</given-names>
</name>
<xref ref-type="aff" rid="A45">
<sup>45</sup>
</xref>
<xref ref-type="aff" rid="A46">
<sup>46</sup>
</xref>
<xref ref-type="aff" rid="A47">
<sup>47</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kärre</surname>
<given-names>Klas</given-names>
</name>
<xref ref-type="aff" rid="A48">
<sup>48</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kepp</surname>
<given-names>Oliver</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A49">
<sup>49</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kiessling</surname>
<given-names>Rolf</given-names>
</name>
<xref ref-type="aff" rid="A50">
<sup>50</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kirkwood</surname>
<given-names>John M.</given-names>
</name>
<xref ref-type="aff" rid="A51">
<sup>51</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Klein</surname>
<given-names>Eva</given-names>
</name>
<xref ref-type="aff" rid="A48">
<sup>48</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Knuth</surname>
<given-names>Alexander</given-names>
</name>
<xref ref-type="aff" rid="A52">
<sup>52</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lewis</surname>
<given-names>Claire E.</given-names>
</name>
<xref ref-type="aff" rid="A53">
<sup>53</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Liblau</surname>
<given-names>Roland</given-names>
</name>
<xref ref-type="aff" rid="A54">
<sup>54</sup>
</xref>
<xref ref-type="aff" rid="A55">
<sup>55</sup>
</xref>
<xref ref-type="aff" rid="A56">
<sup>56</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lotze</surname>
<given-names>Michael T.</given-names>
</name>
<xref ref-type="aff" rid="A45">
<sup>45</sup>
</xref>
<xref ref-type="aff" rid="A46">
<sup>46</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lugli</surname>
<given-names>Enrico</given-names>
</name>
<xref ref-type="aff" rid="A57">
<sup>57</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mach</surname>
<given-names>Jean-Pierre</given-names>
</name>
<xref ref-type="aff" rid="A58">
<sup>58</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mattei</surname>
<given-names>Fabrizio</given-names>
</name>
<xref ref-type="aff" rid="A16">
<sup>16</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mavilio</surname>
<given-names>Domenico</given-names>
</name>
<xref ref-type="aff" rid="A57">
<sup>57</sup>
</xref>
<xref ref-type="aff" rid="A59">
<sup>59</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Melero</surname>
<given-names>Ignacio</given-names>
</name>
<xref ref-type="aff" rid="A60">
<sup>60</sup>
</xref>
<xref ref-type="aff" rid="A61">
<sup>61</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Melief</surname>
<given-names>Cornelis J.</given-names>
</name>
<xref ref-type="aff" rid="A62">
<sup>62</sup>
</xref>
<xref ref-type="aff" rid="A63">
<sup>63</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mittendorf</surname>
<given-names>Elizabeth A.</given-names>
</name>
<xref ref-type="aff" rid="A64">
<sup>64</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Moretta</surname>
<given-names>Lorenzo</given-names>
</name>
<xref ref-type="aff" rid="A65">
<sup>65</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Odunsi</surname>
<given-names>Adekunke</given-names>
</name>
<xref ref-type="aff" rid="A66">
<sup>66</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Okada</surname>
<given-names>Hideho</given-names>
</name>
<xref ref-type="aff" rid="A67">
<sup>67</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Palucka</surname>
<given-names>Anna Karolina</given-names>
</name>
<xref ref-type="aff" rid="A68">
<sup>68</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Peter</surname>
<given-names>Marcus E.</given-names>
</name>
<xref ref-type="aff" rid="A69">
<sup>69</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pienta</surname>
<given-names>Kenneth J.</given-names>
</name>
<xref ref-type="aff" rid="A70">
<sup>70</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Porgador</surname>
<given-names>Angel</given-names>
</name>
<xref ref-type="aff" rid="A9">
<sup>9</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Prendergast</surname>
<given-names>George C.</given-names>
</name>
<xref ref-type="aff" rid="A71">
<sup>71</sup>
</xref>
<xref ref-type="aff" rid="A72">
<sup>72</sup>
</xref>
<xref ref-type="aff" rid="A73">
<sup>73</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rabinovich</surname>
<given-names>Gabriel A.</given-names>
</name>
<xref ref-type="aff" rid="A74">
<sup>74</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Restifo</surname>
<given-names>Nicholas P.</given-names>
</name>
<xref ref-type="aff" rid="A75">
<sup>75</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rizvi</surname>
<given-names>Naiyer</given-names>
</name>
<xref ref-type="aff" rid="A76">
<sup>76</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sautès-Fridman</surname>
<given-names>Catherine</given-names>
</name>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A28">
<sup>28</sup>
</xref>
<xref ref-type="aff" rid="A29">
<sup>29</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schreiber</surname>
<given-names>Hans</given-names>
</name>
<xref ref-type="aff" rid="A77">
<sup>77</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Seliger</surname>
<given-names>Barbara</given-names>
</name>
<xref ref-type="aff" rid="A78">
<sup>78</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shiku</surname>
<given-names>Hiroshi</given-names>
</name>
<xref ref-type="aff" rid="A79">
<sup>79</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Silva-Santos</surname>
<given-names>Bruno</given-names>
</name>
<xref ref-type="aff" rid="A80">
<sup>80</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Smyth</surname>
<given-names>Mark J.</given-names>
</name>
<xref ref-type="aff" rid="A81">
<sup>81</sup>
</xref>
<xref ref-type="aff" rid="A82">
<sup>82</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Speiser</surname>
<given-names>Daniel E.</given-names>
</name>
<xref ref-type="aff" rid="A83">
<sup>83</sup>
</xref>
<xref ref-type="aff" rid="A84">
<sup>84</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Spisek</surname>
<given-names>Radek</given-names>
</name>
<xref ref-type="aff" rid="A6">
<sup>6</sup>
</xref>
<xref ref-type="aff" rid="A30">
<sup>30</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Srivastava</surname>
<given-names>Pramod K.</given-names>
</name>
<xref ref-type="aff" rid="A85">
<sup>85</sup>
</xref>
<xref ref-type="aff" rid="A86">
<sup>86</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Talmadge</surname>
<given-names>James E.</given-names>
</name>
<xref ref-type="aff" rid="A87">
<sup>87</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tartour</surname>
<given-names>Eric</given-names>
</name>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A88">
<sup>88</sup>
</xref>
<xref ref-type="aff" rid="A89">
<sup>89</sup>
</xref>
<xref ref-type="aff" rid="A90">
<sup>90</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Der Burg</surname>
<given-names>Sjoerd H.</given-names>
</name>
<xref ref-type="aff" rid="A91">
<sup>91</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Van Den Eynde</surname>
<given-names>Benoît J.</given-names>
</name>
<xref ref-type="aff" rid="A92">
<sup>92</sup>
</xref>
<xref ref-type="aff" rid="A93">
<sup>93</sup>
</xref>
<xref ref-type="aff" rid="A94">
<sup>94</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Vile</surname>
<given-names>Richard</given-names>
</name>
<xref ref-type="aff" rid="A95">
<sup>95</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wagner</surname>
<given-names>Hermann</given-names>
</name>
<xref ref-type="aff" rid="A96">
<sup>96</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Weber</surname>
<given-names>Jeffrey S.</given-names>
</name>
<xref ref-type="aff" rid="A97">
<sup>97</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Whiteside</surname>
<given-names>Theresa L.</given-names>
</name>
<xref ref-type="aff" rid="A46">
<sup>46</sup>
</xref>
<xref ref-type="aff" rid="A98">
<sup>98</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wolchok</surname>
<given-names>Jedd D.</given-names>
</name>
<xref ref-type="aff" rid="A99">
<sup>99</sup>
</xref>
<xref ref-type="aff" rid="A100">
<sup>100</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zitvogel</surname>
<given-names>Laurence</given-names>
</name>
<xref ref-type="aff" rid="A3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="A101">
<sup>101</sup>
</xref>
<xref ref-type="aff" rid="A102">
<sup>102</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zou</surname>
<given-names>Weiping</given-names>
</name>
<xref ref-type="aff" rid="A103">
<sup>103</sup>
</xref>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Kroemer</surname>
<given-names>Guido</given-names>
</name>
<xref ref-type="aff" rid="A1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="A2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="A4">
<sup>4</sup>
</xref>
<xref ref-type="aff" rid="A49">
<sup>49</sup>
</xref>
<xref ref-type="aff" rid="A104">
<sup>104</sup>
</xref>
</contrib>
</contrib-group>
<aff id="A1">
<sup>1</sup>
Equipe 11 labellisée pas la Ligue Nationale contre le Cancer, Centre de Recherche des Cordeliers, Paris, France</aff>
<aff id="A2">
<sup>2</sup>
INSERM, U1138, Paris, France</aff>
<aff id="A3">
<sup>3</sup>
Gustave Roussy Cancer Campus, Villejuif, France</aff>
<aff id="A4">
<sup>4</sup>
Université Paris Descartes/Paris V, Sorbonne Paris Cité, Paris, France</aff>
<aff id="A5">
<sup>5</sup>
Faculté de Medicine, Université Paris Sud/Paris XI, Le Kremlin-Bicêtre, France</aff>
<aff id="A6">
<sup>6</sup>
Sotio a.c., Prague, Czech Republic</aff>
<aff id="A7">
<sup>7</sup>
Pole d'innovation thérapeutique en oncologie, Institut de Recherches Internationales Servier, Suresnes, France</aff>
<aff id="A8">
<sup>8</sup>
Cell Death Research and Therapy (CDRT) Laboratory, Dept. of Cellular and Molecular Medicine, University of Leuven, Leuven, Belgium</aff>
<aff id="A9">
<sup>9</sup>
The Shraga Segal Dept. of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel</aff>
<aff id="A10">
<sup>10</sup>
Group of Immune receptors of the Innate and Adaptive System, Institut d'Investigacions Biomédiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain</aff>
<aff id="A11">
<sup>11</sup>
INSERM, U1102, Saint Herblain, France</aff>
<aff id="A12">
<sup>12</sup>
Institut de Cancérologie de l'Ouest, Saint Herblain, France</aff>
<aff id="A13">
<sup>13</sup>
Translational Immunology Division, German Cancer Research Center, Heidelberg, Germany</aff>
<aff id="A14">
<sup>14</sup>
Equipe 11, Centre Léon Bérard (CLR), Lyon, France</aff>
<aff id="A15">
<sup>15</sup>
Centre de Recherche en Cancérologie de Lyon (CRCL), Lyon, France</aff>
<aff id="A16">
<sup>16</sup>
Dept. of Hematology, Oncology and Molecular Medicine, Istituto Superiore di Sanità, Rome, Italy</aff>
<aff id="A17">
<sup>17</sup>
INSERM, U1160, Paris, France</aff>
<aff id="A18">
<sup>18</sup>
Groupe Hospitalier Saint Louis-Lariboisière - F. Vidal, Paris, France</aff>
<aff id="A19">
<sup>19</sup>
Unit of Immunotherapy of Human Tumors, Dept. of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale Tumori, Milano, Italy</aff>
<aff id="A20">
<sup>20</sup>
Molecular Biotechnology Center, Dept. of Molecular Biotechnology and Health Sciences, University of Torino, Torino, Italy</aff>
<aff id="A21">
<sup>21</sup>
Cancer Immunology, Inflammation and Tolerance Program, Georgia Regents University Cancer Center, Augusta, GA, USA</aff>
<aff id="A22">
<sup>22</sup>
MRC Human Immunology Unit, Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK</aff>
<aff id="A23">
<sup>23</sup>
Institute of Cancer & Genetics, School of Medicine, Cardiff University, Cardiff, UK</aff>
<aff id="A24">
<sup>24</sup>
Velindre Cancer Centre, Cardiff, UK</aff>
<aff id="A25">
<sup>25</sup>
Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA</aff>
<aff id="A26">
<sup>26</sup>
Sect. of Hematology and Immunobiology, Yale Cancer Center, Yale University, New Haven, CT, USA</aff>
<aff id="A27">
<sup>27</sup>
Cold Spring Harbor Laboratory, Cold Spring Harbor, NY, USA</aff>
<aff id="A28">
<sup>28</sup>
Université Pierre et Marie Curie/Paris VI, Paris, France</aff>
<aff id="A29">
<sup>29</sup>
Equipe 13, Centre de Recherche des Cordeliers, Paris, France</aff>
<aff id="A30">
<sup>30</sup>
Dept. of Immunology, 2nd Faculty of Medicine and University Hospital Motol, Charles University, Prague, Czech Republic</aff>
<aff id="A31">
<sup>31</sup>
Dept. of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA</aff>
<aff id="A32">
<sup>32</sup>
Laboratory of Integrative Cancer Immunology, Centre de Recherche des Cordeliers, Paris, France</aff>
<aff id="A33">
<sup>33</sup>
INSERM, UMR866, Dijon, France</aff>
<aff id="A34">
<sup>34</sup>
Centre Georges François Leclerc, Dijon, France</aff>
<aff id="A35">
<sup>35</sup>
Université de Bourgogne, Dijon, France</aff>
<aff id="A36">
<sup>36</sup>
Center for Cancer Research, National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</aff>
<aff id="A37">
<sup>37</sup>
Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC, USA</aff>
<aff id="A38">
<sup>38</sup>
Dept. of Microbiology and Immunology, Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, FL, USA</aff>
<aff id="A39">
<sup>39</sup>
Sect. of Hematology/Oncology, Immunology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA</aff>
<aff id="A40">
<sup>40</sup>
Glaxo Smith Kline, Cancer Immunotherapy Consortium, Collegeville, PA, USA</aff>
<aff id="A41">
<sup>41</sup>
INSERM, U1016, Paris, France</aff>
<aff id="A42">
<sup>42</sup>
CNRS, UMR8104, Paris, France</aff>
<aff id="A43">
<sup>43</sup>
Hôpital Cochin, AP-HP, Paris, France</aff>
<aff id="A44">
<sup>44</sup>
National Center for Tumor Diseases, University Medical Center Heidelberg, Heidelberg, Germany</aff>
<aff id="A45">
<sup>45</sup>
Dept. of Surgery, University of Pittsburgh, Pittsburgh, PA, USA</aff>
<aff id="A46">
<sup>46</sup>
University of Pittsburgh Cancer Institute, Hillman Cancer Center, Pittsburgh, PA, USA</aff>
<aff id="A47">
<sup>47</sup>
Dept. of Immunology and Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA, USA</aff>
<aff id="A48">
<sup>48</sup>
Dept. of Microbiology, Tumor and Cell Biology, Karolinska Institute, Stockholm, Sweden</aff>
<aff id="A49">
<sup>49</sup>
Metabolomics and Cell Biology Platforms, Gustave Roussy Cancer Campus, Villejuif, France</aff>
<aff id="A50">
<sup>50</sup>
Dept. of Oncology, Karolinska Institute Hospital, Stockholm, Sweden</aff>
<aff id="A51">
<sup>51</sup>
University of Pittsburgh Cancer Institute Laboratory, Pittsburgh, PA, USA</aff>
<aff id="A52">
<sup>52</sup>
National Center for Cancer Care and Research, Hamad Medical Corporation, Doha, Qatar</aff>
<aff id="A53">
<sup>53</sup>
Academic Unit of Inflammation and Tumour Targeting, Dept. of Oncology, University of Sheffield Medical School, Sheffield, UK</aff>
<aff id="A54">
<sup>54</sup>
INSERM, UMR1043, Toulouse, France</aff>
<aff id="A55">
<sup>55</sup>
CNRS, UMR5282, Toulouse, France</aff>
<aff id="A56">
<sup>56</sup>
Laboratoire d'Immunologie, CHU Toulouse, Université Toulouse II, Toulouse, France</aff>
<aff id="A57">
<sup>57</sup>
Unit of Clinical and Experimental Immunology, Humanitas Clinical and Research Institute, Rozzano, Italy</aff>
<aff id="A58">
<sup>58</sup>
Dept. of Biochemistry, University of Lausanne, Epalinges, Switzerland</aff>
<aff id="A59">
<sup>59</sup>
Dept. of Medical Biotechnologies and Translational Medicine, University of Milan, Rozzano, Italy</aff>
<aff id="A60">
<sup>60</sup>
Dept. of Immunology, Centro de Investigación Médica Aplicada (CIMA), Universidad de Navarra, Pamplona, Spain</aff>
<aff id="A61">
<sup>61</sup>
Dept. of Oncology, Clínica Universidad de Navarra, Pamplona, Spain</aff>
<aff id="A62">
<sup>62</sup>
ISA Therapeutics, Leiden, The Netherlands</aff>
<aff id="A63">
<sup>63</sup>
Dept. of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, The Netherlands</aff>
<aff id="A64">
<sup>64</sup>
Research Dept. of Surgical Oncology, The University of Texas, MD Anderson Cancer Center, Houston, TX, USA</aff>
<aff id="A65">
<sup>65</sup>
Istituto Giannina Gaslini, Genova, Italy</aff>
<aff id="A66">
<sup>66</sup>
Center for Immunotherapy, Roswell Park Cancer Institute, Buffalo, NY, USA</aff>
<aff id="A67">
<sup>67</sup>
Dept. of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA</aff>
<aff id="A68">
<sup>68</sup>
The Jackson Laboratory for Genomics Medicine, Farmington, CT, USA</aff>
<aff id="A69">
<sup>69</sup>
Div. of Hematology/Oncology, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA</aff>
<aff id="A70">
<sup>70</sup>
The James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, MD, USA</aff>
<aff id="A71">
<sup>71</sup>
Lankenau Institute for Medical Research, Wynnewood, PA, USA</aff>
<aff id="A72">
<sup>72</sup>
Dept. of Pathology, Anatomy and Cell Biology, Sidney Kimmel Medical College, Philadelphia, PA, USA</aff>
<aff id="A73">
<sup>73</sup>
Cell Biology and Signaling Program, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, USA</aff>
<aff id="A74">
<sup>74</sup>
Laboratorio de Inmunopatología, Instituto de Biología y Medicina Experimental (IBYME), Buenos Aires, Argentina</aff>
<aff id="A75">
<sup>75</sup>
National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD, USA</aff>
<aff id="A76">
<sup>76</sup>
Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</aff>
<aff id="A77">
<sup>77</sup>
Dept. of Pathology, The Cancer Research Center, The University of Chicago, Chicago, IL, USA</aff>
<aff id="A78">
<sup>78</sup>
Institute of Medical Immunology, Martin Luther University Halle-Wittenberg, Halle, Germany</aff>
<aff id="A79">
<sup>79</sup>
Dept. of Immuno-GeneTherapy, Mie University Graduate School of Medicine, Tsu, Japan</aff>
<aff id="A80">
<sup>80</sup>
Instituto de Medicina Molecular, Universidade de Lisboa, Lisboa, Portugal</aff>
<aff id="A81">
<sup>81</sup>
Immunology in Cancer and Infection Laboratory, QIMR Berghofer Medical Research Institute, Herston, Queensland, Australia</aff>
<aff id="A82">
<sup>82</sup>
School of Medicine, University of Queensland, Herston, Queensland, Australia</aff>
<aff id="A83">
<sup>83</sup>
Dept. of Oncology, University of Lausanne, Lausanne, Switzerland</aff>
<aff id="A84">
<sup>84</sup>
Ludwig Cancer Research Center, Lausanne, Switzerland</aff>
<aff id="A85">
<sup>85</sup>
Dept. of Immunology, University of Connecticut School of Medicine, Farmington, CT, USA</aff>
<aff id="A86">
<sup>86</sup>
Carole and Ray Neag Comprehensive Cancer Center, Farmington, CT, USA</aff>
<aff id="A87">
<sup>87</sup>
Laboratory of Transplantation Immunology, Dept. of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, USA</aff>
<aff id="A88">
<sup>88</sup>
INSERM, U970, Paris, France</aff>
<aff id="A89">
<sup>89</sup>
Paris-Cardiovascular Research Center (PARCC), Paris, France</aff>
<aff id="A90">
<sup>90</sup>
Service d'Immunologie Biologique, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</aff>
<aff id="A91">
<sup>91</sup>
Dept. of Clinical Oncology, Leiden University Medical Center, Leiden, The Netherlands</aff>
<aff id="A92">
<sup>92</sup>
Ludwig Institute for Cancer Research, Brussels, Belgium</aff>
<aff id="A93">
<sup>93</sup>
de Duve Institute, Brussels, Belgium</aff>
<aff id="A94">
<sup>94</sup>
Université Catholique de Louvain, Brussels, Belgium</aff>
<aff id="A95">
<sup>95</sup>
Dept. of Molecular Medicine and Immunology, Mayo Clinic College of Medicine, Rochester, MN, USA</aff>
<aff id="A96">
<sup>96</sup>
Institute of Medical Microbiology, Immunology and Hygiene, Technical University Munich, Munich, Germany</aff>
<aff id="A97">
<sup>97</sup>
Donald A. Adam Comprehensive Melanoma Research Center, Moffitt Cancer Center, Tampa, FL, USA</aff>
<aff id="A98">
<sup>98</sup>
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA</aff>
<aff id="A99">
<sup>99</sup>
Dept. of Medicine and Ludwig Center, Memorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA</aff>
<aff id="A100">
<sup>100</sup>
Weill Cornell Medical College, New York, NY, USA</aff>
<aff id="A101">
<sup>101</sup>
INSERM, U1015, Villejuif, France</aff>
<aff id="A102">
<sup>102</sup>
Centre d'Investigation Clinique Biothérapie 507 (CICBT507), Gustave Roussy Cancer Campus, Villejuif, France</aff>
<aff id="A103">
<sup>103</sup>
University of Michigan, School of Medicine, Ann Arbor, MI, USA</aff>
<aff id="A104">
<sup>104</sup>
Pôle de Biologie, Hôpital Européen Georges Pompidou (HEGP), AP-HP, Paris, France</aff>
<author-notes>
<corresp id="cor1">
<bold>
<italic>Correspondence to:</italic>
</bold>
<italic>Lorenzo Galluzzi,</italic>
<email>deadoc@vodafone.it</email>
</corresp>
</author-notes>
<pub-date pub-type="collection">
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub">
<day>18</day>
<month>12</month>
<year>2014</year>
</pub-date>
<volume>5</volume>
<issue>24</issue>
<fpage>12472</fpage>
<lpage>12508</lpage>
<history>
<date date-type="received">
<day>2</day>
<month>11</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>12</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright: © 2014 Galluzzi et al.</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<abstract>
<p>During the past decades, anticancer immunotherapy has evolved from a promising therapeutic option to a robust clinical reality. Many immunotherapeutic regimens are now approved by the US Food and Drug Administration and the European Medicines Agency for use in cancer patients, and many others are being investigated as standalone therapeutic interventions or combined with conventional treatments in clinical studies. Immunotherapies may be subdivided into “passive” and “active” based on their ability to engage the host immune system against cancer. Since the anticancer activity of most passive immunotherapeutics (including tumor-targeting monoclonal antibodies) also relies on the host immune system, this classification does not properly reflect the complexity of the drug-host-tumor interaction. Alternatively, anticancer immunotherapeutics can be classified according to their antigen specificity. While some immunotherapies specifically target one (or a few) defined tumor-associated antigen(s), others operate in a relatively non-specific manner and boost natural or therapy-elicited anticancer immune responses of unknown and often broad specificity. Here, we propose a critical, integrated classification of anticancer immunotherapies and discuss the clinical relevance of these approaches.</p>
</abstract>
<kwd-group>
<kwd>adoptive cell transfer</kwd>
<kwd>checkpoint blockers</kwd>
<kwd>dendritic cell-based interventions</kwd>
<kwd>DNA-based vaccines</kwd>
<kwd>immunostimulatory cytokines</kwd>
<kwd>peptide-based vaccines</kwd>
<kwd>oncolytic viruses</kwd>
<kwd>Toll-like receptor agonists</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>INTRODUCTION</title>
<p>Our perception of cancer has changed dramatically during the past 3 decades. For instance, it has been appreciated that tumors are not a purely clonal disorder, although in some cases they do evolve from a single (pre-)malignant cell [
<xref rid="R1" ref-type="bibr">1</xref>
-
<xref rid="R3" ref-type="bibr">3</xref>
]. It is now clear that established neoplasms do not consist only of transformed cells, but contain an abundant and heterogeneous non-transformed component, including stromal, endothelial and immune cells [
<xref rid="R4" ref-type="bibr">4</xref>
-
<xref rid="R6" ref-type="bibr">6</xref>
]. We no longer consider the metabolism of cancer cells as completely distinct from that of their normal counterparts [
<xref rid="R7" ref-type="bibr">7</xref>
-
<xref rid="R9" ref-type="bibr">9</xref>
]. We have shown that the survival of transformed cells can critically depend on adaptive responses that
<italic>per se</italic>
are non-tumorigenic, establishing the concept of non-oncogene addiction [
<xref rid="R10" ref-type="bibr">10</xref>
,
<xref rid="R11" ref-type="bibr">11</xref>
]. We discovered mechanisms other than intrinsic apoptosis that may be harnessed for therapeutic applications, such as several forms of regulated necrosis [
<xref rid="R12" ref-type="bibr">12</xref>
-
<xref rid="R14" ref-type="bibr">14</xref>
]. Finally, we obtained evidence indicating that the host immune system can recognize (and sometimes react against) (pre-)malignant cells as they transform, proliferate, evolve and respond to therapy, founding the theoretical grounds of anticancer immunosurveillance [
<xref rid="R15" ref-type="bibr">15</xref>
-
<xref rid="R17" ref-type="bibr">17</xref>
]. These conceptual shifts have profound therapeutic implications, some of which have already been translated into clinical realities. For instance, several anticancer agents that are now approved by the US Food and Drug Administration (FDA) and European Medicines Agency (EMA) for use in cancer patients inhibit tumor-associated angiogenesis, perhaps the best characterized interaction between malignant and non-malignant components of the tumor microenvironment [
<xref rid="R18" ref-type="bibr">18</xref>
,
<xref rid="R19" ref-type="bibr">19</xref>
].</p>
<p>Over the last decade, great efforts have been dedicated to the development of interventions that mediate antineoplastic effects by initiating a novel or boosting an existing immune response against neoplastic cells (Table
<xref ref-type="table" rid="T1">1</xref>
) [
<xref rid="R20" ref-type="bibr">20</xref>
-
<xref rid="R32" ref-type="bibr">32</xref>
]. This intense wave of preclinical and clinical investigation culminated with the approval of various immunotherapeutic interventions for use in humans (Table
<xref ref-type="table" rid="T2">2</xref>
). In 2013, the extraordinary clinical success of immunotherapy was acknowledged by the Editors of Science Magazine with the designation of “Breakthrough of the Year” [
<xref rid="R33" ref-type="bibr">33</xref>
]. Nonetheless, we have just begun to unravel the therapeutic possibilities offered by anticancer immunotherapy. Clinical studies are being initiated at an ever accelerating pace to test the safety and efficacy of various immunotherapeutic regimens in cancer patients, either as standalone interventions or combined with other antineoplastic agents [
<xref rid="R34" ref-type="bibr">34</xref>
]. The hopes generated by this approach are immense, and several other forms of immunotherapy are expected to obtain regulatory approval within the next few years (Figure
<xref ref-type="fig" rid="F1">1</xref>
).</p>
<table-wrap id="T1" orientation="portrait" position="float">
<label>Table 1</label>
<caption>
<title>Currently available anticancer immunotherapies</title>
</caption>
<table frame="box" rules="all">
<thead>
<tr>
<th align="left" valign="middle" rowspan="1" colspan="1">Paradigm</th>
<th align="left" valign="middle" rowspan="1" colspan="1">Licensed
<xref ref-type="table-fn" rid="tfn-001">*</xref>
</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Tumor-targeting mAbs</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Adoptive cell transfer</td>
<td align="left" valign="middle" rowspan="1" colspan="1">NO</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Oncolytic viruses</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">DC-based interventions</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-based vaccines</td>
<td align="left" valign="middle" rowspan="1" colspan="1">NO</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Peptide-based vaccines</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Immunostimulatory cytokines</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Immunomodulatory mAbs</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibitors of immunosuppressive metabolism</td>
<td align="left" valign="middle" rowspan="1" colspan="1">NO</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">PRR agonists</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">ICD inducers</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Others</td>
<td align="left" valign="middle" rowspan="1" colspan="1">YES</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Abbreviations. ICD, immunogenic cell death; DC, dendritic cell; mAb, monoclonal antibody; PRR, pattern recognition receptor.</p>
<fn id="tfn-001">
<label>*</label>
<p>in one of its forms for use in cancer patients, by the US Food and Drug Administration or equivalent regulatory agency worldwide.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Anticancer immunotherapies are generally classified as “passive” or “active” based on their ability to (re-)activate the host immune system against malignant cells [
<xref rid="R35" ref-type="bibr">35</xref>
]. From this standpoint, tumor-targeting monoclonal antibodies (mAbs) and adoptively transferred T cells (among other approaches) are considered passive forms of immunotherapy, as they are endowed with intrinsic antineoplastic activity [
<xref rid="R23" ref-type="bibr">23</xref>
,
<xref rid="R24" ref-type="bibr">24</xref>
,
<xref rid="R36" ref-type="bibr">36</xref>
,
<xref rid="R37" ref-type="bibr">37</xref>
]. Conversely, anticancer vaccines and checkpoint inhibitors exert anticancer effects only upon the engagement of the host immune system, constituting clear examples of active immunotherapy [
<xref rid="R22" ref-type="bibr">22</xref>
,
<xref rid="R27" ref-type="bibr">27</xref>
,
<xref rid="R28" ref-type="bibr">28</xref>
,
<xref rid="R32" ref-type="bibr">32</xref>
,
<xref rid="R38" ref-type="bibr">38</xref>
]. An alternative classification of immunotherapeutic anticancer regimens is based on antigen-specificity. Thus, while tumor-targeting mAbs are widely considered antigen-specific interventions, immunostimulatory cytokines or checkpoint blockers activate anticancer immune responses of unknown (and generally broad) specificity [
<xref rid="R27" ref-type="bibr">27</xref>
,
<xref rid="R39" ref-type="bibr">39</xref>
-
<xref rid="R42" ref-type="bibr">42</xref>
]. Herein, we critically revise these classifications while discussing the clinical relevance of various forms of anticancer immunotherapy.</p>
<table-wrap id="T2" orientation="portrait" position="float">
<label>Table 2</label>
<caption>
<title>Anticancer immunotherapeutics currently approved by regulatory agencies worldwide</title>
</caption>
<table frame="box" rules="all">
<thead>
<tr>
<th align="left" valign="middle" rowspan="1" colspan="1">Paradigm</th>
<th align="left" valign="middle" rowspan="1" colspan="1">Agent</th>
<th align="left" valign="middle" rowspan="1" colspan="1">Indication(s)</th>
<th align="left" valign="middle" rowspan="1" colspan="1">Year
<xref ref-type="table-fn" rid="tfn-002">*</xref>
</th>
<th align="left" valign="middle" rowspan="1" colspan="1">Proposed mechanism of action</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Dendritic cell-based immunotherapies</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Sipuleucel-T</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Prostate carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2010</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Priming of a PAP-specific immune response</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="9" colspan="1">Immunogenic cell death inducers</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Bleomycin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-damaging agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Bortezomib</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Mantle cell lymphoma
<break></break>
Multiple myeloma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2003</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Proteasomal inhibitor</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Cyclophosphamide</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Alkylating agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Doxorubicin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-intercalating agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Epirubicin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Breast carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1999</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-intercalating agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Mitoxantrone</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Acute myeloid leukemia
<break></break>
Prostate carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-intercalating agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Oxaliplatin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Colorectal carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2002</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-damaging agent</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Photodynamic therapy</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1996</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Induction of oxidative stress with damage to (intra)cellular membranes</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Radiation therapy</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">DNA-damaging agent and oxidative stress inducer</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3" colspan="1">Immunostimulatory cytokines</td>
<td align="left" valign="middle" rowspan="1" colspan="1">IL-2</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Melanoma
<break></break>
Renal cell carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-specific immunostimulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">IFN-α2a</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Chronic myeloid leukemia
<break></break>
Hairy cell leukemia
<break></break>
Melanoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1999</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-specific immunostimulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">IFN-α2b</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple hematological
<break></break>
and solid tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-specific immunostimulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="3" colspan="1">Immunomodulatory mAbs</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Ipilimumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Melanoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2011</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Blockage of CTLA4-dependent immunological checkpoints</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Nivolumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Melanoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2014</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Blockage of PDCD1-dependent immunological checkpoints</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Pembrolizumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Melanoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2014</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Blockage of PDCD1-dependent immunological checkpoints</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Oncolytic viruses</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Oncorine H101</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Head and neck cancer</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2005</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective lysis of malignant cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Peptide-based vaccines</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Vitespen</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Renal cell carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2008</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Activation of a tumor-specific immune response</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="5" colspan="1">PRR agonists</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Bacillus Calmette-Guérin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-invasive bladder
<break></break>
transitional cell carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">TLR2/TLR4 agonist</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Imiquimod</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Actinic keratosis
<break></break>
Condylomata acuminata
<break></break>
Superficial basal cell carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1997</td>
<td align="left" valign="middle" rowspan="1" colspan="1">TLR7 agonist</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Mifamurtide</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Osteosarcoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2009</td>
<td align="left" valign="middle" rowspan="1" colspan="1">NOD2 agonist</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Monophosphoryl lipid A</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Prevention of HPV-associated cervical carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2009</td>
<td align="left" valign="middle" rowspan="1" colspan="1">TLR2/TLR4 agonist</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Picibanil</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Gastric carcinoma
<break></break>
Head and neck cancer
<break></break>
Lung carcinoma
<break></break>
Thyroid carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1"><1995</td>
<td align="left" valign="middle" rowspan="1" colspan="1">TLR2/TLR4 agonist</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="18" colspan="1">Tumor-targeting mAbs</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Alemtuzumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Chronic lymphocytic leukemia</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2001</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of CD52
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Bevacizumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Colorectal carcinoma
<break></break>
Glioblastoma multiforme
<break></break>
Cervical carcinoma
<break></break>
Lung carcinoma
<break></break>
Renal cell carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2004</td>
<td align="left" valign="middle" rowspan="1" colspan="1">VEGFA neutralization</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Brentuximab vedotin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Anaplastic large cell lymphoma
<break></break>
Hodgkin's lymphoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2011</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective delivery of MMAE to CD30
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Blinatumumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Acute lymphoblastic leukemia</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2014</td>
<td align="left" valign="middle" rowspan="1" colspan="1">CD3- and CD19-specific BiTE</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Catumaxomab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Malignant ascites in patients
<break></break>
with EPCAM
<sup>+</sup>
cancer</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2009</td>
<td align="left" valign="middle" rowspan="1" colspan="1">CD3- and EPCAM-specific BiTE</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Cetuximab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Head and neck cancer
<break></break>
Colorectal carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2004</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibition of EGFR signaling</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Denosumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Breast carcinoma
<break></break>
Prostate carcinoma
<break></break>
Bone giant cell tumors</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2011</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibition of RANKL signaling</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Gemtuzumab ozogamicin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Acute myeloid leukemia</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2000</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective delivery of calicheamicin to CD33
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Ibritumomab tiuxetan</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-Hodgkin lymphoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2002</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective delivery of
<sup>90</sup>
Y or
<sup>111</sup>
In to CD20
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Panitumumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Colorectal carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2006</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibition of EGFR signaling</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Pertuzumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Breast carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2012</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibition of HER2 signaling</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Obinutuzumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Chronic lymphocytic leukemia</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2013</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of CD20
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Ofatumumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Chronic lymphocytic leukemia</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2009</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of CD20
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Ramucirumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Gastric or gastroesophageal
<break></break>
junction adenocarcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2014</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Inhibition of KDR signaling</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Rituximab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Chronic lymphocytic leukemia
<break></break>
Non-Hodgkin lymphoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1997</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of CD20
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Siltuximab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multicentric Castleman's disease</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2014</td>
<td align="left" valign="middle" rowspan="1" colspan="1">IL-6 neutralization</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Tositumomab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Non-Hodgkin lymphoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2003</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of, or selective delivery of
<sup>90</sup>
Y or
<sup>111</sup>
In to, CD20
<sup>+</sup>
neoplastic cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Trastuzumab</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Breast carcinoma
<break></break>
Gastric or gastroesophageal
<break></break>
junction adenocarcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">1998</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Selective recognition/opsonization of, or selective delivery of mertansine to, HER2
<sup>+</sup>
cancer cells</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="4" colspan="1">Others</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Lenalidomide</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Mantle cell lymphoma
<break></break>
Myelodysplastic syndrome
<break></break>
Multiple myeloma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2005</td>
<td align="left" valign="middle" rowspan="1" colspan="1">IKZF degradation and immunomodulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Pomalidomide</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple myeloma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2013</td>
<td align="left" valign="middle" rowspan="1" colspan="1">IKZF degradation and immunomodulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Thalidomide</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Multiple myeloma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2006</td>
<td align="left" valign="middle" rowspan="1" colspan="1">IKZF degradation and immunomodulation</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="1" colspan="1">Trabectedin</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Soft tissue sarcoma
<break></break>
Ovarian carcinoma</td>
<td align="left" valign="middle" rowspan="1" colspan="1">2007</td>
<td align="left" valign="middle" rowspan="1" colspan="1">Reprogramming of tumor-associated macrophages</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>Abbreviations: ACPP, acid phosphatase, prostate; BiTE, Bispecific T-cell engager; CTLA4, cytotoxic T lymphocyte-associated protein 4; EGFR, epidermal growth factor receptor; EPCAM, epithelial cell adhesion molecule; HPV, human papillomavirus; IL, interleukin; IKZF, IKAROS family zinc finger; KDR, kinase insert domain receptor; mAb, monoclonal antibody; MMAE, monomethyl auristatin E; NOD2, nucleotide-binding oligomerization domain containing 2; PDCD1, programmed cell death 1; PRR, pattern recognition receptor; RANKL, Receptor activator of NF-κB ligand; TLR, Toll-like receptor; VEGFA, vascular endothelial growth factor A.</p>
<fn id="tfn-002">
<label>*</label>
<p>year of first approval.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<fig id="F1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<title>Anticancer immunotherapy</title>
<p>Several anticancer immunotherapeutics have been developed during the last three decades, including tumor-targeting and immunomodulatory monoclonal antibodies (mAbs); dendritic cell (DC)-, peptide- and DNA-based anticancer vaccines; oncolytic viruses; pattern recognition receptor (PRR) agonists; immunostimulatory cytokines; immunogenic cell death inducers; inhibitors of immunosuppressive metabolism; and adoptive cell transfer. 1MT, 1-methyltryptophan; APC, antigen-presenting cell; IDO, indoleamine 2,3-dioxigenase; IFN, interferon; IL, interleukin; IMiD, immunomodulatory drug; NLR, NOD-like receptor; TLR, Toll-like receptor.</p>
</caption>
<graphic xlink:href="oncotarget-05-12472-g001"></graphic>
</fig>
<sec id="s1_1">
<title>Passive immunotherapy</title>
<sec id="s1_1_1">
<title>Tumor-targeting mAbs</title>
<p>Tumor-targeting mAbs are the best-characterized form of anticancer immunotherapy, and perhaps the most widely employed in the clinic [
<xref rid="R43" ref-type="bibr">43</xref>
-
<xref rid="R46" ref-type="bibr">46</xref>
]. The expression “tumor-targeting” refers to mAbs that (1) specifically alter the signaling functions of receptors expressed on the surface of malignant cells [
<xref rid="R47" ref-type="bibr">47</xref>
-
<xref rid="R49" ref-type="bibr">49</xref>
]; (2) bind to, and hence neutralize, trophic signals produced by malignant cells or by stromal components of neoplastic lesions [
<xref rid="R50" ref-type="bibr">50</xref>
,
<xref rid="R51" ref-type="bibr">51</xref>
]; (3) selectively recognize cancer cells based on the expression of a “tumor-associated antigen” (TAA), i.e., an antigen specifically (or at least predominantly) expressed by transformed cells but not (or at least less so) by their non-malignant counterparts [
<xref rid="R30" ref-type="bibr">30</xref>
,
<xref rid="R52" ref-type="bibr">52</xref>
]. Tumor-targeting mAbs exist in at least 5 functionally distinct variants. First, naked mAbs that inhibit signaling pathways required for the survival or progression of neoplastic cells, but not of their non-malignant counterparts, such as the epidermal growth factor receptor (EGFR)-specific mAb cetuximab, which is approved by the US FDA for the treatment of head and neck cancer (HNC) and colorectal carcinoma (CRC) [
<xref rid="R47" ref-type="bibr">47</xref>
,
<xref rid="R48" ref-type="bibr">48</xref>
,
<xref rid="R53" ref-type="bibr">53</xref>
]. Second, naked mAbs that activate potentially lethal receptors expressed on the surface of malignant cells, but not of their non-transformed counterparts, such as tigatuzumab (CS-1008), a mAb specific for tumor necrosis factor receptor superfamily, member 10B, (TNFRSF10B, best known as TRAILR2 or DR5) that is currently under clinical development [
<xref rid="R49" ref-type="bibr">49</xref>
,
<xref rid="R54" ref-type="bibr">54</xref>
]. Third, immune conjugates, i.e., TAA-specific mAbs coupled to toxins or radionuclides, such as gemtuzumab ozogamicin, an anti-CD33 calicheamicin conjugate currently approved for use in acute myeloid leukemia patients [
<xref rid="R55" ref-type="bibr">55</xref>
,
<xref rid="R56" ref-type="bibr">56</xref>
]. Fourth, naked TAA-specific mAbs that opsonize cancer cells and hence activate antibody-dependent cell-mediated cytotoxicity (ADCC) [
<xref rid="R44" ref-type="bibr">44</xref>
,
<xref rid="R57" ref-type="bibr">57</xref>
-
<xref rid="R59" ref-type="bibr">59</xref>
], antibody-dependent cellular phagocytosis [
<xref rid="R60" ref-type="bibr">60</xref>
], and complement-dependent cytotoxicity [
<xref rid="R61" ref-type="bibr">61</xref>
], such as the CD20-specific mAb rituximab, which is currently approved for the treatment of chronic lymphocytic leukemia (CLL) and non-Hodgkin lymphoma [
<xref rid="R62" ref-type="bibr">62</xref>
,
<xref rid="R63" ref-type="bibr">63</xref>
]. Fifth, so-called “bispecific T-cell engagers” (BiTEs),
<italic>i.e.</italic>
, chimeric proteins consisting of two single-chain variable fragments from distinct mAbs, one targeting a TAA and one specific for a T-cell surface antigen (
<italic>e.g.</italic>
, blinatumomab, a CD19- and CD3 BiTE recently approved for the therapy of Philadelphia chromosome-negative precursor B-cell acute lymphoblastic leukemia) [
<xref rid="R64" ref-type="bibr">64</xref>
-
<xref rid="R69" ref-type="bibr">69</xref>
].</p>
<p>The therapeutic activity of opsonizing mAbs and BiTEs clearly relies on the host immune system, implying that these molecules should be considered active immunotherapeutics. Conversely, tumor-targeting mAbs of the first two classes are endowed with intrinsic antineoplastic activity, and have been considered for a long time as passive forms of immunotherapy. However, growing evidence indicates that the actual antineoplastic potential of these molecules does not simply reflect their direct tumor-inhibitory activity, but also involves (at least to some degree) the activation of an anticancer immune response. For instance, cetuximab does not only inhibit EGFR signaling [
<xref rid="R53" ref-type="bibr">53</xref>
], but also promotes ADCC [
<xref rid="R70" ref-type="bibr">70</xref>
], and mediates immunostimulatory effects [
<xref rid="R71" ref-type="bibr">71</xref>
,
<xref rid="R72" ref-type="bibr">72</xref>
]. Similarly, bevacizumab, a vascular endothelial growth factor A (VEGFA)-neutralizing mAb approved for the treatment of glioblastoma multiforme, CRC, as well as cervical carcinoma, renal cell carcinoma (RCC) and lung carcinoma, not only exerts anti-angiogenic effects [
<xref rid="R50" ref-type="bibr">50</xref>
,
<xref rid="R73" ref-type="bibr">73</xref>
], but also boosts tumor infiltration by B and T lymphocytes, [
<xref rid="R74" ref-type="bibr">74</xref>
,
<xref rid="R75" ref-type="bibr">75</xref>
], while inhibiting CD4
<sup>+</sup>
CD25
<sup>+</sup>
FOXP3
<sup>+</sup>
regulatory T cells (Tregs) [
<xref rid="R76" ref-type="bibr">76</xref>
]. Moreover, polymorphisms in the genes coding for the receptors mainly responsible for ADCC,
<italic>i.e.</italic>
, Fc fragment of IgG, low affinity IIa, receptor (FCGR2A, also known as CD32) and FCGR3A (also known as CD16a), have been shown to influence the response of cancer patients to most tumor-targeting mAbs [
<xref rid="R77" ref-type="bibr">77</xref>
]. Thus, it is possible (although not formally demonstrated) that tumor-targeting mAbs operate as active immunotherapeutics. Irrespective of this possibility, 18 distinct tumor-targeting mAbs are currently approved by the US FDA for use in cancer patients (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
) [
<xref rid="R45" ref-type="bibr">45</xref>
,
<xref rid="R46" ref-type="bibr">46</xref>
], demonstrating the extraordinary success of this immunotherapeutic paradigm.</p>
</sec>
<sec id="s1_1_2">
<title>Adoptive cell transfer</title>
<p>The term “adoptive cell transfer” (ACT) refers to a particular variant of cell-based anticancer immunotherapy that generally involves: (1) the collection of circulating or tumor-infiltrating lymphocytes; (2) their selection/modification/expansion/activation
<italic>ex vivo</italic>
; and (3) their (re-)administration to patients, most often after lymphodepleting pre-conditioning and in combination with immunostimulatory agents [
<xref rid="R23" ref-type="bibr">23</xref>
,
<xref rid="R24" ref-type="bibr">24</xref>
,
<xref rid="R78" ref-type="bibr">78</xref>
-
<xref rid="R80" ref-type="bibr">80</xref>
]. Other anticancer (immune)therapies involving the (re)infusion of living cells, such as hematopoietic stem cell transplantation (HSCT), conceptually differ from ACT. ACT involves the (re-)introduction of a cell population enriched in potentially tumor-reactive immune effectors [
<xref rid="R23" ref-type="bibr">23</xref>
,
<xref rid="R24" ref-type="bibr">24</xref>
,
<xref rid="R81" ref-type="bibr">81</xref>
]. HSCT is employed as a means to reconstitute a healthy, allogeneic (and hence potentially tumor-reactive) immune system in patients with hematological malignancies previously subjected to myelo- and lymphoablating treatments (which aim at eradicating the majority of neoplastic cells) [
<xref rid="R82" ref-type="bibr">82</xref>
]. Dendritic cell (DC)-based interventions should also be conceptually differentiated from ACT for two reasons. First, (re-)infused DCs are not endowed with intrinsic anticancer activity, but act as anticancer vaccines to elicit a tumor-targeting immune response [
<xref rid="R83" ref-type="bibr">83</xref>
,
<xref rid="R84" ref-type="bibr">84</xref>
]. Second, DCs are not administered in the context of lympho/myeloablating chemo(radio)therapy [
<xref rid="R85" ref-type="bibr">85</xref>
-
<xref rid="R87" ref-type="bibr">87</xref>
].</p>
<p>Several strategies have been devised to improve the therapeutic potential of ACT [
<xref rid="R79" ref-type="bibr">79</xref>
,
<xref rid="R80" ref-type="bibr">80</xref>
,
<xref rid="R88" ref-type="bibr">88</xref>
]. For instance, genetic engineering has been employed to endow peripheral blood lymphocytes (PBLs) with features such as a unique antigen specificity [
<xref rid="R89" ref-type="bibr">89</xref>
], an increased proliferative potential and persistence
<italic>in vivo</italic>
[
<xref rid="R90" ref-type="bibr">90</xref>
-
<xref rid="R93" ref-type="bibr">93</xref>
], an improved secretory profile [
<xref rid="R91" ref-type="bibr">91</xref>
], an elevated tumor-infiltrating capacity [
<xref rid="R94" ref-type="bibr">94</xref>
,
<xref rid="R95" ref-type="bibr">95</xref>
], and superior cytotoxicity [
<xref rid="R96" ref-type="bibr">96</xref>
]. The specificity of PBLs can be altered prior to (re-)infusion by genetically modifying them to express: (1) a TAA-specific T-cell receptor (TCR) [
<xref rid="R89" ref-type="bibr">89</xref>
,
<xref rid="R97" ref-type="bibr">97</xref>
-
<xref rid="R99" ref-type="bibr">99</xref>
], or (2) a so-called “chimeric antigen receptor” (CAR), i.e., a transmembrane protein comprising the TAA-binding domain of an immunoglobulin linked to one or more immunostimulatory domains [
<xref rid="R100" ref-type="bibr">100</xref>
-
<xref rid="R106" ref-type="bibr">106</xref>
]. The latter approach is advantageous in that it renders T cells capable of recognizing (and hence potentially killing) TAA-expressing cells in an MHC-independent fashion. Several clinical trials have already demonstrated the therapeutic potential of CAR-expressing T cells, in particular (but not only) for patients affected by hematological malignancies [
<xref rid="R102" ref-type="bibr">102</xref>
,
<xref rid="R107" ref-type="bibr">107</xref>
-
<xref rid="R111" ref-type="bibr">111</xref>
]. T cells expressing TAA-specific TCRs have also been shown to provide objective benefit to cancer patients [
<xref rid="R89" ref-type="bibr">89</xref>
,
<xref rid="R97" ref-type="bibr">97</xref>
-
<xref rid="R99" ref-type="bibr">99</xref>
]. Conversely, in spite of promising preclinical findings [
<xref rid="R112" ref-type="bibr">112</xref>
-
<xref rid="R117" ref-type="bibr">117</xref>
], the adoptive transfer of purified natural killer (NK) cells to cancer patients has been associated with limited therapeutic activity [
<xref rid="R118" ref-type="bibr">118</xref>
-
<xref rid="R120" ref-type="bibr">120</xref>
]. To the best of our knowledge, the adoptive transfer of purified B lymphocytes has not yet been investigated in the clinic [
<xref rid="R121" ref-type="bibr">121</xref>
], possibly because B cells (or at least some subsets thereof) can exert potent immunosuppressive effects [
<xref rid="R122" ref-type="bibr">122</xref>
-
<xref rid="R125" ref-type="bibr">125</xref>
]. Of note, no ACT protocol is currently approved by the US FDA for use in cancer patients (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
).</p>
<p>Since (re-)infused T cells are endowed with intrinsic antineoplastic activity, ACT is generally considered as a passive form of immunotherapy. However, the survival, expansion, migration and cytotoxic activity of adoptively transferred T cells rely on several cytokines, some of which are supplied by the host immune system. Current ACT protocols involve indeed the administration of exogenous interleukins (ILs), including IL-2, IL-15 or IL-21 [
<xref rid="R126" ref-type="bibr">126</xref>
-
<xref rid="R130" ref-type="bibr">130</xref>
], but these stimulate a cytokine cascade in the host that sustains the survival and activity of adoptively transferred cells. Thus, ACT may not represent a
<italic>bona fide</italic>
paradigm of passive immunotherapy.</p>
</sec>
<sec id="s1_1_3">
<title>Oncolytic viruses</title>
<p>The term “oncolytic viruses” refers to non-pathogenic viral strains that specifically infect cancer cells, triggering their demise [
<xref rid="R131" ref-type="bibr">131</xref>
-
<xref rid="R133" ref-type="bibr">133</xref>
]. Oncolytic viruses must be conceptually differentiated from so-called “oncotropic viruses”, i.e., viruses that exhibit a preferential tropism for malignant cells but no (or very limited) cytotoxic activity [
<xref rid="R134" ref-type="bibr">134</xref>
,
<xref rid="R135" ref-type="bibr">135</xref>
]. The antineoplastic potential of oncolytic viruses can be innate and simply originate from the so-called cytopathic effect, i.e., the lethal overload of cellular metabolism resulting from a productive viral infection [
<xref rid="R136" ref-type="bibr">136</xref>
,
<xref rid="R137" ref-type="bibr">137</xref>
]. As an alternative, these viruses can mediate an oncolytic activity because of (endogenous or exogenous) gene products that are potentially lethal for the host cell, irrespective of their capacity to massively replicate and cause a cytopathic effect [
<xref rid="R131" ref-type="bibr">131</xref>
,
<xref rid="R132" ref-type="bibr">132</xref>
]. Of note, genetic engineering has been successfully employed to endow oncolytic virus with various advantageous traits, including sequences coding for (1) enzymes that convert an innocuous pro-drug into a cytotoxic agent [
<xref rid="R138" ref-type="bibr">138</xref>
-
<xref rid="R143" ref-type="bibr">143</xref>
]; (2) proteins that (at least theoretically) trigger lethal signaling cascades in cancer cells only [
<xref rid="R144" ref-type="bibr">144</xref>
-
<xref rid="R146" ref-type="bibr">146</xref>
]; or (3) short-hairpin RNAs that target factors that are strictly required for the survival of transformed, but not normal cells [
<xref rid="R147" ref-type="bibr">147</xref>
,
<xref rid="R148" ref-type="bibr">148</xref>
]. Of note, no oncolytic virus has been approved by the US FDA for use in cancer patients (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
). Conversely, a recombinant adenovirus (H101, commercialized under the name of Oncorine
<sup>®</sup>
) has been approved by the regulatory authorities of the People's Republic of China for the treatment of HNC (in combination with chemotherapy) as early as in November 2005 [
<xref rid="R149" ref-type="bibr">149</xref>
,
<xref rid="R150" ref-type="bibr">150</xref>
].</p>
<p>As oncolytic viruses are endowed with intrinsic anticancer activity, they are generally viewed as passive immunotherapeutics. Moreover, several effectors of innate and adaptive immunity limit the efficacy of oncolytic therapy because they can neutralize viral particles before they reach neoplastic lesions [
<xref rid="R131" ref-type="bibr">131</xref>
,
<xref rid="R132" ref-type="bibr">132</xref>
,
<xref rid="R151" ref-type="bibr">151</xref>
]. This is particularly true for the mononuclear phagocytic system of the liver and spleen, which is able to sequester large amounts of oncolytic viruses upon injection [
<xref rid="R152" ref-type="bibr">152</xref>
,
<xref rid="R153" ref-type="bibr">153</xref>
]; the complement system, to which oncolytic viruses are particularly sensitive [
<xref rid="R154" ref-type="bibr">154</xref>
,
<xref rid="R155" ref-type="bibr">155</xref>
]; and neutralizing antibodies, which can exist in patients prior to oncolytic virotherapy owing to their exposure to naturally occurring variants of the viral strains commonly employed for this purpose [
<xref rid="R156" ref-type="bibr">156</xref>
,
<xref rid="R157" ref-type="bibr">157</xref>
]. This being said, accumulating preclinical and clinical evidence indicates that the therapeutic activity of oncolytic viruses stems, for the most part, from their ability to elicit tumor-targeting immune responses as they promote the release of TAAs in an immunostimulatory context. In support of this notion, oncolytic viruses engineered to drive the expression of co-stimulatory receptors [
<xref rid="R158" ref-type="bibr">158</xref>
-
<xref rid="R160" ref-type="bibr">160</xref>
] or immunostimulatory cytokines/chemokines [
<xref rid="R161" ref-type="bibr">161</xref>
-
<xref rid="R165" ref-type="bibr">165</xref>
] reportedly mediate superior antineoplastic effects as compared to their unmodified counterparts [
<xref rid="R131" ref-type="bibr">131</xref>
,
<xref rid="R132" ref-type="bibr">132</xref>
]. Thus, conventional oncolytic viruses also appear to be active, rather than passive, immunotherapeutics.</p>
</sec>
</sec>
<sec id="s1_2">
<title>Active immunotherapy</title>
<sec id="s1_2_1">
<title>DC-based immunotherapies</title>
<p>Throughout the past 2 decades, remarkable efforts have been invested in the development of anticancer immunotherapeutics based on (most often autologous) DCs [
<xref rid="R28" ref-type="bibr">28</xref>
,
<xref rid="R166" ref-type="bibr">166</xref>
,
<xref rid="R167" ref-type="bibr">167</xref>
]. This intense wave of preclinical and clinical investigation reflects the critical position occupied by DCs at the interface between innate and adaptive immunity, and the ability of some DC subsets to prime robust, therapeutically relevant anticancer immune responses [
<xref rid="R168" ref-type="bibr">168</xref>
]. Several forms of DC-based immunotherapy have been developed, most of which involve the isolation of patient- or donor-derived circulating monocytes and their amplification/differentiation
<italic>ex vivo</italic>
, invariably in the presence of agents that promote DC maturation, such as granulocyte macrophage colony-stimulating factor (GM-CSF) [
<xref rid="R28" ref-type="bibr">28</xref>
]. This is particularly important because immature DCs exert immunosuppressive, rather than immunostimulatory, functions [
<xref rid="R169" ref-type="bibr">169</xref>
-
<xref rid="R171" ref-type="bibr">171</xref>
]. Most often, autologous DCs are re-infused into cancer patients upon exposure to a source of TAAs, including (1) TAA-derived peptides [
<xref rid="R172" ref-type="bibr">172</xref>
-
<xref rid="R175" ref-type="bibr">175</xref>
]; (2) mRNAs coding for one or more specific TAAs [
<xref rid="R176" ref-type="bibr">176</xref>
]; (3) expression vectors coding for one or more specific TAAs [
<xref rid="R177" ref-type="bibr">177</xref>
-
<xref rid="R180" ref-type="bibr">180</xref>
]; (4) bulk cancer cell lysates (of either autologous or heterologous derivation) [
<xref rid="R181" ref-type="bibr">181</xref>
-
<xref rid="R186" ref-type="bibr">186</xref>
]; (5) or bulk cancer cell-derived mRNA [
<xref rid="R187" ref-type="bibr">187</xref>
-
<xref rid="R191" ref-type="bibr">191</xref>
]. As an alternative, DCs are allowed to fuse
<italic>ex vivo</italic>
with inactivated cancer cells, generating so-called dendritomes [
<xref rid="R192" ref-type="bibr">192</xref>
-
<xref rid="R197" ref-type="bibr">197</xref>
]. The rationale behind all these approaches is that DCs become loaded
<italic>ex vivo</italic>
with TAAs or TAA-coding molecules, hence becoming able to prime TAA-targeting immune responses upon reinfusion. Additional DC-based anticancer immunotherapies include the targeting of specific TAAs to DCs
<italic>in vivo</italic>
[
<xref rid="R169" ref-type="bibr">169</xref>
,
<xref rid="R198" ref-type="bibr">198</xref>
-
<xref rid="R205" ref-type="bibr">205</xref>
], the use of DC-derived exosomes [
<xref rid="R206" ref-type="bibr">206</xref>
-
<xref rid="R208" ref-type="bibr">208</xref>
], and the (re-)administration of autologous or allogeneic DCs amplified, matured and optionally genetically modified
<italic>ex vivo</italic>
, but not loaded with TAAs [
<xref rid="R209" ref-type="bibr">209</xref>
-
<xref rid="R214" ref-type="bibr">214</xref>
]. In the former setting, TAAs are fused to mAbs, polypeptides or carbohydrates that selectively bind to DCs [
<xref rid="R169" ref-type="bibr">169</xref>
,
<xref rid="R198" ref-type="bibr">198</xref>
-
<xref rid="R202" ref-type="bibr">202</xref>
,
<xref rid="R215" ref-type="bibr">215</xref>
,
<xref rid="R216" ref-type="bibr">216</xref>
], encapsulated in DC-targeting immunoliposomes [
<xref rid="R217" ref-type="bibr">217</xref>
,
<xref rid="R218" ref-type="bibr">218</xref>
], or (3) encoded by DC-specific vectors [
<xref rid="R219" ref-type="bibr">219</xref>
-
<xref rid="R221" ref-type="bibr">221</xref>
]. In the latter scenarios, DCs or their exosomes are administered as a relatively non-specific immunostimulatory intervention [
<xref rid="R209" ref-type="bibr">209</xref>
-
<xref rid="R213" ref-type="bibr">213</xref>
]. Interestingly, one cellular product containing a significant proportion of (partially immature) DCs is currently licensed for use in cancer patients, namely sipuleucel-T (also known as Provenge
<sup>®</sup>
) (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
). Sipuleucel-T has been approved by the US FDA and the EMA for the therapy of asymptomatic or minimally symptomatic metastatic castration-refractory prostate cancer as early as in 2010 [
<xref rid="R222" ref-type="bibr">222</xref>
-
<xref rid="R224" ref-type="bibr">224</xref>
]. However, the manufacturer of sipuleucel-T, Dendreon Co. (Seattle, WA, US), filed for bankruptcy in November 2014 (source
<ext-link ext-link-type="uri" xlink:href="http://dealbook.nytimes.com/2014/11/10/dendreon-maker-of-prostate-cancer-drug-provenge-files-for-bankruptcy/?_r=0">http://dealbook.nytimes.com/2014/11/10/dendreon-maker-of-prostate-cancer-drug-provenge-files-for-bankruptcy/?_r=0</ext-link>
). This reflects the disadvantageous cost-benefit ratio of such a cellular therapy, whose preparation requires a relatively elevated quantity of each patient's peripheral blood mononuclear cells [
<xref rid="R25" ref-type="bibr">25</xref>
,
<xref rid="R222" ref-type="bibr">222</xref>
,
<xref rid="R223" ref-type="bibr">223</xref>
]. The safety and efficacy of many DC-based cellular preparations other than are sipuleucel-T are currently being investigated in clinical settings, with promising results [
<xref rid="R225" ref-type="bibr">225</xref>
].</p>
<p>Although DCs isolated from cancer patients have been shown to exert cytotoxic activity against malignant cells [
<xref rid="R226" ref-type="bibr">226</xref>
], DC-based immunotherapies mediate antineoplastic effects mainly because they engage the host immune system against malignant lesions [
<xref rid="R227" ref-type="bibr">227</xref>
,
<xref rid="R228" ref-type="bibr">228</xref>
]. Thus, all forms of DC-based anticancer interventions constitute paradigms of active immunotherapy.</p>
</sec>
<sec id="s1_2_2">
<title>Peptide- and DNA-based anticancer vaccines</title>
<p>DCs and other antigen-presenting cells (APCs) are also targeted by peptide- and DNA-based anticancer vaccines [
<xref rid="R83" ref-type="bibr">83</xref>
,
<xref rid="R84" ref-type="bibr">84</xref>
,
<xref rid="R229" ref-type="bibr">229</xref>
-
<xref rid="R231" ref-type="bibr">231</xref>
]. In the former scenario, full-length recombinant TAAs or peptides thereof are administered to cancer patients, most often via the intramuscular, subcutaneous or intradermal route, together with one or more immunostimulatory agents commonly known as adjuvants (which potently promote DC maturation) [
<xref rid="R232" ref-type="bibr">232</xref>
-
<xref rid="R237" ref-type="bibr">237</xref>
]. The rationale behind this approach is that resident DCs (or other APCs) acquire the ability to present the TAA-derived epitopes while maturing, hence priming a robust TAA-specific immune response [
<xref rid="R32" ref-type="bibr">32</xref>
,
<xref rid="R238" ref-type="bibr">238</xref>
,
<xref rid="R239" ref-type="bibr">239</xref>
]. The mechanisms underlying the priming of anticancer immune responses by peptide-based vaccines, and hence their efficacy, depend (at least in part) on their size [
<xref rid="R38" ref-type="bibr">38</xref>
]. Thus, while short peptides (8-12 amino acids) are conceived to directly bind to MHC molecules expressed on the surface of APCs, synthetic long peptides (25-30 residues) must be taken up, processed and presented by APCs for eliciting an immune response [
<xref rid="R38" ref-type="bibr">38</xref>
]. Normally, the therapeutic activity of synthetic long peptides is superior to that of their short counterparts, especially when they include epitopes recognized by both cytotoxic and helper T cells or when conjugated to efficient adjuvants [
<xref rid="R38" ref-type="bibr">38</xref>
,
<xref rid="R240" ref-type="bibr">240</xref>
,
<xref rid="R241" ref-type="bibr">241</xref>
]. This said, some commonly used immunostimulants such as the so-called incomplete Freund's adjuvant (IFA) have recently been shown to limit the efficacy of peptide-based anticancer vaccination [
<xref rid="R242" ref-type="bibr">242</xref>
], calling for the use of alternative immunostimulants. A peculiar type of peptide-based vaccines is constituted by autologous tumor lysates complexed with immunostimulatory chaperones, most often members of the heat-shock protein (HSP) family [
<xref rid="R243" ref-type="bibr">243</xref>
]. This approach is advantageous in that it does not rely on a single TAA but (at least hypothetically) on all TAAs that bind to HSPs (including patient-specific neo-TAAs) [
<xref rid="R243" ref-type="bibr">243</xref>
]. However, generating anticancer vaccines on a personalized basis is associated with considerable costs [
<xref rid="R243" ref-type="bibr">243</xref>
].</p>
<p>DNA-based anticancer vaccines rely on TAA-coding constructs, be them naked or vectored (by viral particles, non-pathogenic bacteria or yeast cells) [
<xref rid="R32" ref-type="bibr">32</xref>
,
<xref rid="R244" ref-type="bibr">244</xref>
-
<xref rid="R246" ref-type="bibr">246</xref>
]. DNA-based vaccines either become a source of such TAA (as it is the case for bacterial and yeast vectors) or transform APCs or muscular cells to do so (as it is the case for naked constructs and viral vectors) [
<xref rid="R32" ref-type="bibr">32</xref>
,
<xref rid="R244" ref-type="bibr">244</xref>
-
<xref rid="R247" ref-type="bibr">247</xref>
]. Theoretically, and especially in the presence of adequate adjuvants, this prompts resident DCs or other APCs to prime a TAA-targeting immune response [
<xref rid="R32" ref-type="bibr">32</xref>
,
<xref rid="R183" ref-type="bibr">183</xref>
,
<xref rid="R248" ref-type="bibr">248</xref>
,
<xref rid="R249" ref-type="bibr">249</xref>
]. A particularly interesting approach in this context is represented by so-called “oncolytic vaccines”, i.e., oncolytic viruses genetically altered to code for a TAA [
<xref rid="R250" ref-type="bibr">250</xref>
-
<xref rid="R252" ref-type="bibr">252</xref>
]. Promising results have also been obtained with DNA-based vaccines administered
<italic>per os</italic>
[
<xref rid="R253" ref-type="bibr">253</xref>
-
<xref rid="R256" ref-type="bibr">256</xref>
]. In this setting, live-attenuated bacteria expressing a full-length TAA are taken up by APCs in the intestinal mucosa, resulting in the priming of a robust, TAA-specific immune response in the so-called “mucosa-associated lymphoid tissue” [
<xref rid="R253" ref-type="bibr">253</xref>
-
<xref rid="R256" ref-type="bibr">256</xref>
].</p>
<p>Both peptide- and DNA-based vaccines have been associated with clinical activity in patients affected by various neoplasms [
<xref rid="R83" ref-type="bibr">83</xref>
,
<xref rid="R84" ref-type="bibr">84</xref>
,
<xref rid="R229" ref-type="bibr">229</xref>
-
<xref rid="R231" ref-type="bibr">231</xref>
,
<xref rid="R257" ref-type="bibr">257</xref>
]. For instance, a peptide-based vaccine targeting the human papillomavirus type 16 (HPV-16) proteins E6 and E7 have been shown to promote complete, long-lasting responses in a significant fraction of patients with vulvar intraepithelial neoplasia [
<xref rid="R258" ref-type="bibr">258</xref>
]. Along similar lines, the administration of a multipeptide vaccine after single-dose cyclophosphamide (an immunogenic alkylating agent, see below) has been shown to prolong overall survival in a cohort of RCC patients [
<xref rid="R259" ref-type="bibr">259</xref>
]. No peptide- or DNA-based anticancer vaccine is currently approved by the US FDA and EMA for use in humans (sources
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
and
<ext-link ext-link-type="uri" xlink:href="http://www.ema.europa.eu/ema/">http://www.ema.europa.eu/ema/</ext-link>
). However, vitespen (Oncophage
<sup>®</sup>
), a heat shock protein 90kDa beta (Grp94), member 1 (HSP90B1)-based anticancer vaccine, has been approved in Russia for the treatment of RCC patients with intermediate risk of recurrence as early as in 2008 [
<xref rid="R257" ref-type="bibr">257</xref>
]. Moreover, three DNA-based anticancer vaccines have been licensed for veterinary use [
<xref rid="R260" ref-type="bibr">260</xref>
-
<xref rid="R263" ref-type="bibr">263</xref>
], one of which relies on a human TAA (
<italic>i.e.</italic>
, tyrosinase) [
<xref rid="R263" ref-type="bibr">263</xref>
].</p>
<p>Similar to DC-based interventions, both peptide- and DNA-based anticancer vaccines mediate antineoplastic effects as they (re-)activate the host immune system against malignant cells, hence constituting active forms of anticancer immunotherapy.</p>
</sec>
<sec id="s1_2_3">
<title>Immunostimulatory cytokines</title>
<p>Taken as a family, cytokines regulate (via autocrine, paracrine or endocrine circuits) virtually all biological functions [
<xref rid="R264" ref-type="bibr">264</xref>
-
<xref rid="R267" ref-type="bibr">267</xref>
]. It is therefore not surprising that various attempts have been made to harness the biological potency of specific cytokines to elicit novel or reinvigorate pre-existent tumor-targeting immune responses [
<xref rid="R268" ref-type="bibr">268</xref>
-
<xref rid="R271" ref-type="bibr">271</xref>
]. The administration of most immunostimulatory cytokines to cancer patients as standalone therapeutic interventions, however, is generally associated with little, if any, clinical activity [
<xref rid="R272" ref-type="bibr">272</xref>
-
<xref rid="R275" ref-type="bibr">275</xref>
]. Thus, immunostimulatory cytokines are generally employed as adjuvants for other anticancer (immuno)therapeutics, either as recombinant molecules or encoded within expression vectors [
<xref rid="R276" ref-type="bibr">276</xref>
-
<xref rid="R284" ref-type="bibr">284</xref>
]. Notable exceptions include interferon (IFN)-α2b (also known as Intron A
<sup>®</sup>
), and IL-2 (also known as aldesleukin and Proleukin
<sup>®</sup>
), which mediate single agent therapeutic activity in patients affected by melanoma, a tumor type particularly sensitive to immunotherapy [
<xref rid="R274" ref-type="bibr">274</xref>
,
<xref rid="R284" ref-type="bibr">284</xref>
]. IFN-α2b is currently approved by the US FDA and EMA for the therapy of hairy cell leukemia (HCL), AIDS-related Kaposi's sarcoma, follicular lymphoma, multiple myeloma, melanoma, external genital/perianal warts (
<italic>condylomata acuminata</italic>
) and cervical intraepithelial neoplasms (both as a recombinant, unmodified protein, and as a pegylated variant), while IL-2 is licensed for the treatment of metastatic forms of melanoma and RCC. Moreover, IFN-α2a (also known as Roferon-A
<sup>®</sup>
) is approved for use in subjects with HCL and chronic phase, Philadelphia chromosome-positive chronic myeloid leukemia, upon minimal pretreatment (within 1 year of diagnosis). In Europe, IFN-α2a is also licensed for the treatment of melanoma. Of note, GM-CSF (also known as molgramostim, sargramostim, Leukomax
<sup>®</sup>
, Mielogen
<sup>®</sup>
or Leukine
<sup>®</sup>
) and granulocyte colony-stimulating factor (G-CSF, also known as filgrastim, lenograstim or Neupogen
<sup>®</sup>
) are approved by the US FDA and EMA for use in humans, but not as part of anticancer regimens [
<xref rid="R285" ref-type="bibr">285</xref>
-
<xref rid="R288" ref-type="bibr">288</xref>
]. Nonetheless, GM-CSF has been shown to potentiate the clinical activity of several immunotherapeutics, including (but not limited to) peptide-based vaccines and immunomodulatory mAbs [
<xref rid="R259" ref-type="bibr">259</xref>
,
<xref rid="R289" ref-type="bibr">289</xref>
]. Recombinant tumor necrosis factor α (TNFα) is also licensed by several regulatory agencies worldwide (but not by the US FDA), for the treatment of limb-threatening soft tissue sarcoma and melanoma [
<xref rid="R290" ref-type="bibr">290</xref>
-
<xref rid="R292" ref-type="bibr">292</xref>
]. However, in this setting TNFα is not employed as an immunostimulatory agent but administered in combination with melphalan (an alkylating agent) to increment the local concentration of the drug (and hence boost its cytotoxicity), and to promote the selective destruction of the tumor vasculature [
<xref rid="R293" ref-type="bibr">293</xref>
].</p>
<p>The antineoplastic activity of immunostimulatory cytokines is expected to depend on the host immune system, implying that they underlie a
<italic>bona fide</italic>
paradigm of active immunotherapy. However, the actual mode of action of immunostimulatory cytokines has not yet been fully explored. Moreover, some of these agents may promote a cytokine cascade with unwarranted, potentially lethal effects, and hence should be employed with caution.</p>
</sec>
<sec id="s1_2_4">
<title>Immunomodulatory mAbs</title>
<p>At odds with their tumor-targeting counterparts, immunomodulatory mAbs operate by interacting with (hence altering the function of) soluble or cellular components of the immune system [
<xref rid="R22" ref-type="bibr">22</xref>
,
<xref rid="R294" ref-type="bibr">294</xref>
]. Thus, immunomodulatory mAbs are designed to elicit a novel or reinstate an existing anticancer immune response [
<xref rid="R27" ref-type="bibr">27</xref>
,
<xref rid="R295" ref-type="bibr">295</xref>
,
<xref rid="R296" ref-type="bibr">296</xref>
]. So far, this has been achieved through four general strategies: (1) the inhibition of immunosuppressive receptors expressed by activated T lymphocytes, such as cytotoxic T lymphocyte-associated protein 4 (CTLA4) [
<xref rid="R297" ref-type="bibr">297</xref>
-
<xref rid="R299" ref-type="bibr">299</xref>
] and programmed cell death 1 (PDCD1, best known as PD-1) [
<xref rid="R39" ref-type="bibr">39</xref>
,
<xref rid="R42" ref-type="bibr">42</xref>
,
<xref rid="R300" ref-type="bibr">300</xref>
,
<xref rid="R301" ref-type="bibr">301</xref>
], or NK cells, like various members of the killer cell immunoglobulin-like receptor (KIR) family [
<xref rid="R302" ref-type="bibr">302</xref>
-
<xref rid="R304" ref-type="bibr">304</xref>
]; (2) the inhibition of the principal ligands of these receptors, such as the PD-1 ligand CD274 (best known as PD-L1 or B7-H1) [
<xref rid="R300" ref-type="bibr">300</xref>
,
<xref rid="R305" ref-type="bibr">305</xref>
-
<xref rid="R307" ref-type="bibr">307</xref>
]; (3) the activation of co-stimulatory receptors expressed on the surface of immune effector cells [
<xref rid="R308" ref-type="bibr">308</xref>
] such as tumor necrosis factor receptor superfamily, member 4 (TNFRSF4, best known as OX40) [
<xref rid="R309" ref-type="bibr">309</xref>
-
<xref rid="R313" ref-type="bibr">313</xref>
], TNFRSF9 (best known as CD137 or 4-1BB) [
<xref rid="R58" ref-type="bibr">58</xref>
,
<xref rid="R314" ref-type="bibr">314</xref>
,
<xref rid="R315" ref-type="bibr">315</xref>
], and TNFRSF18 (best known as GITR) [
<xref rid="R316" ref-type="bibr">316</xref>
-
<xref rid="R318" ref-type="bibr">318</xref>
]; and (4) the neutralization of immunosuppressive factors released in the tumor microenvironment, such as transforming growth factor β1 (TGFβ1) [
<xref rid="R319" ref-type="bibr">319</xref>
,
<xref rid="R320" ref-type="bibr">320</xref>
].</p>
<p>The first of these approaches, which is commonly referred to as “checkpoint blockade”, has been shown to induce robust and durable responses in cohorts of patients with a variety of solid tumors [
<xref rid="R39" ref-type="bibr">39</xref>
,
<xref rid="R300" ref-type="bibr">300</xref>
,
<xref rid="R321" ref-type="bibr">321</xref>
-
<xref rid="R327" ref-type="bibr">327</xref>
]. As it stands, no less than three checkpoint-blocking mAbs are currently approved by international regulatory agencies for use in humans (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
): (1) the anti-CTLA4 mAb ipilimumab (Yervoy™), which was licensed by the US FDA for use in individuals with unresectable or metastatic melanoma on 2011, March 25
<sup>th</sup>
[
<xref rid="R328" ref-type="bibr">328</xref>
-
<xref rid="R332" ref-type="bibr">332</xref>
]; the anti-PD-1 mAb pembrolizumab (Keytruda™), which received accelerated approval by the US FDA for the treatment of advanced or unresectable melanoma patients who fail to respond to other therapies on 2014, September 4
<sup>th</sup>
[
<xref rid="R333" ref-type="bibr">333</xref>
-
<xref rid="R338" ref-type="bibr">338</xref>
]; and nivolumab (Opvido™), another PD-1-targeting mAb licensed by the Japanese Ministry of Health and Welfare for use in humans on 2014, July 07
<sup>th</sup>
[
<xref rid="R339" ref-type="bibr">339</xref>
]. Based on the results of a recently completed Phase III clinical trial demonstrating that nivolumab significantly improves the progression-free and overall survival of patients with BRAF
<sup>WT</sup>
melanoma [
<xref rid="R340" ref-type="bibr">340</xref>
], the approval of this mAb by the US FDA is expected within the next few months. The safety and efficacy of ipilimumab, pembrolizumab, nivolumab and other checkpoint-blocking mAbs are being demonstrated in a steadily expanding panel of oncological indications [
<xref rid="R45" ref-type="bibr">45</xref>
,
<xref rid="R46" ref-type="bibr">46</xref>
,
<xref rid="R341" ref-type="bibr">341</xref>
,
<xref rid="R342" ref-type="bibr">342</xref>
]. Of note, some co-stimulatory mAbs including urelumab and PF-0582566 (both of which target CD137) are also under clinical development, with promising results [
<xref rid="R46" ref-type="bibr">46</xref>
,
<xref rid="R341" ref-type="bibr">341</xref>
]. Preclinical data suggest that combining checkpoint blockers with co-stimulatory mAb mediates superior antineoplastic effects [
<xref rid="R294" ref-type="bibr">294</xref>
,
<xref rid="R343" ref-type="bibr">343</xref>
,
<xref rid="R344" ref-type="bibr">344</xref>
]. At least in part, this reflects the ability of co-stimulatory mAbs to promote NK cell functions [
<xref rid="R58" ref-type="bibr">58</xref>
,
<xref rid="R345" ref-type="bibr">345</xref>
,
<xref rid="R346" ref-type="bibr">346</xref>
]. In line with this notion, a few clinical trials testing checkpoint blockers in combination with urelumab or lirilumab (a KIR-inhibiting mAb) have just been initiated (source
<ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">http://www.clinicaltrials.gov</ext-link>
).</p>
<p>Designed to (re-)activate the host immune system against malignant cells, immunomodulatory mAbs constitute an established and clinically promising paradigm of active immunotherapy. Interestingly, despite their non-specific mechanism of action, the clinical efficacy of immunomodulatory mAbs (and in particular checkpoint blockers) may be profoundly influenced by the panel of (neo-)TAAs specific to each neoplasm [
<xref rid="R347" ref-type="bibr">347</xref>
].</p>
</sec>
<sec id="s1_2_5">
<title>Inhibitors of immunosuppressive metabolism</title>
<p>Indoleamine 2,3-dioxigenase 1 (IDO1) catalyzes the first, rate-limiting step in the so-called “kynurenine pathway”, the catabolic cascade that converts
<italic>L</italic>
-tryptophan (Trp) into
<italic>L</italic>
-kynurenine (Kyn) [
<xref rid="R348" ref-type="bibr">348</xref>
]. Although this enzyme was initially believed to mediate immunostimulatory effects (partly because inflammatory cues including IFNγ promote its expression in cells of the innate immune system) [
<xref rid="R349" ref-type="bibr">349</xref>
,
<xref rid="R350" ref-type="bibr">350</xref>
], IDO1 mediates robust immunosuppressive effects, in both physiological (
<italic>e.g.</italic>
, tolerance during pregnancy) and pathological (mostly oncological) settings [
<xref rid="R351" ref-type="bibr">351</xref>
-
<xref rid="R356" ref-type="bibr">356</xref>
]. IDO1 has been proposed to inhibit both innate and adaptive immune responses (1) by depleting immune effector cells of Trp, resulting in irresponsiveness to immunological challenges [
<xref rid="R352" ref-type="bibr">352</xref>
,
<xref rid="R353" ref-type="bibr">353</xref>
,
<xref rid="R357" ref-type="bibr">357</xref>
-
<xref rid="R359" ref-type="bibr">359</xref>
]; (2) by favoring the accumulation of Kyn and some of its derivatives, which exert cytotoxic effects on immune effector cells while promoting the differentiation of Tregs [
<xref rid="R360" ref-type="bibr">360</xref>
-
<xref rid="R364" ref-type="bibr">364</xref>
]; or (3) through various indirect mechanisms mediated by IDO1-expressing DCs [
<xref rid="R124" ref-type="bibr">124</xref>
,
<xref rid="R365" ref-type="bibr">365</xref>
-
<xref rid="R371" ref-type="bibr">371</xref>
]. Evidence accumulated during the last decade indicates that both 1-methyltryptophan (an inhibitor of IDO1 and IDO2) and genetic interventions targeting IDO1 mediate antineoplastic effects while eliciting novel or reinvigorating existent anticancer immune responses [
<xref rid="R372" ref-type="bibr">372</xref>
-
<xref rid="R375" ref-type="bibr">375</xref>
]. No IDO1 inhibitor is currently approved by the US FDA for use in humans (source
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
). However, the results of recent Phase I-II studies suggest that 1-methyl-
<italic>D</italic>
-tryptophan (an inhibitor of the IDO pathway also known as indoximod), other pharmacological blockers of IDO1 (such as INCB024360), and IDO1-targeting vaccines are well tolerated by cancer patients and mediate antineoplastic effects, at least in a subset of individuals [
<xref rid="R376" ref-type="bibr">376</xref>
-
<xref rid="R382" ref-type="bibr">382</xref>
].</p>
<p>Extracellular ATP mediates robust immunostimulatory functions as it recruits and activates APCs via purinergic receptor P2Y, G-protein coupled, 2 (P2RY2) and purinergic receptor P2X, ligand-gated ion channel, 7 (P2RX7), respectively [
<xref rid="R383" ref-type="bibr">383</xref>
-
<xref rid="R386" ref-type="bibr">386</xref>
]. On the contrary, the degradation products of ATP (notably AMP and adenosine), have a pronounced immunosuppressive activity upon binding to adenosine A2a receptor (ADORA2A) and ADORA2B [
<xref rid="R387" ref-type="bibr">387</xref>
-
<xref rid="R389" ref-type="bibr">389</xref>
]. Two enzymes operates sequentially to degrade extracellular ATP, ectonucleoside triphosphate diphosphohydrolase 1 (ENTPD1, best known as CD39), which converts ATP into ADP and AMP [
<xref rid="R390" ref-type="bibr">390</xref>
-
<xref rid="R392" ref-type="bibr">392</xref>
], and 5′-nucleotidase, ecto (NT5E, best known as CD73), which transforms AMP into adenosine [
<xref rid="R393" ref-type="bibr">393</xref>
,
<xref rid="R394" ref-type="bibr">394</xref>
]. Some human neoplasms express increased amounts of CD39 and/or CD73, reflecting the evolutionary advantage conferred to cancer cells by the stimulation of adenosine receptors [
<xref rid="R395" ref-type="bibr">395</xref>
,
<xref rid="R396" ref-type="bibr">396</xref>
]. Efforts have therefore been dedicated to the development of agents that would limit the extracellular availability of adenosine or inhibit adenosine receptors [
<xref rid="R392" ref-type="bibr">392</xref>
,
<xref rid="R397" ref-type="bibr">397</xref>
]. Preclinical evidence indicates that CD39- or CD79-targeting agents (mostly mAbs) mediate antineoplastic effects as standalone interventions and improve the efficacy of other anticancer agents [
<xref rid="R397" ref-type="bibr">397</xref>
]. The clinical development of these agents, however, has not yet been initiated. Conversely, ADORA2A antagonists are currently being tested in late-stage clinical trials, but as a therapeutic option against Parkinsonism [
<xref rid="R397" ref-type="bibr">397</xref>
]. It will be interesting to determine the safety and efficacy of inhibitors of adenosine generation or signaling in cancer patients.</p>
<p>Although it remains unclear whether these agents truly operate by altering the microenvironmental availability of Trp and Kyn [
<xref rid="R398" ref-type="bibr">398</xref>
], the antineoplastic effects of IDO inhibitors critically rely on the host immune system, implying that this constitutes an instance of active anticancer immunotherapy [
<xref rid="R399" ref-type="bibr">399</xref>
]. This also applies to strategies aimed at limiting the extracellular availability of adenosine.</p>
</sec>
<sec id="s1_2_6">
<title>PRR agonists</title>
<p>Pattern recognition receptors (PRRs) are evolutionarily conserved proteins involved in the recognition of danger signals [
<xref rid="R400" ref-type="bibr">400</xref>
,
<xref rid="R401" ref-type="bibr">401</xref>
]. PRRs include (but are not limited to) Toll-like receptors (TLRs) [
<xref rid="R402" ref-type="bibr">402</xref>
,
<xref rid="R403" ref-type="bibr">403</xref>
] and nucleotide-binding oligomerization domain containing (NOD)-like receptors (NLRs) [
<xref rid="R404" ref-type="bibr">404</xref>
,
<xref rid="R405" ref-type="bibr">405</xref>
]. TLRs are transmembrane enzymatically-inactive proteins expressed by most APCs, including monocytes, macrophages and DCs, as well as by some types of epithelial cells [
<xref rid="R402" ref-type="bibr">402</xref>
,
<xref rid="R403" ref-type="bibr">403</xref>
]. NLRs are expressed by a variety of cell types, including various components of the innate and adaptive immune system [
<xref rid="R404" ref-type="bibr">404</xref>
,
<xref rid="R405" ref-type="bibr">405</xref>
]. Taken together, PRRs sense a wide panel of danger signals, including exogenous “microbe-associated molecular patterns” (MAMPs) like bacterial lipopolysaccharide (LPS) or muramyl dipeptide (MDP), and endogenous “damage-associated molecular patterns” (DAMPs), like the non-histone nuclear protein high-mobility group box 1 (HMGB1) and mitochondrial DNA [
<xref rid="R406" ref-type="bibr">406</xref>
-
<xref rid="R410" ref-type="bibr">410</xref>
]. The activation of various PRRs ignites a signal transduction cascade with potent pro-inflammatory outcomes, including the activation of NF-κB [
<xref rid="R411" ref-type="bibr">411</xref>
-
<xref rid="R413" ref-type="bibr">413</xref>
], and the secretion of immunostimulatory cytokines, like type I IFNs and TNFα [
<xref rid="R413" ref-type="bibr">413</xref>
-
<xref rid="R415" ref-type="bibr">415</xref>
]. Moreover, PRR signaling favors the maturation of DCs as well as the activation of macrophages and NK cells [
<xref rid="R416" ref-type="bibr">416</xref>
]. Besides being critical for the response of the host to viral and bacterial challenges [
<xref rid="R402" ref-type="bibr">402</xref>
,
<xref rid="R403" ref-type="bibr">403</xref>
], some PRRs play a key role in the (re)activation of anticancer immune responses by chemo-, radio- and immunotherapeutic interventions [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R413" ref-type="bibr">413</xref>
,
<xref rid="R417" ref-type="bibr">417</xref>
-
<xref rid="R422" ref-type="bibr">422</xref>
].</p>
<p>Thus, PRR agonists have spurred interest not only as adjuvants for conventional vaccines [
<xref rid="R423" ref-type="bibr">423</xref>
,
<xref rid="R424" ref-type="bibr">424</xref>
], but also as immunotherapeutic interventions that may mediate antineoplastic effects
<italic>per se</italic>
or boost the therapeutic activity of other anticancer agents [
<xref rid="R34" ref-type="bibr">34</xref>
,
<xref rid="R48" ref-type="bibr">48</xref>
,
<xref rid="R425" ref-type="bibr">425</xref>
]. Three TLR agonists are approved by the US FDA for use in cancer patients: (1) the bacillus Calmette-Guérin (BCG), an attenuated variant of
<italic>Mycobacterium bovis</italic>
that presumably operates as a mixed TLR2/TLR4 agonist, which is currently used as a standalone immunotherapeutic agent in subjects with non-invasive transitional cell carcinoma of the bladder [
<xref rid="R426" ref-type="bibr">426</xref>
]; (2) monophosphoryl lipid A (MPL), a TLR2/TLR4-activating derivative of
<italic>Salmonella minnesota</italic>
LPS currently utilized as adjuvant in Cervarix
<sup>®</sup>
, a vaccine for the prevention of HPV-16 and -18 infection [
<xref rid="R427" ref-type="bibr">427</xref>
]; and (3) imiquimod, an imidazoquinoline derivative that triggers TLR7 signaling, currently employed for the treatment of actinic keratosis, superficial basal cell carcinoma and
<italic>condylomata acuminata</italic>
[
<xref rid="R422" ref-type="bibr">422</xref>
,
<xref rid="R426" ref-type="bibr">426</xref>
]. Of note, picibanil (a lyophilized preparation of
<italic>Streptococcus pyogenes</italic>
that operates as a TLR2/TLR4 agonist has been licensed for use in cancer patients by the Japanese Ministry of Health and Welfare (but not by the US FDA) as early as in 1975 [
<xref rid="R428" ref-type="bibr">428</xref>
,
<xref rid="R429" ref-type="bibr">429</xref>
]; while mifamurtide (a synthetic lipophilic glycopeptide that activates NOD2) has been approved by the EMA for the treatment of osteosarcoma in 2009 [
<xref rid="R430" ref-type="bibr">430</xref>
-
<xref rid="R432" ref-type="bibr">432</xref>
]. Moreover, the safety and efficacy of several other PRR agonists are currently being evaluated in clinical trials [
<xref rid="R433" ref-type="bibr">433</xref>
-
<xref rid="R435" ref-type="bibr">435</xref>
]. These molecules include agatolimod (CpG-7909, PF-3512676, Promune
<sup>®</sup>
), an unmethylated CpG oligodeoxynucleotide that activates TLR9 [
<xref rid="R436" ref-type="bibr">436</xref>
]; polyriboinosinic polyribocytidylic acid (polyI:C, Ampligen™, Rintatolimod), a synthetic double-strand RNA that signals via TLR3 [
<xref rid="R437" ref-type="bibr">437</xref>
]; and Hiltonol™, a particular formulation of polyI:C that involves carboxymethylcellulose and poly-
<italic>L</italic>
-lysine [
<xref rid="R48" ref-type="bibr">48</xref>
,
<xref rid="R438" ref-type="bibr">438</xref>
].</p>
<p>Some malignant cells express PRRs [
<xref rid="R439" ref-type="bibr">439</xref>
-
<xref rid="R445" ref-type="bibr">445</xref>
], implying that PRR agonists may not be completely devoid of intrinsic tumor-modulating functions. Nonetheless, a large body of preclinical and clinical literature indicates that the antineoplastic effects of PRR agonists stem from their ability to engage the host immune system. Thus, PRR agonists constitute active immunotherapeutics.</p>
</sec>
<sec id="s1_2_7">
<title>Immunogenic cell death inducers</title>
<p>Some conventional chemotherapeutics, often employed at metronomic doses [
<xref rid="R446" ref-type="bibr">446</xref>
,
<xref rid="R447" ref-type="bibr">447</xref>
], as well as some forms of radiation therapy, can kill malignant cells while stimulating them to release specific DAMPs in a spatiotemporally coordinated manner [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R420" ref-type="bibr">420</xref>
,
<xref rid="R448" ref-type="bibr">448</xref>
]. Such DAMPs bind to receptors expressed on the surface of APCs (including TLR4), and not only boost their ability to engulf particulate material (including TAAs and cancer cell debris) but also trigger their maturation/activation [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R418" ref-type="bibr">418</xref>
,
<xref rid="R448" ref-type="bibr">448</xref>
,
<xref rid="R449" ref-type="bibr">449</xref>
]. As a result, APCs acquire the ability to elicit a cancer-specific immune response that (at least in mice) is associated with the development of immunological memory [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R450" ref-type="bibr">450</xref>
]. We have dubbed such a functionally atypical form of apoptosis “immunogenic cell death” (ICD) [
<xref rid="R15" ref-type="bibr">15</xref>
]. Importantly, ICD inducers exert optimal antineoplastic effects in immunocompetent, but not in immunodeficient, mice [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R451" ref-type="bibr">451</xref>
-
<xref rid="R454" ref-type="bibr">454</xref>
]. However, the ability of a specific stimulus to trigger ICD can be properly assessed only by means of vaccination experiments involving immunocompetent mice and syngeneic tumor models [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R455" ref-type="bibr">455</xref>
]. As it stands, a few FDA-approved therapies have been shown to constitute
<italic>bona fide</italic>
ICD inducers, including: doxorubicin, mitoxantrone and epirubicin (three anthracyclines currently employed against various carcinomas) [
<xref rid="R186" ref-type="bibr">186</xref>
,
<xref rid="R449" ref-type="bibr">449</xref>
], bleomycin (a glycopeptide antibiotic endowed with antineoplastic properties) [
<xref rid="R456" ref-type="bibr">456</xref>
], oxaliplatin (a platinum derivative generally used for the therapy of colorectal carcinoma) [
<xref rid="R453" ref-type="bibr">453</xref>
,
<xref rid="R457" ref-type="bibr">457</xref>
], cyclophosphamide (an alkylating agent employed against neoplastic and autoimmune conditions) [
<xref rid="R458" ref-type="bibr">458</xref>
-
<xref rid="R460" ref-type="bibr">460</xref>
], specific forms of radiation therapy [
<xref rid="R419" ref-type="bibr">419</xref>
,
<xref rid="R461" ref-type="bibr">461</xref>
-
<xref rid="R466" ref-type="bibr">466</xref>
], photodynamic therapy (an intervention that relies on the administration of a photosensitizing agent coupled to light irradiation) [
<xref rid="R448" ref-type="bibr">448</xref>
,
<xref rid="R467" ref-type="bibr">467</xref>
,
<xref rid="R468" ref-type="bibr">468</xref>
], and bortezomib (a proteasomal inhibitor used for the treatment of multiple myeloma) [
<xref rid="R469" ref-type="bibr">469</xref>
,
<xref rid="R470" ref-type="bibr">470</xref>
].</p>
<p>These and other (hitherto experimental) ICD inducers have been viewed as conventional forms of anticancer therapy, exerting antineoplastic effects via cytostatic or cytotoxic mechanisms. However, accumulating evidence indicates that the full-blown therapeutic potential of these molecules relies on the host immune system [
<xref rid="R15" ref-type="bibr">15</xref>
,
<xref rid="R471" ref-type="bibr">471</xref>
]. Thus, we propose to classify ICD inducers as a form of active anticancer immunotherapy.</p>
</sec>
<sec id="s1_2_8">
<title>Others</title>
<p>Other anticancer immunotherapies are approved by regulatory agencies worldwide for use in cancer patients or are currently being investigated for safety and efficacy in preclinical or clinical settings.</p>
<p>Lenalidomide (Revlimid
<sup>®</sup>
, also known as CC-5013) and pomalidomide (Pomalyst
<sup>®</sup>
, also known as CC-4047) are two derivatives of thalidomide (Thalomid
<sup>®</sup>
) originally developed in the 1990s to achieve improved potency in the absence of significant side effects [
<xref rid="R472" ref-type="bibr">472</xref>
]. Thalidomide was indeed marketed as an over-the-counter sedative, tranquilizer, and antiemetic for morning sickness in various countries in the late 1950s, but was rapidly withdrawn following a peak of infants born with malformation of the limbs [
<xref rid="R473" ref-type="bibr">473</xref>
]. In spite of its pronounced teratogenic activity, thalidomide raised renewed interest as an inhibitor of TNFα secretion in the 1990s [
<xref rid="R474" ref-type="bibr">474</xref>
], and was approved by the US FDA (under a strictly controlled distribution program) for the therapy of erythema nodosum leprosum (a complication of leprosy etiologically linked to TNFα) in 1998 [
<xref rid="R475" ref-type="bibr">475</xref>
]. The combination of thalidomide with dexamethasone (a glucocorticoid) rapidly turned out to mediate therapeutic effects in patients with hematological malignancies, eventually resulting in the approval by the US FDA of this regimen for the treatment of newly diagnosed multiple myeloma [
<xref rid="R476" ref-type="bibr">476</xref>
]. Alongside, lenalidomide (which retains some degree of teratogenicity) was licensed for use in patients with multiple myeloma (also in combination with dexamethasone) and low or intermediate-1 risk myelodysplastic syndromes that harbor 5q cytogenetic abnormalities (as a standalone intervention) [
<xref rid="R477" ref-type="bibr">477</xref>
-
<xref rid="R480" ref-type="bibr">480</xref>
]. Conversely, pomalidomide (which is devoid of teratogenic activity) has been approved for use in multiple myeloma patients only in 2013, when the approval of lenalidomide has been extended to mantle cell lymphoma (MCL) [
<xref rid="R481" ref-type="bibr">481</xref>
-
<xref rid="R483" ref-type="bibr">483</xref>
]. Although the effects of thalidomide, lenalidomide and pomalidomide, which are collectively referred to as “immunomodulatory drugs” (IMiDs), on the immune system have been characterized with increasing precision throughout the past two decades [
<xref rid="R484" ref-type="bibr">484</xref>
], the underlying molecular mechanisms remained obscure [
<xref rid="R485" ref-type="bibr">485</xref>
]. Recent findings indicate that the therapeutic activity of IMiDs depend, at least in part, on their ability to bind the E3 ubiquitin ligase cereblon (CRBN) and hence boost the proteasomal degradation of the B cell-specific transcription factors IKAROS family zinc finger 1 (IKZF1) and IKZF3 [
<xref rid="R486" ref-type="bibr">486</xref>
,
<xref rid="R487" ref-type="bibr">487</xref>
]. Of note, CRBN, which is also involved in the teratogenic effects of thalidomide and lenalidomide [
<xref rid="R488" ref-type="bibr">488</xref>
], regulates the abundance of interferon regulatory factor 4, perhaps accounting for the immunomodulatory functions of IMiDs [
<xref rid="R489" ref-type="bibr">489</xref>
]. Although endowed with intrinsic antineoplastic activity, IMiDs should be considered active immunotherapeutics.</p>
<p>As they progress and respond to treatment, neoplastic lesions are infiltrated by a significant amount of lymphoid and myeloid cells, including CD8
<sup>+</sup>
T lymphocytes, Tregs, tumor-associated macrophages (TAMs) and immunosuppressive B-cell populations [
<xref rid="R122" ref-type="bibr">122</xref>
-
<xref rid="R124" ref-type="bibr">124</xref>
,
<xref rid="R490" ref-type="bibr">490</xref>
,
<xref rid="R491" ref-type="bibr">491</xref>
]. Robust tumor infiltration by CD8
<sup>+</sup>
T lymphocytes is generally associated with a good prognosis, especially when the intratumoral levels of Tregs are limited [
<xref rid="R124" ref-type="bibr">124</xref>
,
<xref rid="R492" ref-type="bibr">492</xref>
]. Along similar lines, high intratumoral levels of TAMs with a “classically-activated” M1 phenotype (which exert tumoricidal functions, stimulate NK cells and secrete T
<sub>H</sub>
1-polarizing cytokines) generally correlate with improved disease outcome [
<xref rid="R491" ref-type="bibr">491</xref>
,
<xref rid="R493" ref-type="bibr">493</xref>
]. The contrary holds true when the myeloid tumor infiltrate contains high levels of “alternatively-activated” M2 TAMs or specific B-cell subsets, which can secrete not only immunosuppressive cytokines like IL-10 and TGFβ1, but also angiogenic mediators such as VEGFA and enzymes that remodel the extracellular matrix [
<xref rid="R491" ref-type="bibr">491</xref>
,
<xref rid="R493" ref-type="bibr">493</xref>
]. These observations prompted the development of immunotherapeutic regimens based on the depletion/inhibition of Tregs or B lymphocytes, as well as on the conversion of M2 TAMs to their M1 counterparts.</p>
<p>Denileukin diftitox (also known as Ontak
<sup>®</sup>
) is a recombinant variant of IL-2 fused to the diphtheria toxin [
<xref rid="R494" ref-type="bibr">494</xref>
]. Owing to its selective cytotoxicity for cells expressing IL-2 receptor α (IL2RA, best known as CD25), denileukin diftitox has been approved by the US FDA and EMA for the treatment of CD25
<sup>+</sup>
cutaneous T-cell lymphoma in the early 2000s [
<xref rid="R494" ref-type="bibr">494</xref>
]. More recently, denileukin diftitox has been tested for its ability to improve the efficacy of various immunotherapies by efficiently depleting Tregs (which also express CD25) in patients affected by various neoplasms [
<xref rid="R495" ref-type="bibr">495</xref>
-
<xref rid="R497" ref-type="bibr">497</xref>
]. In some (but not all) these clinical settings, denileukin diftitox enhanced the efficacy of immunotherapy as it provoked a sizeable Treg depletion [
<xref rid="R496" ref-type="bibr">496</xref>
,
<xref rid="R497" ref-type="bibr">497</xref>
]. However, denileukin diftitox has recently been ascribed with a number of immunosuppressive effects [
<xref rid="R498" ref-type="bibr">498</xref>
,
<xref rid="R499" ref-type="bibr">499</xref>
]. This may explain why in some cases denileukin diftitox had no clinical activity [
<xref rid="R495" ref-type="bibr">495</xref>
], and casts doubts on the possibility to use such Treg-depleting agent as a routine anticancer immunotherapeutic. This said, several conventional antineoplastic agents commonly used in the clinic appear to deplete or inhibit Treg, which presumably contributes to their therapeutic activity (see below) [
<xref rid="R420" ref-type="bibr">420</xref>
,
<xref rid="R421" ref-type="bibr">421</xref>
]. Along similar lines, at least part of the clinical activity of ibrutinib (PCI-32765), a small molecule inhibitor of bruton tyrosine kinase (BTK) recently approved by the US FDA for use in patients with MCL and CLL [
<xref rid="R500" ref-type="bibr">500</xref>
-
<xref rid="R502" ref-type="bibr">502</xref>
], may stem from its ability to target tumor-infiltrating B lymphocytes or myeloid cells [
<xref rid="R503" ref-type="bibr">503</xref>
]. A clinical trial testing this possibility in pancreatic cancer patients will soon be initiated (LC, personal communication).</p>
<p>Several immunotherapeutic agents exert antineoplastic effects by altering the relative proportion between M2 and M1 TAMs in favor of the latter [
<xref rid="R491" ref-type="bibr">491</xref>
]. These include: (1) tasquinimod, a second-generation orally active quinoline-3-carboxamide analog initially developed as an antiangiogenic agent [
<xref rid="R504" ref-type="bibr">504</xref>
,
<xref rid="R505" ref-type="bibr">505</xref>
]; trabectedin (Yondelis
<sup>®</sup>
), a marine antineoplastic agent currently approved in Europe, Russia and South Korea for the treatment of soft tissue sarcoma and ovarian carcinoma [
<xref rid="R506" ref-type="bibr">506</xref>
,
<xref rid="R507" ref-type="bibr">507</xref>
]; (3) inhibitors of chemokine (C-C motif) ligand 2/chemokine (C-C motif) receptor 2 (CCL2/CCR2) signaling [
<xref rid="R508" ref-type="bibr">508</xref>
]; (3) mAbs specific for chemokine (C-X-C motif) receptor 4 (CXCR4) [
<xref rid="R509" ref-type="bibr">509</xref>
]; and (4) small molecule inhibitors and mAbs that suppress colony stimulating factor 1/colony stimulating factor 1 receptor (CSF1/CSFR1) signaling [
<xref rid="R510" ref-type="bibr">510</xref>
-
<xref rid="R512" ref-type="bibr">512</xref>
]. With the single exception of trabectedin (which was not developed as an immunotherapeutic agent), none of these strategies is currently approved by the US FDA or EMA for use in humans (sources
<ext-link ext-link-type="uri" xlink:href="http://www.fda.gov">http://www.fda.gov</ext-link>
and
<ext-link ext-link-type="uri" xlink:href="http://www.ema.europa.eu/ema/">http://www.ema.europa.eu/ema/</ext-link>
). However, several Phase II-III clinical trials are currently ongoing to establish the safety and efficacy of these active immunotherapeutic agents in patients with various solid tumors (source
<ext-link ext-link-type="uri" xlink:href="http://www.clinicaltrials.gov">http://www.clinicaltrials.gov</ext-link>
).</p>
<p>Additional, hitherto experimental immunotherapeutic regimens act by stimulating the host immune system to mount a novel (or unleash an existing) immune response against malignant cells. These include: (1) strategies for the depletion of circulating myeloid-derived suppressor cells (MDSCs), a blood-borne population of immature, immunosuppressive myeloid cells that generally accumulate in the course of tumor progression [
<xref rid="R513" ref-type="bibr">513</xref>
-
<xref rid="R516" ref-type="bibr">516</xref>
]; (2) mAbs that block CD47, one of the major antiphagocytic receptor expressed by malignant cells [
<xref rid="R517" ref-type="bibr">517</xref>
-
<xref rid="R519" ref-type="bibr">519</xref>
]; and (3) vaccines relying on the administration of cancer cell lines expressing immunostimulatory molecules (e.g., GM-CSF) upon inactivation or lysis [
<xref rid="R520" ref-type="bibr">520</xref>
].</p>
</sec>
</sec>
</sec>
<sec id="s3">
<title>CONCLUDING REMARKS</title>
<p>During the past three decades, immunotherapy has become a clinical reality [
<xref rid="R35" ref-type="bibr">35</xref>
,
<xref rid="R78" ref-type="bibr">78</xref>
,
<xref rid="R521" ref-type="bibr">521</xref>
], and an ever-increasing number of cancer patients are expected to receive, at some stage of their disease, an immunotherapeutic intervention [
<xref rid="R522" ref-type="bibr">522</xref>
,
<xref rid="R523" ref-type="bibr">523</xref>
]. The observations presented above suggest that various immunotherapies previously classified as passive, including several (if not all) tumor-targeting mAbs, ACT and oncolytic viruses, may
<italic>de facto</italic>
constitute active forms of immunotherapy. Moreover, accumulating preclinical and clinical evidence indicates that therapeutically relevant anticancer immune responses invariably exhibit some degree of epitope spreading, i.e., they eventually target several TAAs even when they were initially directed against a single one [
<xref rid="R524" ref-type="bibr">524</xref>
,
<xref rid="R525" ref-type="bibr">525</xref>
]. This is not surprising considering that malignant cells exhibit a high degree of genetic/genomic instability and hence are relatively prone to generate so-called “antigen loss variants” that would render TAA-specific immunotherapies completely ineffective with time [
<xref rid="R526" ref-type="bibr">526</xref>
-
<xref rid="R528" ref-type="bibr">528</xref>
]. Thus, even if immunotherapies that truly generate an anticancer response with a unique antigen specificity existed [
<xref rid="R529" ref-type="bibr">529</xref>
,
<xref rid="R530" ref-type="bibr">530</xref>
], they presumably would not mediate clinically relevant, long-term immune responses. In turn, this casts some doubts on the practical utility of classifying immunotherapies into “antigen-specific” or “non-specific”.</p>
<p>Recently, great attention has been given to the immunostimulatory effects of conventional chemotherapeutics [
<xref rid="R420" ref-type="bibr">420</xref>
,
<xref rid="R421" ref-type="bibr">421</xref>
,
<xref rid="R531" ref-type="bibr">531</xref>
,
<xref rid="R532" ref-type="bibr">532</xref>
]. Indeed, several compounds that have been successfully used in the clinic, including the nucleoside analogs gemcitabine (which is approved by the US FDA for the treatment of pancreatic, ovarian, breast and non-small cell carcinoma) [
<xref rid="R533" ref-type="bibr">533</xref>
,
<xref rid="R534" ref-type="bibr">534</xref>
] and 5-fluorouracil (which is licensed for use in patients affected by various neoplasms) [
<xref rid="R535" ref-type="bibr">535</xref>
,
<xref rid="R536" ref-type="bibr">536</xref>
] have off-target immunostimulatory effects, in particular when administered as low doses and according to metronomic schedules (while, similar to radiation therapy, they are generally immunosuppressive when given at high doses) [
<xref rid="R537" ref-type="bibr">537</xref>
,
<xref rid="R538" ref-type="bibr">538</xref>
]. It is therefore tempting to speculate that most (if not all) anticancer agents that are truly beneficial to patients operate as active immunotherapeutics, stimulating the host immune system to mount an antigenically broad (and hence insensitive to antigen loss) response against malignant cells. In support of this notion, an ever increasing number of combinatorial immuno(chemo)therapeutic regimens is being designed and tested in clinical trials, with promising results [
<xref rid="R34" ref-type="bibr">34</xref>
]. This being said, only the adequate implementation of protocols to monitor immune system-related parameters among patients participating in clinical trials (immunomonitoring) will provide insights into this possibility [
<xref rid="R539" ref-type="bibr">539</xref>
-
<xref rid="R543" ref-type="bibr">543</xref>
]. Such protocols are inherently complex, calling for international efforts toward standardization [
<xref rid="R544" ref-type="bibr">544</xref>
]. Harmonized immunomonitoring procedures will undoubtedly guide the development of new (immuno)therapies, and facilitate the identification of novel prognostic or predictive biomarkers [
<xref rid="R544" ref-type="bibr">544</xref>
]. We are positive that the next clinical success of anticancer immunotherapy is just behind the door.</p>
</sec>
</body>
<back>
<ack>
<p>GK is supported by the Ligue contre le Cancer (équipe labelisée); Agence Nationale de la Recherche (ANR); Association pour la recherche sur le cancer (ARC); Cancéropôle Ile-de-France; Institut National du Cancer (INCa); Fondation Bettencourt-Schueller; Fondation de France; Fondation pour la Recherche Médicale (FRM); the European Commission (ArtForce); the European Research Council (ERC); the LabEx Immuno-Oncology; the SIRIC Stratified Oncology Cell DNA Repair and Tumor Immune Elimination (SOCRATE); the SIRIC Cancer Research and Personalized Medicine (CARPEM); and the Paris Alliance of Cancer Research Institutes (PACRI). MPC is supported by Association for Cancer Research (AIRC). SG is supported by Cancer Vaccine Collaborative and Cancer Research Institute. MJS is supported by the National Health and Medical Research Council of Australia; the QIMR Berghofer Medical Research Institute; and the Susan G Komen Breast Cancer Foundation. FM is supported by a grant from the Italian Ministry of Health.</p>
</ack>
<glossary>
<title>Abbreviations</title>
<def-list>
<def-item>
<term>ACT</term>
<def>
<p>adoptive cell transfer</p>
</def>
</def-item>
<def-item>
<term>ADCC</term>
<def>
<p>antibody-dependent cell-mediated cytotoxicity</p>
</def>
</def-item>
<def-item>
<term>ADORA</term>
<def>
<p>adenosine receptor</p>
</def>
</def-item>
<def-item>
<term>APC</term>
<def>
<p>antigen-presenting cell</p>
</def>
</def-item>
<def-item>
<term>BiTE</term>
<def>
<p>bispecific T-cell engager</p>
</def>
</def-item>
<def-item>
<term>CAR</term>
<def>
<p>chimeric antigen receptor</p>
</def>
</def-item>
<def-item>
<term>CLL</term>
<def>
<p>chronic lymphocytic leukemia</p>
</def>
</def-item>
<def-item>
<term>CRBN</term>
<def>
<p>cereblon</p>
</def>
</def-item>
<def-item>
<term>CRC</term>
<def>
<p>colorectal carcinoma</p>
</def>
</def-item>
<def-item>
<term>CTLA4</term>
<def>
<p>cytotoxic T lymphocyte-associated protein 4</p>
</def>
</def-item>
<def-item>
<term>DAMP</term>
<def>
<p>damage-associated molecular pattern</p>
</def>
</def-item>
<def-item>
<term>DC</term>
<def>
<p>dendritic cell</p>
</def>
</def-item>
<def-item>
<term>EGFR</term>
<def>
<p>epidermal growth factor receptor</p>
</def>
</def-item>
<def-item>
<term>EMA</term>
<def>
<p>European Medicines Agency</p>
</def>
</def-item>
<def-item>
<term>FCGR2A</term>
<def>
<p>Fc fragment of IgG, low affinity IIa, receptor</p>
</def>
</def-item>
<def-item>
<term>FCGR3A</term>
<def>
<p>Fc fragment of IgG, low affinity IIIa, receptor</p>
</def>
</def-item>
<def-item>
<term>FDA</term>
<def>
<p>Food and Drug Administration</p>
</def>
</def-item>
<def-item>
<term>GM-CSF</term>
<def>
<p>granulocyte macrophage colony-stimulating factor</p>
</def>
</def-item>
<def-item>
<term>HCL</term>
<def>
<p>hairy cell leukemia</p>
</def>
</def-item>
<def-item>
<term>HNC</term>
<def>
<p>head and neck cancer</p>
</def>
</def-item>
<def-item>
<term>HPV</term>
<def>
<p>human papillomavirus</p>
</def>
</def-item>
<def-item>
<term>HSCT</term>
<def>
<p>hematopoietic stem cell transplantation</p>
</def>
</def-item>
<def-item>
<term>HSP</term>
<def>
<p>heat shock protein</p>
</def>
</def-item>
<def-item>
<term>ICD</term>
<def>
<p>immunogenic cell death</p>
</def>
</def-item>
<def-item>
<term>IDO1</term>
<def>
<p>indoleamine 2,3-dioxigenase 1</p>
</def>
</def-item>
<def-item>
<term>IFN</term>
<def>
<p>interferon</p>
</def>
</def-item>
<def-item>
<term>IKZF</term>
<def>
<p>IKAROS family zinc finger</p>
</def>
</def-item>
<def-item>
<term>IL</term>
<def>
<p>interleukin</p>
</def>
</def-item>
<def-item>
<term>IMiD</term>
<def>
<p>immunomodulatory drug</p>
</def>
</def-item>
<def-item>
<term>KIR</term>
<def>
<p>killer cell immunoglobulin-like receptor</p>
</def>
</def-item>
<def-item>
<term>Kyn</term>
<def>
<p>
<italic>L</italic>
-kynurenine</p>
</def>
</def-item>
<def-item>
<term>LPS</term>
<def>
<p>lipopolysaccharide</p>
</def>
</def-item>
<def-item>
<term>mAb</term>
<def>
<p>monoclonal antibody</p>
</def>
</def-item>
<def-item>
<term>MCL</term>
<def>
<p>mantle cell lymphoma</p>
</def>
</def-item>
<def-item>
<term>NLR</term>
<def>
<p>NOD-like receptors</p>
</def>
</def-item>
<def-item>
<term>NK</term>
<def>
<p>natural killer</p>
</def>
</def-item>
<def-item>
<term>PBL</term>
<def>
<p>peripheral blood lymphocyte</p>
</def>
</def-item>
<def-item>
<term>PRR</term>
<def>
<p>pattern recognition receptor</p>
</def>
</def-item>
<def-item>
<term>RCC</term>
<def>
<p>renal cell carcinoma</p>
</def>
</def-item>
<def-item>
<term>TAA</term>
<def>
<p>tumor-associated antigen</p>
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</def-item>
<def-item>
<term>TAM</term>
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<def-item>
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