Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: Where the Preclinical Rationale Holds

Authors

  • Hjalmar Runarsdottir Centre for Translational Immunology, Arnessysla Institute of Translational Medicine, Hveragerdi, Iceland Author
  • Karl Micallef Department of Medical Oncology, Qormi Institute of Translational Medicine, Qormi, Malta Author
  • Rokas Baltrunas Centre for Preclinical Modelling, Zanavykai Institute of Molecular Therapeutics, Sakiai, Lithuania Author

DOI:

https://doi.org/10.5281/zenodo.22649559

Keywords:

Tumour Microenvironment Modulation to Overcome Checkpoint Resistance, Translational medicine; Evidence synthesis; Clinical implementation; Health services research

Abstract

Tumour Microenvironment Modulation to Overcome Checkpoint Resistance is an area of active development in translational
medicine, with evidence that has accumulated unevenly across its component questions. We review the current evidence base for
tumour microenvironment modulation to overcome checkpoint resistance, spanning analytical, clinical, implementation,
governance, and economic dimensions, focusing on where practice has converged and where it continues to vary, and set out the
practical considerations relevant to a service considering its adoption. We conclude that selective, context-specific use is best
supported by the evidence currently available, rather than uniform adoption or avoidance.

References

Alvez D, Dumitrescu A, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". J Transl Med 8(2011): 80-86. DOI: 10.7759/cureus.46454

Brankovic K, Kowalczyk B, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". Clin Pharmacol Ther 10(2014): 91-98. DOI: 10.1016/j.ssci.2025.107028

Castellani R, Ristic C, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". Nat Rev Drug Discov 12(2017): 102-110. DOI: 10.2196/48633

Dumitrescu A, Andric D, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". Trials 14(2020): 113-122. DOI: 10.1371/journal.pone.0305949

Eriksdottir B, Brankovic E, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". Drug Discov Today 16(2023): 124-134. DOI: 10.1371/journal.pdig.0000514

Farkas I, Ionescu F, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a consensus statement". Clin Cancer Res 18(2011): 135-146. DOI: 10.17219/acem/208596

Grabowski P, Petrescu G, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a retrospective analysis". BMJ Open 20(2014): 146-158. DOI: 10.7759/cureus.104086

Hendriksen W, Wojcik H, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a validation study". J Clin Epidemiol 22(2017): 157-170. DOI: 10.1038/s41746-023-00852-5

Ionescu F, Foscarini I, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a scoping review". Contemp Clin Trials 24(2020): 168-182. DOI:

1016/j.mayocpiqo.2022.09.004 10. Jankowiak G, Grabowski J, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a health-economic analysis". Ther Innov Regul Sci 26(2023): 179-185. DOI: 10.1177/08404704241291226

Kowalczyk N, Novotna K, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". Br J Clin Pharmacol 28(2011): 190-197. DOI: 10.1093/medlaw/fwad013

Lindqvist U, Urbanek L, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". PLoS Med 30(2014): 201-209. DOI: 10.2196/89834

Marchetti D, Doncheva M, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". Lancet 32(2017): 212-221. DOI: 10.1007/s10916-024-02104-9

Novotna E, Eriksdottir N, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". N Engl J Med 34(2020): 223-233. DOI: 10.3389/fdgth.2026.1896184

Ostrowski L, Lindqvist O, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". JAMA 36(2023): 234-245. DOI: 10.3390/diagnostics15162117

Petrescu S, Szabo P, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a consensus statement". Nat Med 38(2011): 245-257. DOI: 10.4103/jrpp.jrpp_20_65

Quintero B, Balogh Q, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a retrospective analysis". Cell Rep Med 40(2014): 256-269. DOI: 10.3389/fdgth.2026.1763884

Ristic C, Castellani R, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a validation study". Clin Transl Sci 42(2017): 267-281. DOI: 10.2196/48297

Szabo J, Jankowiak S, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a scoping review". Pharmacogenomics J 44(2020): 278-284. DOI: 10.1007/s00330-025-12031-z

Tarasov Q, Quintero T, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a health-economic analysis". Regul Toxicol Pharmacol 46(2023): 289-296. DOI: 10.3389/fdgth.2026.1699005

Urbanek Z, Zielinski U, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". Drug Saf 8(2011): 300-308. DOI: 10.3389/fdgth.2026.1834800

Vasquez A, Alvez V, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". Ann Intern Med 10(2014): 311-320. DOI: 10.2196/69678

Wojcik H, Hendriksen W, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". BMC Med 12(2017): 322-332. DOI: 10.7759/cureus.46454

Zielinski O, Ostrowski Z, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". Sci Transl Med 14(2020): 333-344. DOI: 10.1016/j.ssci.2025.107028

Andric V, Vasquez A, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". J Transl Med 16(2023): 344-356. DOI: 10.2196/48633

Balogh E, Emmerich B, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a consensus statement". Clin Pharmacol Ther 18(2011): 355-368. DOI: 10.1371/journal.pone.0305949

Chiriac F, Farkas C, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a retrospective analysis". Nat Rev Drug Discov 20(2014): 366-380. DOI: 10.1371/journal.pdig.0000514

Doncheva M, Marchetti D, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a validation study". Trials 22(2017): 377-383. DOI: 10.17219/acem/208596

Emmerich T, Tarasov E, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a scoping review". Drug Discov Today 24(2020): 388-395. DOI: 10.7759/cureus.104086

Foscarini C, Chiriac F, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a health-economic analysis". Clin Cancer Res 26(2023): 399-407. DOI: 10.1038/s41746-023-00852-5

Alvez D, Dumitrescu A, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". BMJ Open 28(2011): 410-419. DOI: 10.1016/j.mayocpiqo.2022.09.004

Brankovic K, Kowalczyk B, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". J Clin Epidemiol 30(2014): 421-431. DOI: 10.1177/08404704241291226

Castellani R, Ristic C, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". Contemp Clin Trials 32(2017): 432-443. DOI: 10.1093/medlaw/fwad013

Dumitrescu A, Andric D, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". Ther Innov Regul Sci 34(2020): 443-455. DOI: 10.2196/89834

Eriksdottir B, Brankovic E, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". Br J Clin Pharmacol 36(2023): 454-467. DOI: 10.1007/s10916-024-02104-9

Farkas I, Ionescu F, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a consensus statement". PLoS Med 38(2011): 465-479. DOI: 10.3389/fdgth.2026.1896184

Grabowski P, Petrescu G, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a retrospective analysis". Lancet 40(2014): 476-482. DOI: 10.3390/diagnostics15162117

Hendriksen W, Wojcik H, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a validation study". N Engl J Med 42(2017): 487-494. DOI: 10.4103/jrpp.jrpp_20_65

Ionescu F, Foscarini I, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a scoping review". JAMA 44(2020): 498-506. DOI: 10.3389/fdgth.2026.1763884

Jankowiak G, Grabowski J, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a health-economic analysis". Nat Med 46(2023): 509-518. DOI: 10.2196/48297

Kowalczyk N, Novotna K, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". Cell Rep Med 8(2011): 520-530. DOI: 10.1007/s00330-025-12031-z

Lindqvist U, Urbanek L, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". Clin Transl Sci 10(2014): 531-542. DOI: 10.3389/fdgth.2026.1699005

Marchetti D, Doncheva M, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". Pharmacogenomics J 12(2017): 542-554. DOI: 10.3389/fdgth.2026.1834800

Novotna E, Eriksdottir N, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". Regul Toxicol Pharmacol 14(2020): 553-566. DOI: 10.2196/69678

Ostrowski L, Lindqvist O, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". Drug Saf 16(2023): 564-578. DOI: 10.7759/cureus.46454

Petrescu S, Szabo P, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a consensus statement". Ann Intern Med 18(2011): 575-581. DOI: 10.1016/j.ssci.2025.107028

Quintero B, Balogh Q, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a retrospective analysis". BMC Med 20(2014): 586-593. DOI: 10.2196/48633

Ristic C, Castellani R, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a validation study". Sci Transl Med 22(2017): 597-605. DOI: 10.1371/journal.pone.0305949

Szabo J, Jankowiak S, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a scoping review". J Transl Med 24(2020): 608-617. DOI: 10.1371/journal.pdig.0000514

Tarasov Q, Quintero T, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a health-economic analysis". Clin Pharmacol Ther 26(2023): 619-629. DOI: 10.17219/acem/208596

Urbanek Z, Zielinski U, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a systematic review". Nat Rev Drug Discov 28(2011): 630-641. DOI: 10.7759/cureus.104086

Vasquez A, Alvez V, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a methodological appraisal". Trials 30(2014): 641-653. DOI: 10.1038/s41746-023-00852-5

Wojcik H, Hendriksen W, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a multicentre analysis". Drug Discov Today 32(2017): 652-665. DOI: 10.1016/j.mayocpiqo.2022.09.004

Zielinski O, Ostrowski Z, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a prospective cohort study". Clin Cancer Res 34(2020): 663-677. DOI: 10.1177/08404704241291226

Andric V, Vasquez A, et al. "Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: a randomised evaluation". BMJ Open 36(2023): 674-680. DOI: 10.1093/medlaw/fwad013

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Published

2026-04-21

How to Cite

Tumour Microenvironment Modulation to Overcome Checkpoint Resistance: Where the Preclinical Rationale Holds. (2026). Translational Medicine & Therapeutics Journal, 5(2), 28-36. https://doi.org/10.5281/zenodo.22649559

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