Impact of Viral Infections on Immune Microenvironment Alterations and Responses to Immune Checkpoint Therapy: Interactions Between Infection, Immunity, and Cancer - Report - MDSpire

Impact of Viral Infections on Immune Microenvironment Alterations and Responses to Immune Checkpoint Therapy: Interactions Between Infection, Immunity, and Cancer

  • By

  • Guangying Wang

  • Feiyin Chen

  • Runda Zhao

  • Zhuoqi Liu

  • Xiaohong Yang

  • Daya Luo

  • April 27, 2026

  • 0 min

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Impact of Viral Infections on Immune Microenvironment Alterations and Responses to Immune Checkpoint Therapy

Overview

This review highlights how viral infections can significantly alter the immune microenvironment and influence the efficacy of immune checkpoint inhibitors (ICIs) in cancer therapy. It emphasizes the dual role of viral infections in potentially enhancing antitumor immune responses while also posing risks such as viral reactivation.

Background

The integration of immune checkpoint inhibitors has transformed cancer treatment, yet their effectiveness can be compromised by concurrent viral infections. Viruses such as HBV, HCV, HIV, HPV, and EBV not only contribute to tumor development but also modulate immune responses, impacting the safety and efficacy of ICIs. Understanding these interactions is crucial for optimizing treatment strategies in patients with virus-associated malignancies.

Data Highlights

This review does not contain specific numerical data or trial results.

Key Findings

  • Viral infections can lead to persistent antigen exposure and T cell exhaustion, affecting the tumor immune landscape.
  • Patients with viral infections may experience improved antitumor immune function when treated with ICIs.
  • There is a risk of viral reactivation in patients receiving ICIs, particularly in the context of immune-related adverse events.
  • Virus-specific immune profiling may help guide personalized treatment strategies for patients undergoing ICI therapy.
  • Combination therapies integrating ICIs and antiviral treatments may optimize patient outcomes.

Clinical Implications

Healthcare professionals should consider the presence of viral infections when administering ICIs, as these infections can alter treatment responses and safety profiles. Implementing virus-specific immune profiling and monitoring for viral reactivation can enhance patient management and treatment efficacy.

Conclusion

The interplay between viral infections and immune checkpoint therapy underscores the need for a nuanced approach in treating cancer patients with concurrent viral infections. Optimizing treatment strategies can lead to better outcomes and reduced risks associated with immunotherapy.

References

  1. Ogishi et al, Immunity, 2024 -- Study May Illuminate Cause of Common Checkpoint Inhibitor Adverse Effect
  2. Blood Cancer Journal, 2026 -- Immune escape mechanisms and therapeutic advances in virus-associated hematological malignancies
  3. The ASCO Post, 2018 -- Expression of Endogenous Retroviruses May Explain Response to Immune Checkpoint Therapy in Renal Cell Cancer
  4. Journal of Gastroenterology, 2020 -- Modulating the Immune Environment in Cancers of the Gastrointestinal Tract
  5. American Gastroenterological Association -- Prevention and treatment of hepatitis B reactivation
  6. Incidence of severe immune-related adverse reactions in patients with HIV and cancer receiving immune checkpoint inhibitors: a systematic review and meta-analysis - PMC
  7. Prevention and treatment of hepatitis B reactivation - American Gastroenterological Association
  8. Incidence of severe immune-related adverse reactions in patients with HIV and cancer receiving immune checkpoint inhibitors: a systematic review and meta-analysis - PMC
  9. Efficacy and safety of induction immunotherapy plus chemotherapy in patients with locoregionally advanced nasopharyngeal carcinoma: a meta-analysis | British Journal of Cancer

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