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Continuing Medical Education (CME) credits no longer available.

Joint meeting: Cancer and Inflammation (J5) (Registration for one meeting allows attendance at either meeting, pending space availability.)
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CancerImmunology

LANGUAGE NOTE: This meeting will be conducted in English.
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Meeting Program

To view program in "24 hour" time (international) click here.


Sunday, February 7
3:00 - 7:30 PM Registration Longs Peak Foyer
6:30 - 7:30 PM Refreshments Longs Peak Foyer
7:30 - 9:30 PM Keynote Session (Joint)
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays/Longs Peak
* Nina Bhardwaj, New York University School of Medicine, USA
* Dmitry I. Gabrilovich, University of South Florida, USA
* George C. Prendergast, Lankenau Institute for Medical Research, USA
* Giorgio Trinchieri, National Cancer Institute at Frederick, USA
Robert D. Schreiber, Washington University School of Medicine, USA
Co-Evolution of Immunoediting on Oncogenesis during Tumor Formation
Frances R. Balkwill, Queen Mary University of London, Barts and The London Medical School, UK
Inflammatory Cytokines and Autocrine Tumor-Promoting Networks
Monday, February 8
7:00 - 8:00 AM Breakfast Quandary
8:00 - 11:15 AM Tumor Microenvironment and Immune Escape (Joint)
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session will be focused on how stromal cells, inflammation, and angiogenesis support malignant progression, highlighting crucial roles for immune cells in contributing to these processes.
Grays/Longs Peak
* Robert D. Schreiber, Washington University School of Medicine, USA
Lisa M. Coussens, University of California, San Francisco, USA
Role of Inflammation in Tumor Progression
Claire E. Lewis, University of Sheffield Medical School, UK
Role of Macrophages in Tumor Progression and Response to Therapy
Arya Biragyn, National Institute of Aging, National Institutes of Health, USA
Short Talk: Primary Breast Cancer Actively Generates Regulatory T and B Cells (Tregs and Bregs) to Facilitate Lung Metastasis
Gerard I. Evan, University of California, San Francisco, USA
Immune Function and Angiogenesis in Myc-mediated Tumor Formation
Hans Schreiber, University of Chicago, USA
The Role of Tumor Stroma in Immune Escape of Cancer
Alexander J. Muller, Lankenau Institute for Medical Research, USA
Short Talk: IDO Contributes to Pathologies Associated with Chronic Inflammation
9:20 - 9:40 AM Coffee Break Longs Peak Foyer
11:15 AM- On Own for Lunch and Recreation
11:15 AM- 1:00 PM Poster Setup Quandary
1:00 - 10:00 PM Poster Viewing Quandary
2:30 - 4:30 PM Workshop 1: Regulation of Immune Escape by Microenvironment


NOTE: This session will deepen understanding of the critical role of the tumor microenvironment in driving malignant progression.
Longs Peak
* Dmitry I. Gabrilovich, University of South Florida, USA
Esteban Celis, Moffitt Cancer Center, USA
Interferon-gamma Induced T Cell Epitope Purging: Another Mode of Tumor Immune Escape?
Cassie K. Chou, University of Washington, USA
Abrogation of TGFbeta Signaling Leads to Increased Persistence of Prostate Self/Tumor Antigen Specific CD8 T Cells but does not Completely Prevent Tolerization
Stephanie Watkins, National Cancer Institute, National Institutes of Health, USA
Prostate Tumor-Associated Dendritic Cell Induction of Tolerance and Suppressor Activity in Tumor-Infiltrating CTLs is Associated with FOXO3a Expression
Courtney Smith, Lankenau Institute for Medical Research, USA
Indoleamine 2,3-Dioxygenase (IDO) Supports Metastatic Outgrowth of the 4T1 Breast Cancer Mouse Model
Sheng Wei, Moffitt Cancer Center, USA
Myeloid-Derived Suppressor Cells (MDSC) are Effectors of Bone Marrow Suppression in Lower Risk Myelodysplastic Syndromes (MDS)
Michael S. Leibowitz, University of Pittsburgh, USA
TAP1/2 Downregulation and CTL Evasion is Independent of STAT3 Activation in Head and Neck Cancer Cells
4:30 - 5:00 PM Coffee Available Longs Peak Foyer
5:00 - 7:00 PM Antigen-Specific Mechanisms of Tumor Escape
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session will be focused on molecular and cellular mechanisms associated with role of antigens in tumor escape. Topics include tumor antigen diversity, molecular mechanisms of defective antigen presentation by tumor cells, dendritic cells and T cell tolerance.
Longs Peak
* Hans Schreiber, University of Chicago, USA
Thomas Blankenstein, Max Delbruck Center for Molecular Medicine, Germany
No Escape
Hyam I. Levitsky, Johns Hopkins School of Medicine, USA
Mechanism of T-Cell Tolerance in Cancer
Richard A. Flavell, Yale University School of Medicine, USA
TGF-beta Signaling in Tumoral Immune Suppression
Andrew D.M. Kaiser, Netherlands Cancer Institute, The Netherlands
Short Talk: Low Tumor-Antigen Density Leads to PD-L1/PD-1 Mediated Suppression of Partially Exhausted CD8+ T Cells
Following Session is for Cancer and Inflammation (J5)
5:00 - 7:00 PM Inflammation in the Tumor Microenvironment
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Frances R. Balkwill, Queen Mary University of London, Barts and The London Medical School, UK
Alberto Mantovani, Istituto Clinico Humanitas, Italy
Tumor Microenvironment: Sculpting the Inflammatory Response during Tumor Formation
Susan E. Erdman, Massachusetts Institute of Technology, USA
Unifying Roles for Regulatory T Cells and Inflammation in Cancer
Li Yang, National Cancer Institute, National Institutes of Health, USA
Short Talk: TGFbeta, an Inflammation and Immune Suppressor in Tumor Progression
7:00 - 8:00 PM Social Hour w/ Lite Bites Quandary
7:30 - 10:00 PM Poster Session 1
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Quandary
Tuesday, February 9
7:00 - 8:00 AM Breakfast Quandary
8:00 - 11:15 AM Myeloid Cells in Immune Suppression and Tumor Progression
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session will focus on the molecular and cellular mechanisms of immunosuppression by different types of myeloid cells.
Longs Peak
* Mario P. Colombo, Fondazione IRCCS Istituto Nazionale Tumori, Italy
Dmitry I. Gabrilovich, University of South Florida, USA
Regulation of Myeloid-Derived Suppressor Cells in Cancer
Suzanne Ostrand-Rosenberg, University of Maryland, USA
Myeloid Cells, Inflammation, and Anti-Tumor Immunity: Not an Auspicious Combination
David R. Gibb, Virginia Commonwealth University, USA
and
Sheinei Jamal Saleem, Virginia Commonwealth University, USA
Short Talk: A Novel Model of Myeloid-Derived Suppression of the Anti-Tumor Response: Overexpression of ADAM10 Promotes Myeloid-Derived Suppressor Cell Expansion in a Tumor-Free Environment
Vincenzo Bronte, Istituto Oncologico Veneto, Italy
Forced Myelopoiesis and Immune Deviation in Cancer
Ling Qi, Cornell University, USA
Short Talk: The Metabolic Function of Myeloid-Derived Suppressor Cells in Obesity
Cong Yan, Indiana University School of Medicine, USA
Short Talk: Apoptotic Inhibition of Myeloid Cells Causes MDSC Expansion and Lung Tumorigenesis
Anna Wasiuk, Dartmouth College, USA
Short Talk: Mast Cells as Regulators of Adaptive Immunity to Tumors
Following Session is for Cancer and Inflammation (J5)
8:00 - 11:15 AM Inflammation and Carcinogenesis
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Alberto Mantovani, Istituto Clinico Humanitas, Italy
Eva M. Hernando, New York University Cancer Center, USA
miRNAs that Contribute to Melanoma Metastasis by Modulating Immune Evasion
Yinling Hu, National Cancer Institute at Frederick, USA
Role of IKKalpha in Skin Cancer
Pauline M. Andreu, University of California San Francisco, USA
Short Talk: FcRgamma Activation Regulates Inflammation-Associated Squamous Carcinogenesis
Giorgio Trinchieri, National Cancer Institute at Frederick, USA
Innate Resistance and Cancerogenesis
Carlos Bais, Genentech, Inc., USA
Stromal Cells and VEGF-Independent Angiogenesis
Brendan J. Jenkins, Monash Institute of Medical Research, Australia
Short Talk: Deregulated Cytokine Signaling as a Crucial Bridge Linking Pathogen-Driven Gastric Inflammation and Tumorigenesis
9:20 - 9:40 AM Coffee Break Longs Peak Foyer
11:15 AM- On Own for Lunch and Recreation
11:15 AM- 1:00 PM Poster Setup Quandary
1:00 - 10:00 PM Poster Viewing Quandary
4:30 - 5:00 PM Coffee Available Longs Peak Foyer
5:00 - 7:00 PM Regulatory T and NKT Cells in Immune Escape
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session is focused on molecular and cellular mechanisms of regulatory T cell function in cancers. Specific topics can include novel findings on the role of classical Treg in cancer, different types of Tregs, and role of NKT.
Longs Peak
* Vincenzo Bronte, Istituto Oncologico Veneto, Italy
Harald von Boehmer, Harvard Medical School, USA
In vivo Induction of Antigen-Specific Regulatory T Cells to Prevent Unwanted Immunity
Rong-Fu Wang, Baylor College of Medicine, USA
Immunosuppressive gammadelta Treg and other Immune Cells and their Functional Regulation through Innate Immune Signaling
Mario P. Colombo, Fondazione IRCCS Istituto Nazionale Tumori, Italy
OX40 Costimulation in Treg Functions
Jay A. Berzofsky, National Cancer Institute, National Institutes of Health, USA
Short Talk: Tipping the Balance in the NKT Cell Regulation of Tumor Immunity
Following Session is for Cancer and Inflammation (J5)
5:00 - 7:00 PM Innate Resistance and Tumor Escape
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Nina Bhardwaj, New York University School of Medicine, USA
David H. Raulet, University of California, Berkeley, USA
NKG2D, NKG2D Ligands and Spontaneous Malignancy
Laurence Zitvogel, Institut Gustave Roussy, France
NKp30/NCR3 Isoforms and Prognosis of Human Malignancies: Revisiting the DC/NK Cross Talk
Mark J. Smyth, Peter MacCallum Cancer Centre, Australia
Suppression and Innate Immune Surveillance
7:00 - 8:00 PM Social Hour w/ Lite Bites Quandary
7:30 - 10:00 PM Poster Session 2
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Quandary
Wednesday, February 10
7:00 - 8:00 AM Breakfast Quandary
8:00 - 11:15 AM Transcriptional Regulation of Immune Escape (Joint)
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: Session will discuss regulation of gene expression implicated in tumor progression and immune escape, including possible modifier effects and relationship to metastastic efficiency.
Grays/Longs Peak
* George C. Prendergast, Lankenau Institute for Medical Research, USA
Hua E. Yu, Beckman Research Institute, City of Hope, USA
STATs in Cancer Inflammation and Immune Escape: A Leading Role for Stat3
Erwin F. Wagner, Spanish National Cancer Research Centre, Spain
Functions of AP-1 (Fos/Jun) in Inflammation and Cancer
Mitsugu Fujita, University of Pittsburgh Cancer Institute, USA
Short Talk: Type-1 Interferons Play a Pivotal Role in Anti-glioma Immunosurveillance
Thomas F. Gajewski, University of Chicago, USA
T Cell Dysfunction in the Tumor Microenvironment as a Mechanism of Tumor Escape
Michael Karin, University of California, San Diego, USA
NF-kappaB in Inflammation, Progression and Immune Response
Jahan Khalili, MD Anderson Cancer Center, USA
Short Talk: The Role of B-raf V600E Mutation on PD-1 Ligand Expression in Melanocytic nevi
9:20 - 9:40 AM Coffee Break Longs Peak Foyer
11:15 AM- On Own for Lunch and Recreation
11:15 AM- 1:00 PM Poster Setup Quandary
1:00 - 10:00 PM Poster Viewing Quandary
2:30 - 4:30 PM Workshop 2: Tumor Recruitment of Immune Cells: Roles in Tumor Progression and Immune Escape


NOTE: Consider roles for MDSCs, B cells, mast cells, microvesicle transfer, etc.
Longs Peak
* Michael R. Shurin, University of Pittsburgh, USA
Philippe Foubert, University of California, San Diego, USA
Blockade of Myeloid Cell Trafficking by Inhibiting a PI3-Kinase gamma-alpha4 Integrin Activation Pathway Stimulates Anti-Tumor Immunity
Srinivas Nagaraj, University of South Florida, College of Medicine, USA
Regulation of Myeloid-Derived Suppressor Cell Activity in Cancer by CD4+ T Cells
Melody A. Swartz, Swiss Federal Institute of Technology (EPFL), Switzerland
Lymph Node Mimicry by Tumors Promotes Immunological Tolerance
Luca Vago, IRCCS H San Raffaele, Italy
Loss of Mismatched HLA as a Mechanism of Leukemia Immune Escape in Family Haploidentical and Unrelated HSCT
Rongcun Yang, Nankai University, China
Suppressor of Cytokine Signaling-3 (SOCS3) Downregulates the Ability of Pyruvate Kinase Type M2 to Cause Dendritic Cell Dysfunction
George Coukos, University of Pennsylvania, USA
Hypoxia Recruits Regulatory T Cells via the CCL28 Chemokine to Promote Tolerance and Angiogenesis in Cancer
4:30 - 5:00 PM Coffee Available Longs Peak Foyer
5:00 - 7:00 PM Immune Inhibitory Receptors in Cancer
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Longs Peak
* Augusto C. Ochoa, Louisiana State University Health Sciences Center, USA
Lieping Chen, Johns Hopkins School of Medicine, USA
Co-Stimulatory Control of Tumor Immunity and Autoimmunity
Drew M. Pardoll, Johns Hopkins School of Medicine, USA
Mechanism of T-Cell Tolerance in Cancer Mediated by Inhibitory Receptors
Michael R. Shurin, University of Pittsburgh, USA
Dendritic Cells in Immune Escape in Cancer
Daniel Hirschhorn-Cymerman, Memorial Sloan-Kettering Cancer Center, USA
Short Talk: OX40 Engagement and Chemotherapy Combination Provides Potent Anti-Tumor Immunity with Concomitant Regulatory T Cell Apoptosis
Following Session is for Cancer and Inflammation (J5)
5:00 - 7:00 PM Innate Receptors, Cancer and Inflammation
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Mark J. Smyth, Peter MacCallum Cancer Centre, Australia
Xiaoxia Li, Cleveland Clinic Foundation, USA
SIGIRR-Mediated Tumor Suppression
Felix Yarovinsky, University of Texas Southwestern Medical Center, USA
Short Talk: A Novel Transgenic Mouse Model for Chronic Inflammation: Linking Toll-like Receptor (TLR) Responses with Carcinogenesis
Nina Linde, German Cancer Research Center (DKFZ), Germany
Inflammation in Epithelial Skin Tumors
Irving Coy Allen, University of North Carolina at Chapel Hill, USA
Short Talk: NLRP3 is an Essential Regulator of Interleukin-1beta and Interleukin-18 during Inflammation Driven Colon Tumorigenesis
7:00 - 8:00 PM Social Hour w/ Lite Bites Quandary
7:30 - 10:00 PM Poster Session 3
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Quandary
Thursday, February 11
7:00 - 8:00 AM Breakfast Quandary
8:00 - 11:15 AM Metabolic Pathways Involved in Immune Escape
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session will be focused on the role of metabolism of carbohydrates, lipids, arginine, tryptophan, and exosomes in tumor escape.
Longs Peak
* Drew M. Pardoll, Johns Hopkins School of Medicine, USA
David H. Munn, Medical College of Georgia, USA
Indoleamine 2,3-Dioxygenase in Tumor Immune Escape
Gabriel A. Rabinovich, Instituto de Biologia y Medicina Experimental, Argentina
'Turning Sweet' on Immunity: Galectin-Glycan Interactions in T-Cell and Dendritic Cell Physiology
Linglin Yang, University of Maryland, Baltimore County, USA
Short Talk: Indoleamine 2,3-Dioxygenase (IDO) Contributes to Myeloid-Derived Suppressor Cell- Mediated Tumor Suppression through Interleukin-6 Signaling Pathway
Augusto C. Ochoa, Louisiana State University Health Sciences Center, USA
Arginine Depletion by MDSC in vivo, a Mechanism of Tumor Escape
Licia Rivoltini, Fondazione IRCCS Istituto Nazionale Tumori, Italy
Tumor-Derived Microvesicles and Immune Defects in Human Cancer
Jonathan D. Silk, University of Oxford, UK
Short Talk: A Novel Amino Acid Transporter Induced by Expression of Indoleamine 2,3 Dioxygenase in Tumors
Following Session is for Cancer and Inflammation (J5)
8:00 - 11:00 AM Dendritic Cells and Macrophages in Cancer
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Laurence Zitvogel, Institut Gustave Roussy, France
Nina Bhardwaj, New York University School of Medicine, USA
Modulating Inflammatory Dendritic Cell Responses against Cancer
Shannon J. Turley, Dana Farber Cancer Institute, Harvard Medical School, USA
Novel Aspects of Tolerance in the Tumor Microenvironment
Miriam Merad, Mount Sinai Medical Center, USA
Functional Diversity of Tumor Infiltrating Dendritic Cells
Ana Carrizosa Anderson, Harvard Medical School, USA
New Roles for TIM Family Members in Immune Regulation
Emmanuelle Godefroy, New York University, School of Medicine, USA
Short Talk: MMP-2 Conditions Dendritic Cells to Prime Inflammatory TH2 Cells via an IL-12 and OX40L-Dependent Pathway
9:20 - 9:40 AM Coffee Break Longs Peak Foyer
11:15 AM- On Own for Lunch and Recreation
2:30 - 4:30 PM Workshop 3: Novel Strategies to Reverse Immune Escape in Cancer


NOTE: Will discuss novel approaches to reversal of immune defects in cancer. Topics may include cytokines supporting productive immune response, block of inhibitory cytokines and receptors, regulation of immune responses via toll-like receptors, etc.
Longs Peak
* Elizabeth M. Jaffee, Johns Hopkins University, USA
Juan R. Cubillos-Ruiz, Dartmouth Medical School, USA
siRNA Delivery through Novel TLR5-Agonist Polyethylenimine Reprograms Tumor-Associated Regulatory Dendritic Cells to Elicit Therapeutic Immunity
Viktor Umansky, German Cancer Research Center, Germany
Blocking of Myeloid Derived Suppressor Cell (MDSC) Functions Results in Antitumor Effects in Ret Transgenic Mouse Melanoma Model
Xiangdong Liu, Incyte Corporation, USA
INCB24360, a Potent and Selective Inhibitor of Indoleamine 2,3-dioxygenase (IDO) for Cancer Immunotherapy
Ge Ma, Mount Sinai School of Medicine, USA
Paired Immunoglobin Like Receptor-B (PIRB) Regulates the Suppressive Function and M1 versus M2 Differentiation of MDSC
Carl E. Ruby, Earle A. Chiles Research Institute, USA
Characterizing the Effect of Aging in Tumor-Bearing Hosts Treated with OX40 Agonists
Thorbald van Hall, Leiden University Medical Center, The Netherlands
A Novel Category of Tumor Antigens Enable CTL Immunity to Tumor Escape Variants
4:30 - 5:00 PM Coffee Available Longs Peak Foyer
5:00 - 7:15 PM Therapeutic Development to Correct Immune Escape in Cancer
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010

NOTE: This session will discuss preclinical and clinical development of different approaches to counter immune suppressive mechanisms in cancer.
Longs Peak
* Hyam I. Levitsky, Johns Hopkins School of Medicine, USA
George C. Prendergast, Lankenau Institute for Medical Research, USA
Regulation and Therapeutic Inhibition of IDO/IDO2 in Cancer
Jedd D. Wolchok, Memorial Sloan-Kettering Cancer Center, USA
Therapeutic Regulation of Immune Responses in Cancer Patients Using CTLA-4 Antibodies
Elizabeth M. Jaffee, Johns Hopkins University, USA
Vaccine Induced Immune Responses and the Pancreatic Tumor Microenvironment
Jeffrey Weber, H. Lee Moffitt Cancer Center, USA
Regulation of Immune Responses in Cancer via Checkpoint Blockade of Negative Receptors in Melanoma
Following Session is for Cancer and Inflammation (J5)
5:00 - 7:00 PM Cytokines in the Tumor Microenvironment
Registered attendees for this meeting can view Abstracts for this session starting on 01/07/2010
Grays Peak
* Giorgio Trinchieri, National Cancer Institute at Frederick, USA
Jacqueline Bromberg, Memorial Sloan Kettering Cancer Center, USA
The IL-6/Stat3 Signaling Pathway Promotes Mammary Tumorigenesis and Metastases
Martin Oft, Merck, USA
Switching Tumor Promoting Inflammation into Tumor Immune Surveillance
Charles Drake, Johns Hopkins University, USA
Th17 Cells in Tumors
Jiyoung Park, University of Texas Southwestern Medical Center, USA
Short Talk: Peripheral Leptin Promotes Mammary Tumor Progression and Metastasis through Activation of the Jak2/STAT3 Pathway in vivo
7:15 - 8:15 PM Social Hour w/ Lite Bites Quandary
8:15 - 11:00 PM Entertainment Quandary
Friday, February 12
Departure
      *=Session Chair     †=Speaker invited, not yet responded.



Keystone Symposia would like to thank the sponsors of this meeting for their generous support:

We gratefully acknowledge additional support for this conference from:


The Directors' Fund

These generous unrestricted gifts allow our Directors to schedule meetings in a wide variety of important areas, many of which are in the early stages of research.

Click here to view all of the donors who support the Directors' Fund.



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It is now widely recognized that the immune microenvironment of a tumor provides critical support in determining its progression versus dormancy or destruction. To gain immune benefits the tumor must evolve mechanisms of immune escape. Study of this crucial process requires cross-fertilization between molecular cell biologists and tumor immunologists who do not tend to interact. This problem is also integrated with the problem of cancer inflammation that has captured the attention of tumor biologists focused on transgenic mouse models and clinical settings. Thus, we propose a unique conference – the first of its kind – to integrate perspectives from a diverse set of researchers in cancer, immunology, and molecular therapeutics and to focus specifically on immune escape and tumor-induced immune suppression as a multidisciplinary problem. Cancer is initiated by the accumulation of genetic and epigenetic changes in a normal cell, but its progression depends on the stromal and immune microenvironment of the initiated cell. While intrinsic signals within the initiated cell drive neoplastic transformation and genomic plasticity, extrinsic signals delivered by immune cells are critical in dictating whether progression versus dormancy or destruction of an initiated lesion takes place, and also whether metastasis may occur. The high degree of genomic plasticity in cancer cells permits them to develop sophisticated ways to prevent the immune system from recognizing and eliminating tumor cells. It has become increasingly clear in recent years that abnormalities in the immune system that are induced by tumors not only hamper natural anti-tumor immune surveillance but also limit the efficacy of immunotherapy and even traditional chemotherapy and radiotherapy. Thus, tumor-induced immune abnormalities may not only impact the clinical course of disease but also the prospects for its therapeutic management. Recent results indicate that we are on the verge of a real breakthrough in our understanding of how tumors thwart the immune system and how correcting immune escape could vastly improve cancer therapy. However, at present the available mechanistic information presents a somewhat convoluted picture that includes some seemingly contradictory elements. While this situation is a natural stage of development in the field, there is nevertheless a pressing need to define key questions and organize their development in coherent ways that can speed improvements in cancer therapy.