N, MD, Joseph Curry, MD Thomas Jefferson University, Philadelphia, PA, USA DNGR-1/CLEC9A Proteins Biological Activity Correspondence: Joseph Curry ([email protected]) Journal for ImmunoTherapy of Cancer 2018, six(Suppl 1):P489 Background Head and neck squamous cell carcinoma (HNSCC) develops inside a complex cellular microenvironment that promotes tumor development, thus giving many possible therapeutic targets. Amongst these are macrophages, that are abundant in and about tumor tissue, and have been implicated in the growth, improvement, and persistence of HNSCC [1]. However, the relationship among the density and composition of tumor-associated macrophages (TAMs) and clinicopathologic markers of illness is poorly defined [2,3]. Inconsistent findings could possibly be a result of variations in approach to TAM detection. Some authors have measured total macrophage content in tumor tissue, when other people have stained tumor samples for individual subtypes of TAMs, which involve M1 (pro-inflammatory) and M2 (immunosuppressive). Here we assessment the published proof regarding the partnership on the phenotypes of tumor-associated macrophages with HNSCC prognosis. Strategies We conducted a meta-analysis on the existing publications investigating the relationship among TAM density (total and M2 subtype) and T stage, nodal involvement, vascular invasion, lymphatic invasion, and tumor differentiation (Figure 1). A total of thirteen studies had been included (Table 1) [2-14]. Forest plots and danger ratios have been generated to illustrate general effects. Final results Greater density of each total and M2 subtype of TAMs inside the tumor microenvironment is associated with sophisticated T stage, increased prices of nodal positivity, presence of vascular invasion, and presence of lymphatic invasion (p 0.0001; Figures 2-5). There is certainly no significant association among TAM density, either total or M2 subtype, and tumor differentiation (Figure six). Conclusions Increased TAM density, specifically those on the M2 phenotype, correlates with poor clinicopathologic markers in HNSCC and is related with poor clinical prognosis. But, it is unknown no matter whether and how TAMs contribute to poor prognosis in this tumor type. Extra investigation into the mechanisms behind TAM recruitment and polarization will enable define the feasibility of TAM-targeted therapies.References 1. Marcus B, Arenberg D, Lee J, et al. Prognostic things in oral cavity and oropharyngeal squamous cell carcinoma. Cancer. 2004; 101(12):2779-2787.P488 Targeting hIDO1 with 3rd generation antisense oligonucleotides for modulation of your tumor microenvironment Richard Klar, PhD1, Sandra Kallert, PhD2, Tamara Thelemann1, Sven Michel1, Monika Schell3, Lisa Hinterwimmer1, Alfred Zippelius, MD2, Frank Jaschinski, PhD3 1 Secarna pharmaceuticals GmbH Co. KG, Planegg/Martinsried, Germany; Ubiquitin-Conjugating Enzyme E2 Z Proteins Recombinant Proteins 2University of Basel, Division of Biomedicine, Switzerland; three Secarna pharmaceuticlas GmbH Co. KG, Planegg-Martinsried, Germany Correspondence: Frank Jaschinski ([email protected]) Journal for ImmunoTherapy of Cancer 2018, 6(Suppl 1):P488 Background Targeting the immunosuppressive microenvironment of tumors has emerged as a promising therapy selection for oncologic indications in the last years. Nonetheless, in spite of extended lasting remissions within a smaller subset of patients the majority doesn’t respond towards the currently readily available immunotherapies, possibly triggered by the existence of a plethora of immune suppressive factors. Among these factors is indoleamin-2,3-dioxygenase 1.