Pak Vladimir N
Freelance Researcher, Toronto, Canada.
Ther Deliv. 2018 Jan;9(1):37-46. doi: 10.4155/tde-2017-0073.
Alpha-fetoprotein is a shuttle protein that delivers nutrients through receptor-mediated endocytosis to embryotic cells. In adults, alpha-fetoprotein can shuttle drugs into alpha-fetoprotein receptor-positive myeloid-derived suppressor, regenerating and also cancer cells. Drugs with high-binding affinity to alpha-fetoprotein can activate or deplete targeted cells. Myeloid-derived suppressor cells activation leads to immune suppression that can be used for treating autoimmune diseases. On the other hand, toxins delivered by alpha-fetoprotein can damage myeloid-derived suppressor cells and consequently unleash innate and adaptive immunity to destroy cancer cells. Innate immunity natural killers reduce cancer stem cells and metastases. The new alpha-fetoprotein drug noncovalent complexes for immunotherapy change the local immune balance and has potential in oncology, autoimmune and infectious diseases treatment, inflammation, transplantation, vaccination, etc.
甲胎蛋白是一种穿梭蛋白,它通过受体介导的内吞作用将营养物质传递给胚胎细胞。在成年人中,甲胎蛋白可以将药物转运到甲胎蛋白受体阳性的髓系来源抑制细胞、再生细胞以及癌细胞中。与甲胎蛋白具有高结合亲和力的药物可以激活或清除靶向细胞。髓系来源抑制细胞的激活会导致免疫抑制,这可用于治疗自身免疫性疾病。另一方面,由甲胎蛋白递送的毒素会损伤髓系来源抑制细胞,从而释放先天性和适应性免疫以破坏癌细胞。先天性免疫中的自然杀伤细胞可减少癌症干细胞和转移灶。用于免疫治疗的新型甲胎蛋白药物非共价复合物可改变局部免疫平衡,在肿瘤学、自身免疫性疾病和传染病治疗、炎症、移植、疫苗接种等方面具有潜力。