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下一代模式识别受体激动剂:提高癌症免疫治疗的反应率。

The Next Generation of Pattern Recognition Receptor Agonists: Improving Response Rates in Cancer Immunotherapy.

机构信息

Oncology R&D, AstraZeneca, Cambridge, United Kingdom.

Oncology R&D, AstraZeneca, Waltham, Massachusetts, United States.

出版信息

Curr Med Chem. 2020;27(34):5654-5674. doi: 10.2174/0929867326666190620103105.

Abstract

The recent success of checkpoint blocking antibodies has sparked a revolution in cancer immunotherapy. Checkpoint inhibition activates the adaptive immune system leading to durable responses across a range of tumor types, although this response is limited to patient populations with pre-existing tumor-infiltrating T cells. Strategies to stimulate the immune system to prime an antitumor response are of intense interest and several groups are now working to develop agents to activate the Pattern Recognition Receptors (PRRs), proteins which detect pathogenic and damageassociated molecules and respond by activating the innate immune response. Although early efforts focused on the Toll-like Receptor (TLR) family of membrane-bound PRRs, TLR activation has been associated with both pro- and antitumor effects. Nonetheless, TLR agonists have been deployed as potential anticancer agents in a range of clinical trials. More recently, the cytosolic PRR Stimulator of IFN Genes (STING) has attracted attention as another promising target for anticancer drug development, with early clinical data beginning to emerge. Besides STING, several other cytosolic PRR targets have likewise captured the interest of the drug discovery community, including the RIG-Ilike Receptors (RLRs) and NOD-like Receptors (NLRs). In this review, we describe the outlook for activators of PRRs as anticancer therapeutic agents and contrast the earlier generation of TLR agonists with the emerging focus on cytosolic PRR activators, both as single agents and in combination with other cancer immunotherapies.

摘要

最近,检查点阻断抗体的成功引发了癌症免疫疗法的革命。检查点抑制激活了适应性免疫系统,导致多种肿瘤类型的持久反应,尽管这种反应仅限于存在肿瘤浸润性 T 细胞的患者群体。刺激免疫系统引发抗肿瘤反应的策略受到了极大的关注,现在有几个研究小组正在努力开发激活模式识别受体(PRRs)的药物,这些蛋白质可以检测到病原体和损伤相关分子,并通过激活先天免疫反应来做出反应。虽然早期的研究集中在膜结合 PRRs 的 Toll 样受体(TLR)家族上,但 TLR 的激活与促肿瘤和抗肿瘤作用都有关联。尽管如此,TLR 激动剂已被部署为一系列临床试验中的潜在抗癌药物。最近,干扰素基因刺激物(STING)作为另一种有前途的抗癌药物开发靶点引起了关注,早期的临床数据开始出现。除了 STING 之外,其他几种胞质 PRR 靶点也同样引起了药物发现社区的兴趣,包括 RIG-I 样受体(RLRs)和 NOD 样受体(NLRs)。在这篇综述中,我们描述了 PRR 激活剂作为抗癌治疗药物的前景,并将早期的 TLR 激动剂与新兴的胞质 PRR 激活剂进行了对比,包括作为单一药物和与其他癌症免疫疗法联合使用。

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