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靶向天然免疫cGAS‒STING‒TBK1信号通路的小分子

Small molecules targeting the innate immune cGAS‒STING‒TBK1 signaling pathway.

作者信息

Ding Chunyong, Song Zilan, Shen Ancheng, Chen Tingting, Zhang Ao

机构信息

Research Laboratory of Medicinal Chemical Biology & Frontiers on Drug Discovery (RLMCBFDD), School of Pharmacy, Shanghai Jiao Tong University, Shanghai 200240, China.

CAS Key Laboratory of Receptor Research, Shanghai Institute of Materia Medica (SIMM), Chinese Academy of Sciences, Shanghai 201203, China.

出版信息

Acta Pharm Sin B. 2020 Dec;10(12):2272-2298. doi: 10.1016/j.apsb.2020.03.001. Epub 2020 Mar 13.

Abstract

Multiple cancer immunotherapies including chimeric antigen receptor T cell and immune checkpoint inhibitors (ICIs) have been successfully developed to treat various cancers by motivating the adaptive anti-tumor immunity. Particularly, the checkpoint blockade approach has achieved great clinic success as evidenced by several U.S. Food and Drug Administration (FDA)-approved anti-programmed death receptor 1/ligand 1 or anti-cytotoxic T lymphocyte associated protein 4 antibodies. However, the majority of cancers have low clinical response rates to these ICIs due to poor tumor immunogenicity. Indeed, the cyclic guanosine monophosphate-adenosine monophosphate synthase‒stimulator of interferon genes‒TANK-binding kinase 1 (cGAS‒STING‒TBK1) axis is now appreciated as the major signaling pathway in innate immune response across different species. Aberrant signaling of this pathway has been closely linked to multiple diseases, including auto-inflammation, virus infection and cancers. In this perspective, we provide an updated review on the latest progress on the development of small molecule modulators targeting the cGAS‒STING‒TBK1 signaling pathway and their preclinical and clinical use as a new immune stimulatory therapy. Meanwhile, highlights on the clinical candidates, limitations and challenges, as well as future directions in this field are also discussed. Further, small molecule inhibitors targeting this signaling axis and their potential therapeutic use for various indications are discussed as well.

摘要

包括嵌合抗原受体T细胞和免疫检查点抑制剂(ICI)在内的多种癌症免疫疗法已成功开发出来,通过激发适应性抗肿瘤免疫来治疗各种癌症。特别是,检查点阻断方法已取得了巨大的临床成功,美国食品药品监督管理局(FDA)批准的几种抗程序性死亡受体1/配体1或抗细胞毒性T淋巴细胞相关蛋白4抗体就证明了这一点。然而,由于肿瘤免疫原性较差,大多数癌症对这些ICI的临床反应率较低。事实上,环磷酸鸟苷-磷酸腺苷合酶-干扰素基因刺激因子-TANK结合激酶1(cGAS-STING-TBK1)轴现在被认为是不同物种先天免疫反应中的主要信号通路。该通路的异常信号传导与多种疾病密切相关,包括自身炎症、病毒感染和癌症。从这个角度出发,我们提供了一篇关于靶向cGAS-STING-TBK1信号通路的小分子调节剂开发的最新进展及其作为一种新的免疫刺激疗法的临床前和临床应用的最新综述。同时,还讨论了该领域临床候选药物的亮点、局限性和挑战以及未来方向。此外,还讨论了靶向该信号轴的小分子抑制剂及其在各种适应症中的潜在治疗用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07d9/7745059/72081aea7cb9/fx1.jpg

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