Gottschlich Adrian, Endres Stefan, Kobold Sebastian
Center for Integrated Protein Science Munich (CIPS-M) and Division of Clinical Pharmacology, Department of Medicine IV, University Hospital, Ludwig-Maximilians-Universität München, 80337 Munich, Germany.
German Center for Translational Cancer Research (DKTK), Partner Site Munich, 80337 Munich, Germany.
Cancers (Basel). 2021 Jan 26;13(3):477. doi: 10.3390/cancers13030477.
Since its discovery, interleukin-1 has been extensively studied in a wide range of medical fields. Besides carrying out vital physiological functions, it has been implicated with a pivotal role in the progression and spreading of different cancer entities. During the last years, several clinical trials have been conducted, shedding light on the role of IL-1 blocking agents for the treatment of cancer. Additionally, recent developments in the field of immuno-oncology have implicated IL-1-induced signaling cascades as a major driver of severe chimeric antigen receptor T cell-associated toxicities such as cytokine release syndrome and immune effector cell-associated neurotoxicity. In this review, we summarize current clinical trials investigating the role of IL-1 blockade in cancer treatment and elaborate the proposed mechanism of these innovative treatment approaches. Additionally, we highlight cutting-edge developments utilizing IL-1 blocking agents to enhance the safety and efficacy of adoptive T cell therapy.
自白细胞介素-1被发现以来,它已在广泛的医学领域中得到广泛研究。除了执行重要的生理功能外,它还在不同癌症实体的进展和扩散中起着关键作用。在过去几年中,已经进行了多项临床试验,揭示了白细胞介素-1阻断剂在癌症治疗中的作用。此外,免疫肿瘤学领域的最新进展表明,白细胞介素-1诱导的信号级联反应是严重嵌合抗原受体T细胞相关毒性(如细胞因子释放综合征和免疫效应细胞相关神经毒性)的主要驱动因素。在本综述中,我们总结了目前研究白细胞介素-1阻断在癌症治疗中作用的临床试验,并阐述了这些创新治疗方法的 proposed 机制。此外,我们强调了利用白细胞介素-1阻断剂提高过继性T细胞疗法安全性和有效性的前沿进展。