Lee Juwon, Han Youngjin, Wang Wenyu, Jo HyunA, Kim Heeyeon, Kim Soochi, Yang Kyung-Min, Kim Seong-Jin, Dhanasekaran Danny N, Song Yong Sang
Cancer Research Institute, College of Medicine, Seoul National University, Seoul 03080, Korea.
WCU Biomodulation, Department of Agricultural Biotechnology, Seoul National University, Seoul 08826, Korea.
Biomolecules. 2021 Jul 27;11(8):1107. doi: 10.3390/biom11081107.
The interaction of immune checkpoint molecules in the tumor microenvironment reduces the anti-tumor immune response by suppressing the recognition of T cells to tumor cells. Immune checkpoint inhibitor (ICI) therapy is emerging as a promising therapeutic option for cancer treatment. However, modulating the immune system with ICIs still faces obstacles with severe immunogenic side effects and a lack of response against many cancer types. Plant-derived natural compounds offer regulation on various signaling cascades and have been applied for the treatment of multiple diseases, including cancer. Accumulated evidence provides the possibility of efficacy of phytochemicals in combinational with other therapeutic agents of ICIs, effectively modulating immune checkpoint-related signaling molecules. Recently, several phytochemicals have been reported to show the modulatory effects of immune checkpoints in various cancers in in vivo or in vitro models. This review summarizes druggable immune checkpoints and their regulatory factors. In addition, phytochemicals that are capable of suppressing PD-1/PD-L1 binding, the best-studied target of ICI therapy, were comprehensively summarized and classified according to chemical structure subgroups. It may help extend further research on phytochemicals as candidates of combinational adjuvants. Future clinical trials may validate the synergetic effects of preclinically investigated phytochemicals with ICI therapy.
肿瘤微环境中免疫检查点分子的相互作用通过抑制T细胞对肿瘤细胞的识别来降低抗肿瘤免疫反应。免疫检查点抑制剂(ICI)疗法正在成为一种有前景的癌症治疗选择。然而,用ICI调节免疫系统仍然面临障碍,包括严重的免疫原性副作用以及对许多癌症类型缺乏反应。植物来源的天然化合物可调节各种信号级联反应,并已应用于包括癌症在内的多种疾病的治疗。越来越多的证据表明,植物化学物质与ICI的其他治疗药物联合使用可能有效,可有效调节免疫检查点相关信号分子。最近,有报道称几种植物化学物质在体内或体外模型中对各种癌症的免疫检查点具有调节作用。本综述总结了可成药的免疫检查点及其调节因子。此外,根据化学结构亚组对能够抑制PD-1/PD-L1结合(ICI治疗研究最多的靶点)的植物化学物质进行了全面总结和分类。这可能有助于进一步开展对植物化学物质作为联合佐剂候选物的研究。未来的临床试验可能会验证临床前研究的植物化学物质与ICI疗法的协同作用。
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