Department of Pharmacy, Personalized Drug Therapy Key Laboratory of Sichuan Province, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, 610072, People's Republic of China.
Department of Obstetrics and Gynecology, Fengrun District People's Hospital, Tangshan, Hebei, 063000, People's Republic of China.
Drug Des Devel Ther. 2022 Aug 8;16:2639-2657. doi: 10.2147/DDDT.S373780. eCollection 2022.
Indoleamine 2.3-dioxygenases (IDO1/2) and tryptophan 2.3-dioxygenase (TDO) are the initial and rate-limiting enzymes in tryptophan metabolism, which play an essential role in mediating immunosuppression in tumor microenvironment. Accumulating evidence has indicated that both IDO1 and TDO are highly expressed in many malignant tumors, and their expression is generally associated with reduced tumor-infiltrating immune cells, increased regulatory T-cell infiltration, as well as cancer progression and poor prognosis for malignancies. A large number of IDO1 and TDO inhibitors have been screened or synthesized in the last two decades. Thus far, at least 12 antagonists targeting IDO1 and TDO have advanced to clinical trials. In this account, we conducted a comprehensive review of the development of IDO1 and TDO inhibitors in cancer immunotherapy, particularly their clinical research progress, and presented the current challenges and corresponding solutions.
吲哚胺 2,3-双加氧酶(IDO1/2)和色氨酸 2,3-双加氧酶(TDO)是色氨酸代谢中的初始限速酶,在肿瘤微环境中介导免疫抑制中发挥着重要作用。越来越多的证据表明,IDO1 和 TDO 在许多恶性肿瘤中高表达,其表达通常与肿瘤浸润免疫细胞减少、调节性 T 细胞浸润增加以及癌症进展和恶性肿瘤预后不良相关。在过去的二十年中,已经筛选或合成了大量的 IDO1 和 TDO 抑制剂。到目前为止,至少有 12 种针对 IDO1 和 TDO 的拮抗剂已进入临床试验。在本报告中,我们对 IDO1 和 TDO 抑制剂在癌症免疫治疗中的发展进行了全面综述,特别是其临床研究进展,并提出了当前的挑战和相应的解决方案。
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