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在癌症免疫治疗中靶向吲哚胺 2,3-双加氧酶和色氨酸 2,3-双加氧酶:临床进展与挑战。

Targeting Indoleamine Dioxygenase and Tryptophan Dioxygenase in Cancer Immunotherapy: Clinical Progress and Challenges.

机构信息

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.

出版信息

Drug Des Devel Ther. 2022 Aug 8;16:2639-2657. doi: 10.2147/DDDT.S373780. eCollection 2022.


DOI:10.2147/DDDT.S373780
PMID:35965963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9374094/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/bad5d5aa6a1d/DDDT-16-2639-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/22d6a60b9c9c/DDDT-16-2639-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/3ed92ac2dae6/DDDT-16-2639-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/bad5d5aa6a1d/DDDT-16-2639-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/22d6a60b9c9c/DDDT-16-2639-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/3ed92ac2dae6/DDDT-16-2639-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8f/9374094/bad5d5aa6a1d/DDDT-16-2639-g0003.jpg

相似文献

[1]
Targeting Indoleamine Dioxygenase and Tryptophan Dioxygenase in Cancer Immunotherapy: Clinical Progress and Challenges.

Drug Des Devel Ther. 2022

[2]
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[3]
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[4]
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[5]
Evaluation and comparison of the commonly used bioassays of human indoleamine 2,3-dioxygenase 1 (IDO1) and tryptophan 2,3-dioxygenase (TDO).

Bioorg Chem. 2020-11

[6]
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[7]
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[8]
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[9]
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[10]
Synthesis of novel tryptanthrin derivatives as dual inhibitors of indoleamine 2,3-dioxygenase 1 and tryptophan 2,3-dioxygenase.

Bioorg Med Chem Lett. 2020-6-1

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[2]
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[3]
Amino acids in cancer: Understanding metabolic plasticity and divergence for better therapeutic approaches.

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[4]
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[5]
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Cell Biochem Biophys. 2025-3-26

[6]
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Front Oncol. 2025-1-22

[7]
IDO1 inhibitor enhances the effectiveness of PD-1 blockade in microsatellite stable colorectal cancer by promoting macrophage pro-inflammatory phenotype polarization.

Cancer Immunol Immunother. 2025-1-3

[8]
Improving the Anti-Tumor Effect of Indoleamine 2,3-Dioxygenase Inhibitor CY1-4 by CY1-4 Nano-Skeleton Drug Delivery System.

J Funct Biomater. 2024-12-9

[9]
Discovery and binding mode of small molecule inhibitors of the apo form of human TDO2.

Sci Rep. 2024-11-14

[10]
Molecular mechanisms and therapeutic significance of Tryptophan Metabolism and signaling in cancer.

Mol Cancer. 2024-10-30

本文引用的文献

[1]
A Phase II Study of Epacadostat and Pembrolizumab in Patients with Advanced Sarcoma.

Clin Cancer Res. 2023-6-1

[2]
Combination strategies with PD-1/PD-L1 blockade: current advances and future directions.

Mol Cancer. 2022-1-21

[3]
Antibodies to watch in 2022.

MAbs. 2022

[4]
Discovery of the First Potent IDO1/IDO2 Dual Inhibitors: A Promising Strategy for Cancer Immunotherapy.

J Med Chem. 2021-12-23

[5]
Inhibition of the BTK-IDO-mTOR axis promotes differentiation of monocyte-lineage dendritic cells and enhances anti-tumor T cell immunity.

Immunity. 2021-10-12

[6]
Tryptophan 2,3-dioxygenase 2 controls M2 macrophages polarization to promote esophageal squamous cell carcinoma progression AKT/GSK3/IL-8 signaling pathway.

Acta Pharm Sin B. 2021-9

[7]
IDO1/TDO dual inhibitor RY103 targets Kyn-AhR pathway and exhibits preclinical efficacy on pancreatic cancer.

Cancer Lett. 2021-12-1

[8]
Tumor Cell IDO Enhances Immune Suppression and Decreases Survival Independent of Tryptophan Metabolism in Glioblastoma.

Clin Cancer Res. 2021-12-1

[9]
Anticancer Mechanisms of Salinomycin in Breast Cancer and Its Clinical Applications.

Front Oncol. 2021-7-26

[10]
Genomic and Immunologic Correlates of Indoleamine 2,3-Dioxygenase Pathway Expression in Cancer.

Front Genet. 2021-7-22

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