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Immune checkpoint

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130: 122: 293:: This molecule, also called CD134, has OX40L, or CD252, as its ligand. Like CD27, OX40 promotes the expansion of effector and memory T cells, however it is also noted for its ability to suppress the differentiation and activity of T-regulatory cells, and also for its regulation of cytokine production. OX40's value as a drug target primarily lies in the fact that, being transiently expressed after T-cell receptor engagement, it is only upregulated on the most recently antigen-activated T cells within inflammatory lesions. Anti-OX40 monoclonal antibodies have been shown to have clinical utility in advanced cancer. The pharma company 1971: 323: 338:: The Adenosine A2A receptor is regarded as an important checkpoint in cancer therapy because adenosine in the immune microenvironment, leading to the activation of the A2a receptor, is negative immune feedback loop and the tumor microenvironment has relatively high concentrations of adenosine. Recently, the role of the A2B receptor in the immune system has been demonstrated. Studies propose that in tissues where they are co-expressed, A2A and A2B form dimers under the majority control of the A2B receptor. 25: 1267: 356:: This molecule, short for B and T Lymphocyte Attenuator and also called CD272, has HVEM (Herpesvirus Entry Mediator) as its ligand. Surface expression of BTLA is gradually downregulated during differentiation of human CD8+ T cells from the naive to effector cell phenotype, however tumor-specific human CD8+ T cells express high levels of BTLA. 313:: This molecule, short for Inducible T-cell costimulator, and also called CD278, is expressed on activated T cells. Its ligand is ICOSL, expressed mainly on B cells and dendritic cells. The molecule seems to be important in T cell effector function. The American biotechnology company Jounce Therapeutics is developing an ICOS agonist. 376:: short for Indoleamine 2,3-dioxygenase, is a tryptophan catabolic enzyme with immune-inhibitory properties. Another important molecule is TDO, tryptophan 2,3-dioxygenase. IDO is known to suppress T and NK cells, generate and activate Tregs and myeloid-derived suppressor cells, and promote tumour angiogenesis. 279:: When this molecule, also called 4-1BB, is bound by CD137 ligand, the result is T-cell proliferation. CD137-mediated signaling is also known to protect T cells, and in particular, CD8+ T cells from activation-induced cell death. The German biotech company Pieris Pharmaceuticals has developed an engineered 1593:
Prieto-Díaz, Rubén; González-Gómez, Manuel; Fojo-Carballo, Hugo; Azuaje, Jhonny; El Maatougui, Abdelaziz; Majellaro, Maria; Loza, María I.; Brea, José; Fernández-Dueñas, Víctor; Paleo, M. Rita; Díaz-Holguín, Alejandro; Garcia-Pinel, Beatriz; Mallo-Abreu, Ana; Estévez, Juan C.; Andújar-Arias, Antonio
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and transiently expressed on the surface of activated CD4+ T cells, as its ligand. CD40 signaling is known to ‘license’ dendritic cells to mature and thereby trigger T-cell activation and differentiation. A now-defunct Seattle-based biotechnology company called VLST in-licensed an anti-CD40 agonist
344:: also called CD276, was originally understood to be a co-stimulatory molecule but is now regarded as co-inhibitory. The American biotechnology company MacroGenics is working on MGA271 is an Fc-optimized monoclonal antibody that targets B7-H3. B7-H3’s receptors have not yet been identified. 466:: short for T-cell Immunoglobulin domain and Mucin domain 3, expresses on activated human CD4+ T cells and regulates Th1 and Th17 cytokines. TIM-3 acts as a negative regulator of Th1/Tc1 function by triggering cell death upon interaction with its ligand, 476:: Short for V-domain Ig suppressor of T cell activation, VISTA is primarily expressed on hematopoietic cells so that consistent expression of VISTA on leukocytes within tumors may allow VISTA blockade to be effective across a broad range of solid tumors. 206:: This molecule supports antigen-specific expansion of naïve T cells and is vital for the generation of T cell memory. CD27 is also a memory marker of B cells. CD27's activity is governed by the transient availability of its ligand, 396:: short for Lymphocyte Activation Gene-3, works to suppress an immune response by action to Tregs as well as direct effects on CD8+ T cells. Bristol-Myers Squibb is in Phase I with an anti-LAG3 monoclonal antibody called BMS-986016. 507:; this idea is often referred to as immune checkpoint blockade, or simply checkpoint blockade. Checkpoint inhibitor drugs have seen growth in pharmaceutical research in cancer by companies including Bristol-Myers Squibb, 1094: 1984:
Kolar P, Knieke K, Hegel JK, Quandt D, Burmester GR, Hoff H, Brunner-Weinzierl MC (January 2009). "CTLA-4 (CD152) controls homeostasis and suppressive capacity of regulatory T cells in mice".
486:(Sialic acid-binding immunoglobulin-type lectin 9, also designated as CD329) are proteins found on the surface of various immune cells, including natural killer cells and macrophages ( 307:. Antibodies to GITR have been shown to promote an anti-tumor response through loss of Treg lineage stability. The biotech company TG Therapeutics is working on anti-GITR antibodies 1033: 631:
Hendriks J, Gravestein LA, Tesselaar K, van Lier RA, Schumacher TN, Borst J (November 2000). "CD27 is required for generation and long-term maintenance of T cell immunity".
148:, which prevents the immune system from attacking cells indiscriminately. However, some cancers can protect themselves from attack by stimulating immune checkpoint targets. 2704: 1716:
Chapoval AI, Ni J, Lau JS, Wilcox RA, Flies DB, Liu D, et al. (March 2001). "B7-H3: a costimulatory molecule for T cell activation and IFN-gamma production".
1098: 303:: short for Glucocorticoid-Induced TNFR family Related gene, prompts T cell expansion, including Treg expansion. The ligand for GITR is mainly expressed on 1421:"TG Therapeutics Enters Into a Global Collaboration With Checkpoint Therapeutics to Develop and Commercialize Novel Immuno-Oncology Targeted Antibodies" 46: 39: 224:: This molecule is constitutively expressed on almost all human CD4+ T cells and on around half of all CD8 T cells. Binding with its two ligands are 1005:"Nektar and MD Anderson Cancer Center Announce Phase 1/2 Clinical Research Collaboration for NKTR-214, a CD122-Biased Immuno-Stimulatory Cytokine" 607: 297:
has three drugs in development targeting OX40: MEDI0562 is a humanised OX40 agonist; MEDI6469, murine OX4 agonist; and MEDI6383, an OX40 agonist
494:). SIGLECs 7 and 9 suppress the immune function of these cells by binding to terminal sialic acid on glycans that cover the surface of cells. 1095:"Pieris Pharmaceuticals to present data on novel anti-CD137 and HER2 bispecific immuno-oncology program at UBS Global Healthcare Conference" 936: 460:, which gained FDA approval in 2017. An advantage of targeting PD-1 is that it can restore immune function in the tumor microenvironment. 199:—CD27, CD40, OX40, GITR and CD137. Another two stimulatory checkpoint molecules belong to the B7-CD28 superfamily—CD28 itself and ICOS. 1004: 585: 379: 746:"The CD27 and CD70 costimulatory pathway inhibits effector function of T helper 17 cells and attenuates associated autoimmunity" 129: 89: 853:"Monoclonal antibody TGN1412 trial failure explained by species differences in CD28 expression on CD4+ effector memory T-cells" 61: 2386: 184: 785: 214:
effector cell function. The American biotech company Celldex Therapeutics is working on CDX-1127, an agonistic anti-CD27
68: 961:
Boyman O, Sprent J (February 2012). "The role of interleukin-2 during homeostasis and activation of the immune system".
812:"Agonist anti-human CD27 monoclonal antibody induces T cell activation and tumor immunity in human CD27-transgenic mice" 370:, which gained FDA approval in March 2011. Expression of CTLA-4 on Treg cells serves to control T cell proliferation. 108: 350:: also called VTCN1, is expressed by tumor cells and tumor-associated macrophages and plays a role in tumour escape. 2034:
Syn NL, Teng MW, Mok TS, Soo RA (December 2017). "De-novo and acquired resistance to immune checkpoint targeting".
456:, which gained FDA approval in September 2014. The checkpoint is also the target of EMD Serono (Merck KGaA)'s drug 75: 1881:"Novel recombinant human b7-h4 antibodies overcome tumoral immune escape to potentiate T-cell antitumor responses" 1373:"GITR pathway activation abrogates tumor immune suppression through loss of regulatory T cell lineage stability" 1538:
adenosine receptor antagonists rescue lymphocyte activity in adenosine-producing patient-derived cancer models"
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beta sub-unit, is known to increase proliferation of CD8+ effector T cells. The American biotechnology company
1596:"Exploring the Effect of Halogenation in a Series of Potent and Selective A 2B Adenosine Receptor Antagonists" 57: 1930:"BTLA mediates inhibition of human tumor-specific CD8+ T cells that can be partially reversed by vaccination" 2161:"LAG-3 regulates CD8+ T cell accumulation and effector function in murine self- and tumor-tolerance systems" 414:. Genetic and pharmacological inhibition of NOX2 in myeloid cells improves anti-tumor functions of adjacent 236:'superagonist' which caused severe inflammatory reactions in the first-in-man study in London in March 2006. 1832:"B7-H1 and B7-H3 are independent predictors of poor prognosis in patients with non-small cell lung cancer" 1218:
Curti BD, Kovacsovics-Bankowski M, Morris N, Walker E, Chisholm L, Floyd K, et al. (December 2013).
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is working on NKTR-214, a CD122-biased immune-stimulatory cytokine Phase I results announced in Nov 2016.
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Stanczak MA, Siddiqui SS, Trefny MP, Thommen DS, Boligan KF, von Gunten S, et al. (November 2018).
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Zhu C, Anderson AC, Kuchroo VK (August 11, 2010). "TIM-3 and its regulatory role in immune responses".
1291:"GITR, a member of the TNF receptor superfamily, is costimulatory to mouse T lymphocyte subpopulations" 503:
Drugs or drug candidates that inhibit/block the inhibitory checkpoint molecules are sometimes known as
1761:"B7-H3 is a potent inhibitor of human T-cell activation: No evidence for B7-H3 and TREML2 interaction" 2316:
Hastings WD, Anderson DE, Kassam N, Koguchi K, Greenfield EA, Kent SC, et al. (September 2009).
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Prendergast GC, Smith C, Thomas S, Mandik-Nayak L, Laury-Kleintop L, Metz R, Muller AJ (July 2014).
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which in animal models has been shown to be effective in the context of T cell receptor stimulation.
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Ronchetti S, Zollo O, Bruscoli S, Agostini M, Bianchini R, Nocentini G, et al. (March 2004).
2510:"Self-associated molecular patterns mediate cancer immune evasion by engaging Siglecs on T cells" 744:
Coquet JM, Middendorp S, van der Horst G, Kind J, Veraar EA, Xiao Y, et al. (January 2013).
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for "Safety Study of Anti-LAG-3 With and Without Anti-PD-1 in the Treatment of Solid Tumors" at
362:: short for Cytotoxic T-Lymphocyte-Associated protein 4 and also called CD152, is the target of 2735: 1808: 431: 335: 331: 82: 2071:"Indoleamine 2,3-dioxygenase pathways of pathogenic inflammation and immune escape in cancer" 1879:
Dangaj D, Lanitis E, Zhao A, Joshi S, Cheng Y, Sandaltzopoulos R, et al. (August 2013).
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Burmeister Y, Lischke T, Dahler AC, Mages HW, Lam KP, Coyle AJ, et al. (January 2008).
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He LZ, Prostak N, Thomas LJ, Vitale L, Weidlick J, Crocker A, et al. (October 2013).
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Borst J, Hendriks J, Xiao Y (June 2005). "CD27 and CD70 in T cell and B cell activation".
8: 2318:"TIM-3 is expressed on activated human CD4+ T cells and regulates Th1 and Th17 cytokines" 1928:
Derré L, Rivals JP, Jandus C, Pastor S, Rimoldi D, Romero P, et al. (January 2010).
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Lines JL, Pantazi E, Mak J, Sempere LF, Wang L, O'Connell S, et al. (April 2014).
2436: 2412:"VISTA, a novel mouse Ig superfamily ligand that negatively regulates T cell responses" 2411: 2342: 2317: 2252: 2227: 2214: 2185: 2160: 2095: 2070: 1954: 1929: 1905: 1880: 1856: 1831: 1785: 1760: 1741: 1693: 1660: 1641: 1628: 1595: 1575: 1562: 1533: 1509: 1484: 1397: 1372: 1371:
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Huang CT, Workman CJ, Flies D, Pan X, Marson AL, Zhou G, et al. (October 2004).
2100: 2051: 2001: 1959: 1910: 1861: 1790: 1733: 1698: 1645: 1633: 1615: 1579: 1567: 1514: 1465: 1402: 1353: 1312: 1249: 1200: 1186: 1151: 1137: 1076: 978: 917: 882: 868: 833: 767: 726: 691: 648: 563: 256: 232:, expressed on dendritic cells, prompts T cell expansion. CD28 was the target of the 2592: 1745: 1532:
Tay AH, Prieto-Díaz R, Neo S, Tong L, Chen X, Carannante V, et al. (May 2022).
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Weinberg AD, Morris NP, Kovacsovics-Bankowski M, Urba WJ, Curti BD (November 2011).
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due to their potential for use in multiple types of cancers. Currently approved
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Immunotherapy, NKTR-214, Shows Activity Against Solid Tumors in Clinical Trial
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O'Sullivan B, Thomas R (January 1, 2003). "CD40 and dendritic cell function".
722: 210:, on lymphocytes and dendritic cells. CD27 costimulation is known to suppress 2729: 1847: 1619: 1553: 828: 811: 453: 407: 390:. Bristol-Myers Squibb is working on Lirilumab, a monoclonal antibody to KIR. 266: 141: 133:
Immune checkpoints of immunosuppressive actions associated with breast cancer
2293: 2276: 1592: 2690: 2641: 2584: 2543: 2494: 2445: 2396: 2351: 2302: 2261: 2194: 2145: 2104: 2055: 2005: 1963: 1914: 1865: 1794: 1737: 1702: 1637: 1571: 1518: 1469: 1406: 1357: 1316: 1253: 1204: 1155: 1080: 982: 921: 886: 837: 771: 730: 695: 652: 567: 423: 176: 2333: 1776: 1348: 1331: 1307: 1290: 1220:"OX40 is a potent immune-stimulating target in late-stage cancer patients" 2427: 1122:"The significance of OX40 and OX40L to T-cell biology and immune disease" 512: 383: 294: 382:: short for Killer-cell Immunoglobulin-like Receptor, is a receptor for 2378: 1830:
Mao Y, Li W, Chen K, Xie Y, Liu Q, Yao M, et al. (February 2015).
1444:"ICOS controls the pool size of effector-memory and regulatory T cells" 1168: 687: 490:) and neutrophils, macrophages, dendritic cells and activated T-cells ( 367: 326:
Cancer Therapy by Inhibition of Negative Immune Regulation (CTLA4, PD1)
180: 2525: 2243: 1997: 1217: 2176: 1945: 280: 242:: This molecule, found on a variety of immune system cells including 2672: 2623: 2575: 2558: 974: 549: 24: 1329: 630: 457: 452:. This checkpoint is the target of Merck & Co.'s melanoma drug 415: 2068: 1729: 644: 743: 491: 487: 483: 479: 444:: short for Programmed Death 1 (PD-1) receptor, has two ligands, 427: 419: 233: 1332:"GITR/GITRL: more than an effector T cell co-stimulatory system" 2608:"Siglec-mediated regulation of immune cell function in disease" 1658: 608:"James P Allison and Tasuku Honjo win Nobel prize for medicine" 467: 463: 359: 252: 1330:
Nocentini G, Ronchetti S, Cuzzocrea S, Riccardi C (May 2007).
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in humans and experimental animals. NOX2 is the target of
2409: 2277:"Therapeutic uses of anti-PD-1 and anti-PD-L1 antibodies" 2158: 1758: 1665:
receptor ligand recognition and signaling is blocked by A
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Four stimulatory checkpoint molecules are members of the
850: 402:: short for nicotinamide adenine dinucleotide phosphate 1927: 435: 2605: 2458: 2225: 1983: 1878: 259:
acquired this project when VLST was shut down in 2013.
1531: 1097:. Pieris Pharmaceuticals. 19 May 2015. Archived from 1045:
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These pathways are crucial for 2075:Cancer Immunology, Immunotherapy 1969: 1187:10.1111/j.1600-065x.2011.01069.x 1138:10.1111/j.1600-065x.2009.00766.x 869:10.1111/j.1476-5381.2010.00922.x 191:Stimulatory checkpoint molecules 23: 2697: 2648: 2599: 2550: 2501: 2452: 2403: 2358: 2309: 2268: 2219: 2201: 2152: 2111: 2062: 1977: 1921: 1872: 1823: 1801: 1752: 1709: 1652: 1586: 1525: 1476: 1435: 1423:. TG Therapeutics. 4 March 2015 1413: 1364: 1323: 1282: 1260: 1211: 1162: 1113: 1087: 1038: 1027: 997: 954: 928: 893: 857:British Journal of Pharmacology 844: 588:from the original on 2017-10-20 318:Inhibitory checkpoint molecules 16:Regulators of the immune system 2322:European Journal of Immunology 1765:European Journal of Immunology 1600:Journal of Medicinal Chemistry 1336:European Journal of Immunology 1295:European Journal of Immunology 1011:. June 2, 2015. 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Cancer 432:acute myeloid leukemia 327: 267:Interleukin-2 receptor 140:are regulators of the 134: 126: 34:relies excessively on 2334:10.1002/eji.200939274 2294:10.1093/intimm/dxu095 1777:10.1002/eji.200839028 1448:Journal of Immunology 1349:10.1002/eji.200636933 1308:10.1002/eji.200324804 1175:Immunological Reviews 1126:Immunological Reviews 816:Journal of Immunology 505:checkpoint inhibitors 325: 157:checkpoint inhibitors 132: 124: 2428:10.1084/jem.20100619 2036:The Lancet. Oncology 388:Natural Killer cells 364:Bristol-Myers Squibb 153:cancer immunotherapy 1679:(17): 13593–13611. 1015:on 19 December 2017 1009:Nektar Therapeutics 271:Nektar Therapeutics 216:monoclonal antibody 58:"Immune checkpoint" 2379:10.1007/82_2010_84 2215:ClinicalTrials.gov 688:10.14670/HH-15.573 422:and also triggers 328: 138:Immune checkpoints 135: 127: 2526:10.1172/JCI120612 2520:(11): 4912–4923. 2388:978-3-642-19544-0 2244:10.1002/path.5175 2171:(11): 3383–3392. 2042:(12): e731–e741. 1998:10.1002/art.24181 1891:(15): 4820–4829. 1718:Nature Immunology 1230:(24): 7189–7198. 1101:on 3 October 2018 633:Nature Immunology 366:'s melanoma drug 119: 118: 111: 93: 2743: 2720: 2719: 2717: 2716: 2701: 2695: 2694: 2684: 2652: 2646: 2645: 2635: 2603: 2597: 2596: 2578: 2554: 2548: 2547: 2537: 2505: 2499: 2498: 2488: 2471:(7): 1924–1932. 2456: 2450: 2449: 2439: 2407: 2401: 2400: 2362: 2356: 2355: 2345: 2328:(9): 2492–2501. 2313: 2307: 2306: 2296: 2272: 2266: 2265: 2255: 2223: 2217: 2205: 2199: 2198: 2188: 2177:10.1172/jci31184 2156: 2150: 2149: 2139: 2115: 2109: 2108: 2098: 2066: 2060: 2059: 2031: 2010: 2009: 1981: 1975: 1974: 1973: 1967: 1957: 1946:10.1172/jci40070 1925: 1919: 1918: 1908: 1876: 1870: 1869: 1859: 1842:(5): 3452–3461. 1827: 1821: 1820: 1818: 1816: 1805: 1799: 1798: 1788: 1771:(7): 1754–1764. 1756: 1750: 1749: 1713: 1707: 1706: 1696: 1656: 1650: 1649: 1631: 1590: 1584: 1583: 1565: 1529: 1523: 1522: 1512: 1480: 1474: 1473: 1463: 1439: 1433: 1432: 1430: 1428: 1417: 1411: 1410: 1400: 1368: 1362: 1361: 1351: 1342:(5): 1165–1169. 1327: 1321: 1320: 1310: 1286: 1280: 1279: 1277: 1275: 1268:"Q1 2015 Result" 1264: 1258: 1257: 1247: 1215: 1209: 1208: 1198: 1166: 1160: 1159: 1149: 1117: 1111: 1110: 1108: 1106: 1091: 1085: 1084: 1074: 1042: 1036: 1031: 1025: 1024: 1022: 1020: 1001: 995: 994: 958: 952: 951: 949: 947: 932: 926: 925: 897: 891: 890: 880: 848: 842: 841: 831: 822:(8): 4174–4183. 807: 801: 800: 798: 797: 782: 776: 775: 765: 741: 735: 734: 706: 700: 699: 671: 665: 664: 628: 622: 621: 619: 618: 603: 597: 596: 594: 593: 578: 572: 571: 561: 529: 173:James P. 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Index


references
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"Immune checkpoint"
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immune system
self-tolerance
cancer immunotherapy
checkpoint inhibitors
CTLA4
PD-1
PD-L1
James P. Allison
Tasuku Honjo
Tang Prize in Biopharmaceutical Science
Nobel Prize in Physiology or Medicine
tumor necrosis factor (TNF) receptor superfamily
CD27
CD70
Th17
monoclonal antibody
CD28

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