TRAIL death receptors and cancer therapeutics

Ying Huang1, M Saeed Sheikh

  • 1Department of Pharmacology, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA. huangy@upstate.edu

Insights

Tumor necrosis factor-related apoptosis inducing ligand (TRAIL) shows promise as a cancer therapeutic. TRAIL and its receptor-targeting antibodies are advancing in clinical trials, offering a safer alternative to other TNF family members.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Tumor necrosis factor-related apoptosis inducing ligand (TRAIL), also known as Apo2L, is a cytokine within the tumor necrosis factor superfamily.
  • TRAIL induces apoptosis through its cognate death receptors, DR4 and DR5.

Purpose of the Study:

  • To review the therapeutic potential of TRAIL and its associated antibodies in cancer treatment.
  • To highlight the advancements and clinical progress of TRAIL-based therapies.

Main Methods:

  • Review of existing clinical trial data for TRAIL and DR4/DR5-specific agonistic antibodies.
  • Comparison of TRAIL's safety and efficacy profile with other related cytokines like TNF-alpha and FasL.

Main Results:

  • TRAIL and agonistic antibodies targeting DR4/DR5 mediate tumor cell killing.
  • TRAIL death receptor expression can be upregulated by clinically relevant agents, enhancing therapeutic cooperation.
  • TRAIL is in Phase I clinical trials; DR4/DR5 antibodies are in Phase I/II studies.

Conclusions:

  • TRAIL-based therapeutic approaches demonstrate a brighter future compared to TNF-alpha and FasL due to a more favorable toxicity profile.
  • TRAIL and its receptor-specific antibodies represent a promising avenue for cancer therapy development.

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