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TRAIL death receptors and cancer therapeutics
1Department of Pharmacology, State University of New York, Upstate Medical University, Syracuse, NY 13210, USA. huangy@upstate.edu
Abstract:
Tumor necrosis factor-related apoptosis inducing ligand (TRAIL) also known as Apo2L is an apoptotic molecule that belongs to the tumor necrosis factor superfamily of cytokines. It mediates its apoptotic effects via its cognate death receptors including DR4 and DR5. Agonistic monoclonal antibodies have also been developed that selectively activate TRAIL death receptors to mediate apoptosis. Multiple clinically relevant agents also upregulate the expression of TRAIL death receptors, and cooperate with TRAIL as well as DR4 and DR5-specific agonistic antibodies to exhibit tumor cell killing. TRAIL is currently in phase I clinical trials, whereas DR4 and DR5-specific agonistic antibodies have been tested in phase I and II studies. Thus, TRAIL has clearly distinguished itself from the other family members including TNF-alpha and FasL both of which could not make it to the clinic due to their toxic nature. It is therefore, evident that the future of TRAIL-based therapeutic approaches looks brighter.
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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