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Updated: Jun 25, 2026

Analyzing Tumor and Tissue Distribution of Target Antigen Specific Therapeutic Antibody
Published on: May 16, 2020
Death receptors as targets for anti-cancer therapy
Kerstin Papenfuss1, Stefanie M Cordier, Henning Walczak
1Tumour Immunology Unit, Division of Medicine, Imperial College London, United Kingdom.
Abstract:
Human tumour cells are characterized by their ability to avoid the normal regulatory mechanisms of cell growth, division and death. The classical chemotherapy aims to kill tumour cells by causing DNA damage-induced apoptosis. However, as many tumour cells possess mutations in intracellular apoptosis-sensing molecules like p53, they are not capable of inducing apoptosis on their own and are therefore resistant to chemotherapy. With the discovery of the death receptors the opportunity arose to directly trigger apoptosis from the outside of tumour cells, thereby circumventing chemotherapeutic resistance. Death receptors belong to the tumour necrosis factor receptor superfamily, with tumour necrosis factor (TNF) receptor-1, CD95 and TNF-related apoptosis-inducing ligand-R1 and -R2 being the most prominent members. This review covers the current knowledge about these four death receptors, summarizes pre-clinical approaches engaging these death receptors in anti-cancer therapy and also gives an overview about their application in clinical trials conducted to date.
Insights
This review explores using death receptors to trigger cancer cell death, bypassing resistance to traditional chemotherapy. It summarizes research on key death receptors and their therapeutic applications in clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Human tumor cells evade normal growth, division, and death regulation.
- Classical chemotherapy induces apoptosis via DNA damage, but many tumors are resistant due to mutations (e.g., p53).
Purpose of the Study:
- To review current knowledge of key death receptors (TNF-R1, CD95, TRAIL-R1, TRAIL-R2) for cancer therapy.
- To summarize preclinical strategies targeting these receptors.
- To provide an overview of their clinical trial applications.
Main Methods:
- Literature review of death receptor superfamily members.
- Analysis of preclinical anti-cancer approaches using death receptors.
- Summary of clinical trial data for death receptor-targeted therapies.
Main Results:
- Death receptors offer a strategy to induce apoptosis externally, circumventing intracellular resistance mechanisms.
- Several death receptors, including TNF-R1, CD95, TRAIL-R1, and TRAIL-R2, are prominent targets.
- Preclinical studies and ongoing clinical trials are evaluating these receptors for cancer treatment.
Conclusions:
- Targeting death receptors presents a promising avenue to overcome chemotherapy resistance in cancer.
- Further clinical investigation is warranted to fully realize the therapeutic potential of death receptor agonists.
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