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Improving TNF as a cancer therapeutic: tailor-made TNF fusion proteins with conserved antitumor activity and reduced
Jeannette Gerspach1, Klaus Pfizenmaier, Harald Wajant
1Institute of Cell Biology and Immunology, University of Stuttgart, Stuttgart, Germany. jeanette.gerspach@izi.uni-stuttgart.de
Abstract:
Tumor necrosis factor (TNF) is highly pleiotropic cytokine regulating diverse cellular processes such as proliferation, cell migration, angiogenesis, differentiation, apoptosis, necrosis, but also survival. Because of its name-giving tumor necrosis-inducing capabilities, TNF has attracted attention very early for antitumor therapy. Although TNF is in clinical use for treatment of soft tissue sarcoma in isolated limb perfusion, its broad use in tumor therapy is prevented so far by its strong systemic proinflammatory effects. Nevertheless, over the past decade, a variety of tailor-made TNF variants have been developed with the aim to reduce TNFs systemic activity without losing its antitumoral effects. Here, we review the progress made toward improving the efficacy of TNF by genetic engineering, tumor targeting, and introduction of prodrug concepts.
Insights
Tumor necrosis factor (TNF) shows promise for cancer therapy due to its tumor-killing ability. Researchers are developing engineered TNF variants to minimize side effects and enhance anti-tumor efficacy for broader clinical application.
Area of Science:
- Biochemistry
- Immunology
- Oncology
Background:
- Tumor necrosis factor (TNF) is a pleiotropic cytokine with diverse cellular functions, including regulating proliferation, migration, angiogenesis, differentiation, apoptosis, necrosis, and survival.
- TNF's potent tumor necrosis-inducing capability has long made it a target for antitumor therapy.
- Current clinical use of TNF is limited to isolated limb perfusion for soft tissue sarcoma due to significant systemic proinflammatory effects.
Purpose of the Study:
- To review advancements in improving the efficacy of TNF for cancer treatment.
- To explore strategies for reducing systemic side effects while retaining anti-tumor activity.
Main Methods:
- Genetic engineering of TNF variants.
- Tumor targeting strategies for TNF delivery.
- Development of prodrug concepts for TNF activation.
Main Results:
- Development of tailor-made TNF variants over the past decade aims to reduce systemic activity.
- Strategies focus on enhancing anti-tumor effects without compromising safety.
Conclusions:
- Significant progress has been made in optimizing TNF for cancer therapy through genetic engineering, targeted delivery, and prodrug approaches.
- These advancements hold promise for overcoming the limitations of traditional TNF-based treatments and expanding its clinical utility in oncology.
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