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Harnessing co-stimulatory TNF receptors for cancer immunotherapy: Current approaches and future opportunities
Abstract:
Co-stimulatory tumor necrosis factor receptors (TNFRs) can sculpt the responsiveness of T cells recognizing tumor-associated antigens. For this reason, agonist antibodies targeting CD137, CD357, CD134 and CD27 have received considerable attention for their therapeutic utility in enhancing anti-tumor immune responses, particularly in combination with other immuno-modulatory antibodies targeting co-inhibitory pathways in T cells. The design of therapeutic antibodies that optimally engage and activate co-stimulatory TNFRs presents an important challenge of how to promote effective anti-tumor immunity while avoiding serious immune-related adverse events. Here we review our current understanding of the expression, signaling and structural features of CD137, CD357, CD134 and CD27, and how this may inform the design of pharmacologically active immuno-modulatory antibodies targeting these receptors. This includes the integration of our emerging knowledge of the role of Fcγ receptors (FcγRs) in facilitating antibody-mediated receptor clustering and forward signaling, as well as promoting immune effector cell-mediated activities. Finally, we bring our current preclinical and clinical knowledge of co-stimulatory TNFR antibodies into the context of opportunities for next generation molecules with improved pharmacologic properties.
Insights
Agonist antibodies targeting co-stimulatory tumor necrosis factor receptors (TNFRs) like CD137 can enhance anti-tumor immunity. Optimizing their design is key to maximizing therapeutic benefits while minimizing adverse events.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Co-stimulatory tumor necrosis factor receptors (TNFRs) play a crucial role in regulating T cell responses against tumor antigens.
- Agonist antibodies targeting TNFRs such as CD137, CD357, CD134, and CD27 are being investigated for cancer immunotherapy.
- Developing these antibodies presents challenges in balancing anti-tumor efficacy with immune-related adverse events.
Purpose of the Study:
- To review the expression, signaling, and structural characteristics of CD137, CD357, CD134, and CD27.
- To explore how this knowledge can inform the design of effective immuno-modulatory antibodies targeting these receptors.
- To discuss the role of Fc gamma receptors (FcγRs) in antibody-mediated TNFR activation and immune responses.
Main Methods:
- Literature review of preclinical and clinical data on co-stimulatory TNFR antibodies.
- Analysis of receptor expression, signaling pathways, and structural features.
- Integration of emerging knowledge on FcγR interactions.
Main Results:
- Co-stimulatory TNFRs are critical for sculpting T cell responses to tumor antigens.
- Understanding receptor biology and FcγR interactions can guide the design of next-generation TNFR-targeting antibodies.
- Current research focuses on optimizing antibody design for enhanced anti-tumor immunity and reduced toxicity.
Conclusions:
- Co-stimulatory TNFR antibodies hold significant therapeutic potential in cancer immunotherapy.
- Informed antibody design, considering receptor features and FcγR engagement, is essential for clinical success.
- Future efforts should focus on developing next-generation molecules with improved pharmacological properties for better patient outcomes.
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