Potential targeting of B7-H4 for the treatment of cancer

Joseph R Podojil1, Stephen D Miller1

  • 1Department of Microbiology-Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

Immunological Reviews
|March 5, 2017
PubMed

Insights

B7-H4 is a protein found in many tumors that suppresses immune responses. Blocking B7-H4 may enhance anti-tumor immunity, offering a new cancer treatment strategy.

Area of Science:

  • Immunology
  • Oncology
  • Molecular Biology

Background:

  • Tumor-infiltrating white blood cells indicate immune activity within tumors.
  • Monoclonal antibodies targeting immune checkpoints have shown success in cancer therapy.
  • B7-H4 (VTCN1) is an emerging immune regulatory molecule implicated in cancer progression.

Purpose of the Study:

  • To review the therapeutic potential of targeting B7-H4 in cancer treatment.
  • To highlight the role of B7-H4 in regulating the tumor microenvironment and immune responses.

Main Methods:

  • Literature review of studies investigating B7-H4 expression and function in various cancers.
  • Analysis of the association between B7-H4 expression and clinical/pathologic features.
  • Examination of B7-H4's impact on immune cells, including CD4+ T cells, regulatory T cells (Tregs), and tumor-associated macrophages.

Main Results:

  • High B7-H4 expression is observed in numerous tumor tissues and correlates with adverse clinical features and tumor aggressiveness.
  • B7-H4 biological activity is linked to suppressed inflammatory CD4+ T-cell responses.
  • B7-H4 expression on tumor cells and macrophages is associated with Tregs in the tumor microenvironment.

Conclusions:

  • Therapeutic blockade of B7-H4 presents a promising strategy to enhance anti-tumor immunity.
  • Targeting B7-H4 could modulate the tumor microenvironment, promoting antigen-specific tumor cell clearance.
  • B7-H4 represents a significant potential therapeutic target for various cancer types.

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