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Published on: May 1, 2019
Adenosine signaling: Next checkpoint for gastric cancer immunotherapy?
Linsen Shi1, Lin Yang2, Zhaoyin Wu2
1Departments of Gastrointestinal surgery, the Affiliated Hospital of Xuzhou Medical University, Xuzhou, PR China; The Affiliated Drum Tower Clinical College of NanJing Medical University, Nanjing, PR China.
Abstract:
Adenosine (ADO), generated by the ectonucleotidase CD39 and CD73 from ATP, interacts with its specific G protein-coupled receptors, which can impair anti-tumor immune responses inhibiting the infiltration and function of CD8+ T cell and natural killer cell. Recent studies have also identified that ADO pathway plays a critical role in tumor immune surveillance, especially for some non-solid cancers. In addition, although immune checkpoint therapy targeting ADO pathway in gastric cancer is still in an early phase, encouraging results have come out from some drugs targeting ADO pathway. Therefore, target ADO signaling may be a new promising strategy to treat gastric cancer. In this review, we summarized recent works on the role of ADO in cancer immunotherapy and also discussed relative mechanisms underlying the function of ADO signaling in cancer immune responses.
Insights
Adenosine signaling impairs anti-tumor immunity by affecting T cells and natural killer cells. Targeting this pathway shows promise for gastric cancer immunotherapy.
Area of Science:
- Immunology
- Oncology
- Biochemistry
Background:
- Adenosine (ADO) is generated from ATP by CD39 and CD73 ectonucleotidases.
- ADO signaling through G protein-coupled receptors can suppress anti-tumor immune responses, including CD8+ T cell and natural killer cell activity.
- The ADO pathway is implicated in tumor immune surveillance, particularly in non-solid cancers.
Purpose of the Study:
- To review the role of adenosine in cancer immunotherapy.
- To discuss the mechanisms of ADO signaling in cancer immune responses.
- To highlight the potential of targeting ADO signaling for gastric cancer treatment.
Main Methods:
- Literature review of recent studies on adenosine in cancer immunotherapy.
- Analysis of the mechanisms underlying ADO signaling in immune responses.
- Evaluation of current and emerging therapeutic strategies targeting the ADO pathway.
Main Results:
- Adenosine suppresses anti-tumor immunity by inhibiting immune cell infiltration and function.
- The ADO pathway plays a significant role in tumor immune evasion.
- Early-phase studies of ADO pathway inhibitors in gastric cancer show encouraging results.
Conclusions:
- Targeting adenosine signaling represents a promising strategy for enhancing cancer immunotherapy.
- Further research into ADO pathway mechanisms can inform the development of novel cancer treatments.
- The ADO pathway holds potential for treating gastric cancer and other malignancies.
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