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.

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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