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Published on: April 11, 2016
TIGIT: a novel immunotherapy target moving from bench to bedside
Benjamin L Solomon1, Ignacio Garrido-Laguna2,3
1Oncology Division, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah School of Medicine, 2000 Circle of Hope, Suite 2100, Salt Lake City, UT, 84112, USA. Benjamin.solomon@hci.utah.edu.
Immunotherapy shows promise for cancer treatment but often fails in "cold tumors." Targeting the TIGIT immune checkpoint may overcome this resistance, potentially enhancing existing cancer immunotherapies.
Area of Science:
- Immunology
- Oncology
- Cancer Immunotherapy
Background:
- Advanced solid tumors are challenging to treat with current modalities like surgery, chemotherapy, and targeted therapies.
- Cancer immunotherapy has emerged as a novel treatment paradigm, but response rates remain limited, particularly in patients with "cold tumors."
- Cold tumors are characterized by an immunosuppressive tumor microenvironment, low T cell infiltration, and reduced mutational and neoantigen burden.
Purpose of the Study:
- To explore the role of the TIGIT (T cell immunoreceptor with Ig and ITIM domains) immune checkpoint in tumor immunosurveillance.
- To investigate the potential of targeting TIGIT as a strategy to overcome immunotherapy resistance in solid tumors.
- To evaluate the synergistic potential of anti-TIGIT antibodies with existing immunotherapies like anti-PD-1/PD-L1 antibodies.
Main Methods:
- Review of scientific literature on TIGIT function, expression in cancer, and its interaction with other immune checkpoints.
- Analysis of pre-clinical models investigating the efficacy of anti-TIGIT antibodies.
- Examination of ongoing clinical trials evaluating anti-TIGIT therapies.
Main Results:
- TIGIT is an inhibitory immune checkpoint expressed on T cells and NK cells, playing a role in immune suppression.
- TIGIT competes with the activating receptor CD226 for ligands CD155 and CD112, contributing to tumor immune evasion.
- Pre-clinical studies demonstrate that anti-TIGIT antibodies can synergize with anti-PD-1/PD-L1 antibodies, enhancing anti-tumor immunity.
Conclusions:
- TIGIT represents a promising therapeutic target for enhancing cancer immunotherapy efficacy, especially in patients unresponsive to current treatments.
- Combination strategies involving anti-TIGIT and anti-PD-1/PD-L1 antibodies hold potential for improving outcomes in advanced solid tumors.
- Ongoing clinical trials are crucial for validating the therapeutic benefit of targeting the TIGIT pathway in cancer patients.
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