Intracellular targets as source for cleaner targets for the treatment of solid tumors

Hans-Peter Gerber1, Leah V Sibener1, Luke J Lee1

  • 13T Biosciences, 1455 Adams Drive, Menlo Park, CA 94025, United States.

Insights

Novel intracellular targets are crucial for advancing high-potency oncology treatments in solid tumors. This approach overcomes toxicities associated with targeting cell surface antigens, improving therapeutic efficacy and patient outcomes.

Area of Science:

  • Oncology
  • Immunotherapy
  • Drug Development

Background:

  • High-potency oncology compounds show success in liquid tumors but limited benefit in solid tumors due to dose-limiting toxicities in normal tissues.
  • On-target, off-tumor toxicities arise from targeting antigens present at low levels on normal tissues.
  • Current therapies often target cell surface antigens identified decades ago, highlighting a need for novel targets.

Purpose of the Study:

  • To review tumor-specific antigens (TSAs) and tumor-associated antigens (TAAs) as targets for high-potency oncology compounds in solid tumors.
  • To discuss the potential of intracellular targets to overcome limitations of current therapeutic strategies.
  • To emphasize the critical need for identifying novel, tumor-specific targets for solid tumor treatment.

Main Methods:

  • Review of existing literature on tumor-specific antigens and tumor-associated antigens.
  • Analysis of the role of intracellular targets in cancer therapy, particularly in relation to immune checkpoint inhibitors.
  • Discussion of different classes of TSAs, including viral antigens, neoantigens, and shared self-antigens.

Main Results:

  • Intracellular targets offer a promising alternative to cell surface antigens, potentially reducing on-target, off-tumor toxicities.
  • Immune checkpoint inhibitors highlight the potential of targeting intracellular antigens presented via human leukocyte antigens (HLAs).
  • Tumor-specific antigens, which are not expressed on normal tissues, are key to developing safer and more effective therapies.

Conclusions:

  • Identification of novel, truly tumor-specific targets is essential for the successful application of high-potency oncology compounds in solid tumors.
  • Intracellular targets, particularly TSAs, represent a promising avenue for improving the efficacy and safety of cancer therapies.
  • Further research into TSAs and TAAs will drive the development of next-generation oncology treatments for solid tumors.

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