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Published on: September 28, 2018
Glycogen synthase 3 (GSK-3) regulation of PD-1 expression and and its therapeutic implications
Janna Krueger1, Christopher E Rudd1, Alison Taylor2
1Division of Immunology-Oncology, Research Center Maisonneuve-Rosemont Hospital, Montreal, Quebec H1T 2M4, Canada; Département de Medicine, Université de Montréal, Montreal, Quebec H3C 3J7, Canada.
Abstract:
The past few years have witnessed exciting progress in the application of immune check-point blockade (ICB) for the treatment of various human cancers. ICB was first used against cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) to demonstrate durable anti-tumor responses followed by ICB against programmed cell death-1 (PD-1) or its ligand, PD-L1. Present approaches involve the use of combinations of blocking antibodies against CTLA-4, PD-1 and other inhibitory receptors (IRs) such as TIM3, TIGIT and LAG3. Despite this success, most patients are not cured by ICB therapy and there are limitations to the use of antibodies including cost, tumor penetration, the accessibility of receptors, and clearance from the cell surface as well as inflammatory and autoimmune complications. Recently, we demonstrated that the down-regulation or inhibition of glycogen synthase kinase 3 (GSK-3) down-regulates PD-1 expression in infectious diseases and cancer (Taylor et al., 2016 Immunity 44, 274-86; 2018 Cancer Research 78, 706-717; Krueger and Rudd 2018 Immunity 46, 529-531). In this Review, we outline the use of small molecule inhibitors (SMIs) that target intracellular pathways for co-receptor blockade in cancer immunotherapy.
Insights
Immune checkpoint blockade (ICB) shows promise in cancer treatment, but limitations exist. Inhibiting glycogen synthase kinase 3 (GSK-3) down-regulates PD-1, offering a new strategy for cancer immunotherapy.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Immune checkpoint blockade (ICB) therapies targeting CTLA-4 and PD-1/PD-L1 have advanced cancer treatment.
- Combinations of antibodies against CTLA-4, PD-1, TIM3, TIGIT, and LAG3 are being explored.
- Limitations of current ICB include cost, tumor penetration, receptor accessibility, and inflammatory side effects.
Purpose of the Study:
- To review the potential of small molecule inhibitors (SMIs) targeting intracellular pathways for cancer immunotherapy.
- To highlight the role of glycogen synthase kinase 3 (GSK-3) inhibition in down-regulating PD-1 expression.
Main Methods:
- Review of existing literature on ICB and GSK-3 inhibition.
- Analysis of preclinical and clinical data on SMIs in cancer immunotherapy.
Main Results:
- GSK-3 inhibition was shown to down-regulate PD-1 expression in infectious diseases and cancer.
- SMIs offer an alternative approach to antibody-based ICB.
Conclusions:
- Targeting intracellular pathways with SMIs presents a promising strategy to overcome limitations of current ICB therapies.
- GSK-3 inhibitors represent a potential therapeutic avenue for enhancing cancer immunotherapy.
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