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Updated: Nov 26, 2025

Monitoring the Cancer-Immunity Cycle and Exploring Tumor Microenvironment Dynamics
Published on: June 7, 2024
Hitting the complexity of the TIGIT-CD96-CD112R-CD226 axis for next-generation cancer immunotherapy
1Department of Convergence Medicine, Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.
Abstract:
Antibody-based therapeutics targeting the inhibitory receptors PD-1, PD-L1, or CTLA-4 have shown remarkable clinical progress on several cancers. However, most patients do not benefit from these therapies. Thus, many efforts are being made to identify new immune checkpoint receptor-ligand pathways that are alternative targets for cancer immunotherapies. Nectin and nectin-like molecules are widely expressed on several types of tumor cells and play regulatory roles in T- and NK-cell functions. TIGIT, CD226, CD96 and CD112R on lymphoid cells are a group of immunoglobulin superfamily receptors that interact with Nectin and nectin-like molecules with different affinities. These receptors transmit activating or inhibitory signals upon binding their cognate ligands to the immune cells. The integrated signals formed by their complex interactions contribute to regulating immune-cell functions. Several clinical trials are currently evaluating the efficacy of anti-TIGIT and anti-CD112R blockades for treating patients with solid tumors. However, many questions still need to be answered in order to fully understand the dynamics and functions of these receptor networks. This review addresses the rationale behind targeting TIGIT, CD226, CD96, and CD112R to regulate T- and NK-cell functions and discusses their potential application in cancer immunotherapy. [BMB Reports 2021; 54(1): 2-11].
Insights
New immune checkpoint targets like TIGIT, CD226, CD96, and CD112R offer potential cancer immunotherapy alternatives. Targeting these receptors regulates T- and NK-cell functions for improved cancer treatment strategies.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Current immunotherapies targeting PD-1, PD-L1, and CTLA-4 show limited efficacy in many cancer patients.
- Identifying novel immune checkpoint pathways is crucial for advancing cancer immunotherapy.
- Nectin and nectin-like molecules are implicated in regulating T- and NK-cell functions in tumors.
Purpose of the Study:
- To review the rationale for targeting TIGIT, CD226, CD96, and CD112R in cancer immunotherapy.
- To discuss the role of these receptors in regulating T- and NK-cell functions.
- To explore the potential applications of targeting these novel immune checkpoints in solid tumors.
Main Methods:
- Review of existing literature on TIGIT, CD226, CD96, and CD112R.
- Analysis of their interactions with nectin and nectin-like molecules.
- Examination of their signaling pathways in immune cells.
Main Results:
- TIGIT, CD226, CD96, and CD112R are immunoglobulin superfamily receptors interacting with nectin family molecules.
- These receptors transmit activating or inhibitory signals, modulating T- and NK-cell functions.
- Clinical trials are investigating anti-TIGIT and anti-CD112R therapies for solid tumors.
Conclusions:
- Targeting TIGIT, CD226, CD96, and CD112R represents a promising strategy for novel cancer immunotherapies.
- Further research is needed to fully elucidate the complex functions of these receptor networks.
- These pathways hold potential for overcoming resistance to existing immunotherapies.
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