[Progress in targeting therapy of cancer metastasis by CCL21/CCR7 axis]

Li Zhang1, Fazhan Wang1, Xiaohan Yao1

  • 1Medical Research Center, Department of Endocrinology and Metabolism, the First Affiliated Hospital of Zhengzhou University, Zhengzhou University, Zhengzhou 450052, Henan, China.

Insights

Targeting the CCL21/CCR7 axis can inhibit tumor lymphatic metastasis. This review explores its role in metastasis and immunotherapy strategies, aiming to advance cancer treatment.

Area of Science:

  • Oncology and Immunology
  • Molecular Biology
  • Cancer Metastasis Research

Background:

  • Lymphatic metastasis is a primary driver of cancer mortality.
  • The chemokine ligand CCL21 and its receptor CCR7 play crucial roles in immune cell trafficking and lymphatic metastasis.
  • Both immune cells and tumor cells expressing CCR7 can utilize the CCL21/CCR7 pathway for lymphatic system colonization.

Purpose of the Study:

  • To review the involvement of the CCL21/CCR7 axis in the process of lymphatic metastasis.
  • To summarize preclinical and clinical trials targeting the CCL21/CCR7 axis for cancer metastasis therapy.
  • To highlight the potential of targeting this axis for effective tumor immunotherapy while preserving anti-tumor immunity.

Main Methods:

  • Literature review of studies investigating the CCL21/CCR7 pathway in cancer metastasis.
  • Analysis of preclinical data on targeting the CCL21/CCR7 axis.
  • Review of ongoing and completed clinical trials focused on CCL21/CCR7-targeted therapies.

Main Results:

  • The CCL21/CCR7 axis facilitates tumor cell migration to lymphatic vessels and lymph nodes.
  • Targeting this axis shows promise in preclinical models for reducing lymphatic metastasis.
  • Clinical trials are exploring the efficacy and safety of CCL21/CCR7-targeted immunotherapies.

Conclusions:

  • The CCL21/CCR7 axis is a critical mediator of lymphatic metastasis and a viable therapeutic target.
  • Targeting CCL21/CCR7 offers a potential strategy to inhibit metastasis while maintaining anti-tumor immune responses.
  • Further research and clinical trials are essential to fully realize the therapeutic potential of targeting the CCL21/CCR7 axis in cancer.

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