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TAM Receptor Inhibition-Implications for Cancer and the Immune System
Pia Aehnlich1, Richard Morgan Powell1, Marlies J W Peeters1
1National Center for Cancer Immune Therapy (CCIT-DK), Department of Oncology, Copenhagen University Hospital Herlev, 2730 Herlev, Denmark.
Abstract:
Tyro3, Axl and MerTK (TAM) receptors are receptor tyrosine kinases which play important roles in efferocytosis and in the balancing of immune responses and inflammation. TAM receptor activation is induced upon binding of the ligands protein S (Pros1) or growth arrest-specific protein 6 (Gas6) which act as bridging molecules for binding of phosphatidyl serine (PtdSer) exposed on apoptotic cell membranes. Upon clearance of apoptotic cell material, TAM receptor activation on innate cells suppresses proinflammatory functions, thereby ensuring the immunologically silent removal of apoptotic material in the absence of deleterious immune responses. However, in T cells, MerTK signaling is costimulatory and promotes activation and functional output of the cell. MerTK and Axl are also aberrantly expressed in a range of both hematological and solid tumor malignancies, including breast, lung, melanoma and acute myeloid leukemia, where they have a role in oncogenic signaling. Consequently, TAM receptors are being investigated as therapeutic targets using small molecule inhibitors and have already demonstrated efficacy in mouse tumor models. Thus, inhibition of TAM signaling in cancer cells could have therapeutic value but given the opposing roles of TAM signaling in innate cells and T cells, TAM inhibition could also jeopardize anticancer immune responses. This conflict is discussed in this review, describing the effects of TAM inhibition on cancer cells as well as immune cells, while also examining the intricate interplay of cancer and immune cells in the tumor microenvironment.
Insights
Tyro3, Axl, and MerTK (TAM) receptors regulate immune responses and efferocytosis. Inhibiting TAM signaling in cancer offers therapeutic potential but may harm anti-cancer immunity due to opposing roles in innate and T cells.
Area of Science:
- Immunology
- Molecular Biology
- Oncology
Background:
- Tyro3, Axl, and MerTK (TAM) receptors are tyrosine kinases crucial for efferocytosis and immune balance.
- TAM receptors bind ligands like Gas6 and Pros1, facilitating the clearance of apoptotic cells and suppressing inflammation in innate cells.
- MerTK signaling in T cells is costimulatory, promoting T cell activation and function.
Purpose of the Study:
- To review the dual role of TAM receptor signaling in cancer and immunity.
- To discuss the therapeutic potential and immunological risks of inhibiting TAM signaling in cancer treatment.
- To examine the complex interactions between cancer cells, immune cells, and TAM signaling within the tumor microenvironment.
Main Methods:
- Literature review of studies on TAM receptor function in cancer and immunology.
- Analysis of the effects of TAM inhibition on cancer cells and various immune cell populations.
- Examination of the interplay between cancer and immune cells in the tumor microenvironment.
Main Results:
- TAM receptors are aberrantly expressed in various cancers, contributing to oncogenic signaling.
- Inhibition of TAM signaling can suppress tumor growth in preclinical models.
- Conversely, TAM inhibition may impair anti-cancer immune responses due to their roles in T cell activation.
Conclusions:
- TAM receptors present a therapeutic target in oncology, but their inhibition requires careful consideration of immune consequences.
- Understanding the context-dependent roles of TAM signaling is critical for developing effective cancer immunotherapies.
- Balancing the anti-tumor effects with the potential immunosuppression is key for successful therapeutic strategies targeting TAM receptors.
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