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Soluble B7-CD28 Family Inhibitory Immune Checkpoint Proteins and Anti-Cancer Immunotherapy
Muhammad Khan1,2, Sumbal Arooj3, Hua Wang1,2
1Department of Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
Abstract:
Co-inhibitory B7-CD28 family member proteins negatively regulate T cell responses and are extensively involved in tumor immune evasion. Blockade of classical CTLA-4 (cytotoxic T lymphocyte-associated antigen-4) and PD-1 (programmed cell death protein-1) checkpoint pathways have become the cornerstone of anti-cancer immunotherapy. New inhibitory checkpoint proteins such as B7-H3, B7-H4, and BTLA (B and T lymphocyte attenuator) are being discovered and investigated for their potential in anti-cancer immunotherapy. In addition, soluble forms of these molecules also exist in sera of healthy individuals and elevated levels are found in chronic infections, autoimmune diseases, and cancers. Soluble forms are generated by proteolytic shedding or alternative splicing. Elevated circulating levels of these inhibitory soluble checkpoint molecules in cancer have been correlated with advance stage, metastatic status, and prognosis which underscore their broader involvement in immune regulation. In addition to their potential as biomarker, understanding their mechanism of production, biological activity, and pathological interactions may also pave the way for their clinical use as a therapeutic target. Here we review these aspects of soluble checkpoint molecules and elucidate on their potential for anti-cancer immunotherapy.
Insights
Soluble checkpoint inhibitors, like B7-H3 and B7-H4, are crucial in cancer immune evasion. Understanding their role could lead to new anti-cancer immunotherapies and biomarkers.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Co-inhibitory B7-CD28 family proteins regulate T cell responses and are implicated in tumor immune evasion.
- Blockade of CTLA-4 and PD-1 pathways are established anti-cancer immunotherapies.
- Emerging checkpoints include B7-H3, B7-H4, and BTLA, with potential in cancer therapy.
Purpose of the Study:
- To review soluble checkpoint molecules, their production, biological activity, and pathological interactions.
- To elucidate the potential of soluble checkpoint molecules in anti-cancer immunotherapy.
- To explore their utility as biomarkers in cancer.
Main Methods:
- Literature review of soluble checkpoint molecules.
- Analysis of their generation (proteolytic shedding, alternative splicing).
- Examination of their correlation with cancer stage, metastasis, and prognosis.
Main Results:
- Soluble forms of checkpoint molecules are found in healthy individuals and elevated in disease states.
- Elevated levels in cancer correlate with advanced stage, metastasis, and poor prognosis.
- These molecules are involved in immune regulation and cancer progression.
Conclusions:
- Soluble checkpoint molecules have potential as biomarkers for cancer.
- Understanding their mechanisms may reveal new therapeutic targets for anti-cancer immunotherapy.
- Further research into their production and activity is warranted for clinical applications.
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