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Potential Role of CXCL13/CXCR5 Signaling in Immune Checkpoint Inhibitor Treatment in Cancer
Ching-Hung Hsieh1, Cheng-Zhe Jian2, Liang-In Lin1
1Department of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University, Taipei City 10048, Taiwan.
Abstract:
Immune checkpoint inhibitors (ICIs), including antibodies that target programmed cell death protein 1 (PD-1), programmed death-ligand 1 (PD-L1), or cytotoxic T lymphocyte antigen 4 (CTLA4), represent some of the most important breakthroughs in new drug development for oncology therapy from the past decade. CXC chemokine ligand 13 (CXCL13) exclusively binds CXC chemokine receptor type 5 (CXCR5), which plays a critical role in immune cell recruitment and activation and the regulation of the adaptive immune response. CXCL13 is a key molecular determinant of the formation of tertiary lymphoid structures (TLSs), which are organized aggregates of T, B, and dendritic cells that participate in the adaptive antitumor immune response. CXCL13 may also serve as a prognostic and predictive factor, and the role played by CXCL13 in some ICI-responsive tumor types has gained intense interest. This review discusses how CXCL13/CXCR5 signaling modulates cancer and immune cells to promote lymphocyte infiltration, activation by tumor antigens, and differentiation to increase the antitumor immune response. We also summarize recent preclinical and clinical evidence regarding the ICI-therapeutic implications of targeting the CXCL13/CXCR5 axis and discuss the potential role of this signaling pathway in cancer immunotherapy.
Insights
The CXCL13/CXCR5 signaling pathway is crucial for enhancing antitumor immune responses and improving the effectiveness of immune checkpoint inhibitors (ICIs) in cancer therapy. Targeting this axis shows promise for future cancer immunotherapy strategies.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint inhibitors (ICIs) targeting PD-1, PD-L1, or CTLA-4 are major advances in cancer therapy.
- CXC chemokine ligand 13 (CXCL13) binds CXC chemokine receptor type 5 (CXCR5), regulating adaptive immunity and tertiary lymphoid structure (TLS) formation.
- CXCL13's role in ICI-responsive tumors is gaining attention as a prognostic and predictive factor.
Purpose of the Study:
- To review how CXCL13/CXCR5 signaling influences cancer and immune cells.
- To explore its role in promoting lymphocyte infiltration and activation against tumors.
- To summarize preclinical and clinical evidence on targeting the CXCL13/CXCR5 axis for ICI therapy.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of the molecular mechanisms of CXCL13/CXCR5 signaling in cancer immunity.
- Synthesis of data on the therapeutic implications of targeting this axis.
Main Results:
- CXCL13/CXCR5 signaling promotes lymphocyte infiltration, tumor antigen activation, and differentiation, enhancing antitumor immunity.
- Evidence suggests targeting the CXCL13/CXCR5 axis can improve responses to ICIs.
- The pathway's role in TLS formation is linked to adaptive antitumor responses.
Conclusions:
- The CXCL13/CXCR5 axis is a significant modulator of the antitumor immune response.
- Targeting this pathway offers potential therapeutic strategies to enhance cancer immunotherapy efficacy.
- Further research into CXCL13/CXCR5 signaling could lead to novel ICI-based treatments.
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