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Tumor Necrosis Factor Receptor 2 (TNFR2): An Emerging Target in Cancer Therapy
Juliane Medler1, Kirstin Kucka1, Harald Wajant1
1Division of Molecular Internal Medicine, Department of Internal Medicine II, University Hospital Würzburg, Auvera Haus, Grombühlstrasse 12, 97080 Würzburg, Germany.
Abstract:
Despite the great success of TNF blockers in the treatment of autoimmune diseases and the identification of TNF as a factor that influences the development of tumors in many ways, the role of TNFR2 in tumor biology and its potential suitability as a therapeutic target in cancer therapy have long been underestimated. This has been fundamentally changed with the identification of TNFR2 as a regulatory T-cell (Treg)-stimulating factor and the general clinical breakthrough of immunotherapeutic approaches. However, considering TNFR2 as a sole immunosuppressive factor in the tumor microenvironment does not go far enough. TNFR2 can also co-stimulate CD8+ T-cells, sensitize some immune and tumor cells to the cytotoxic effects of TNFR1 and/or acts as an oncogene. In view of the wide range of cancer-associated TNFR2 activities, it is not surprising that both antagonists and agonists of TNFR2 are considered for tumor therapy and have indeed shown overwhelming anti-tumor activity in preclinical studies. Based on a brief summary of TNFR2 signaling and the immunoregulatory functions of TNFR2, we discuss here the main preclinical findings and insights gained with TNFR2 agonists and antagonists. In particular, we address the question of which TNFR2-associated molecular and cellular mechanisms underlie the observed anti-tumoral activities of TNFR2 agonists and antagonists.
Insights
Tumor necrosis factor receptor 2 (TNFR2) plays a complex role in cancer, acting as both an immunosuppressor and a promoter of anti-tumor immunity. Research into TNFR2 agonists and antagonists reveals their potential for cancer therapy.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Tumor necrosis factor receptor 2 (TNFR2) has been historically underestimated in cancer therapy despite its known roles in inflammation and immunity.
- Recent advances in immunotherapy and the identification of TNFR2's role in regulating T-cells have renewed interest in its therapeutic potential.
- TNFR2's function extends beyond immunosuppression, influencing T-cell co-stimulation, sensitizing cells to cytotoxicity, and acting as an oncogene.
Purpose of the Study:
- To review the multifaceted roles of TNFR2 in tumor biology and cancer immunity.
- To summarize preclinical findings on TNFR2 agonists and antagonists as cancer therapeutics.
- To explore the molecular and cellular mechanisms underlying TNFR2-mediated anti-tumor activities.
Main Methods:
- Review of existing preclinical studies and literature on TNFR2 signaling pathways.
- Analysis of data on the efficacy of TNFR2 agonists and antagonists in various cancer models.
- Discussion of immunoregulatory functions of TNFR2 in the tumor microenvironment.
Main Results:
- TNFR2 exhibits dual roles, promoting immunosuppression via regulatory T-cells (Tregs) but also enhancing anti-tumor immunity through CD8+ T-cell co-stimulation.
- Both TNFR2 agonists and antagonists have demonstrated significant anti-tumor activity in preclinical cancer models.
- TNFR2 signaling influences tumor cell sensitivity to cytotoxic agents and can function as an oncogene.
Conclusions:
- TNFR2 is a critical regulator within the tumor microenvironment with complex, context-dependent functions.
- Targeting TNFR2, using either agonists or antagonists, holds significant promise for novel cancer immunotherapies.
- Further investigation into TNFR2-associated mechanisms is crucial for optimizing therapeutic strategies.
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