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Natural Blockers of PD-1/PD-L1 Interaction for the Immunotherapy of Triple-Negative Breast Cancer-Brain Metastasis
Maryam Nakhjavani1, Sarah Shigdar2
1School of Medicine, Deakin University, Geelong, VIC 3220, Australia.
Abstract:
The limited treatment options for triple-negative breast cancer with brain metastasis (TNBC-BM) have left the door of further drug development for these patients wide open. Although immunotherapy via monoclonal antibodies has shown some promising results in several cancers including TNBC, it cannot be considered the most effective treatment for brain metastasis. This is due to the protective role of the blood-brain barrier (BBB) which limits the entrance of most drugs, especially the bulky ones such as antibodies, to the brain. For a drug to traverse the BBB via passive diffusion, various physicochemical properties should be considered. Since natural medicine has been a key inspiration for the development of the majority of current medicines, in this paper, we review several naturally-derived molecules which have the potential for immunotherapy via blocking the interaction of programmed cell death protein-1 (PD-1) and its ligand, PD-L1. The mechanism of action, physicochemical properties and pharmacokinetics of these molecules and their theoretical potential to be used for the treatment of TNBC-BM are discussed.
Insights
Naturally derived molecules show promise for treating triple-negative breast cancer with brain metastasis (TNBC-BM). These compounds may overcome the blood-brain barrier (BBB) to block PD-1/PD-L1 interactions, offering new immunotherapy options.
Area of Science:
- Oncology
- Immunotherapy
- Pharmacology
Background:
- Triple-negative breast cancer with brain metastasis (TNBC-BM) has limited therapeutic strategies.
- Current immunotherapies, like monoclonal antibodies, face challenges crossing the blood-brain barrier (BBB).
- The BBB restricts the entry of large molecules, hindering effective brain metastasis treatment.
Purpose of the Study:
- To review naturally-derived molecules for potential immunotherapy against TNBC-BM.
- To explore molecules capable of blocking the PD-1/PD-L1 pathway.
- To assess the theoretical potential of these natural compounds for crossing the BBB.
Main Methods:
- Literature review of naturally-derived molecules.
- Analysis of molecules targeting the PD-1/PD-L1 interaction.
- Evaluation of physicochemical properties and pharmacokinetics for BBB penetration.
Main Results:
- Several natural compounds exhibit potential for PD-1/PD-L1 pathway inhibition.
- Discussion of mechanisms of action, physicochemical properties, and pharmacokinetics.
- Theoretical assessment of BBB traversal capabilities for selected natural molecules.
Conclusions:
- Naturally-derived molecules offer a promising avenue for TNBC-BM immunotherapy.
- These compounds may overcome BBB limitations, unlike traditional antibodies.
- Further research into these natural molecules could lead to novel treatments for brain metastasis.
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