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Published on: January 19, 2019
TIGIT-based immunotherapeutics in lung cancer
Akshay J Patel1,2, Gary W Middleton1,3
1Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, UK.
Abstract:
In this review, we explore the biology of the TIGIT checkpoint and its potential as a therapeutic target in lung cancer. We briefly review a highly selected set of clinical trials that have reported or are currently recruiting in non-small cell and small cell lung cancer, a disease transformed by the advent of PD-1/PD-L1 checkpoint blockade immunotherapy. We explore the murine data underlying TIGIT blockade and further explore the reliance of effective anti-TIGIT therapy on DNAM-1(CD226)-positive activated effector CD8+ T cells. The synergism with anti-PD-1 therapy is also explored. Future directions in the realm of overcoming resistance to checkpoint blockade and extending the repertoire of other checkpoints are also briefly explored.
Insights
The TIGIT checkpoint shows promise as a lung cancer therapy target. Effective TIGIT blockade relies on specific T cells and synergizes with PD-1 blockade, offering new immunotherapy strategies.
Area of Science:
- Immunology
- Oncology
- Translational Medicine
Background:
- Lung cancer treatment has been revolutionized by PD-1/PD-L1 checkpoint inhibitors.
- The TIGIT immune checkpoint is an emerging target for cancer immunotherapy.
- Understanding TIGIT biology is crucial for developing novel lung cancer treatments.
Purpose of the Study:
- To review the biology of the TIGIT checkpoint.
- To evaluate TIGIT as a therapeutic target in lung cancer.
- To explore the synergy of TIGIT blockade with existing immunotherapies.
Main Methods:
- Review of preclinical murine models of TIGIT blockade.
- Analysis of clinical trials involving TIGIT-targeted therapies in lung cancer.
- Exploration of the role of DNAM-1 (CD226)-positive CD8+ T cells in TIGIT therapy efficacy.
Main Results:
- TIGIT blockade shows potential in preclinical lung cancer models.
- Effective anti-TIGIT therapy depends on activated DNAM-1-positive CD8+ T cells.
- TIGIT blockade demonstrates synergistic effects when combined with anti-PD-1 therapy.
Conclusions:
- TIGIT represents a promising therapeutic target for lung cancer.
- Combination therapy with TIGIT and PD-1 blockade may enhance treatment efficacy.
- Further research into TIGIT and other checkpoints is needed to overcome resistance and improve outcomes.
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