The Role and Therapeutic Targeting of CCR5 in Breast Cancer
Rasha Hamid1, Mustafa Alaziz1, Amanpreet S Mahal1
1Xavier University School of Medicine, Oranjestad, Aruba.
Abstract:
The G-protein-coupled receptor C-C chemokine receptor 5 (CCR5) functions as a co-receptor for the entry of HIV into immune cells. CCR5 binds promiscuously to a diverse array of ligands initiating cell signaling that includes guided migration. Although well known to be expressed on immune cells, recent studies have shown the induction of CCR5 on the surface of breast cancer epithelial cells. The function of CCR5 on breast cancer epithelial cells includes the induction of aberrant cell survival signaling and tropism towards chemo attractants. As CCR5 is not expressed on normal epithelium, the receptor provides a potential useful target for therapy. Inhibitors of CCR5 (CCR5i), either small molecules (maraviroc, vicriviroc) or humanized monoclonal antibodies (leronlimab) have shown anti-tumor and anti-metastatic properties in preclinical studies. In early clinical studies, reviewed herein, CCR5i have shown promising results and evidence for effects on both the tumor and the anti-tumor immune response. Current clinical studies have therefore included combination therapy approaches with checkpoint inhibitors.
Insights
C-C chemokine receptor 5 (CCR5) is expressed on breast cancer cells, promoting survival and migration. CCR5 inhibitors show promise in targeting breast cancer and enhancing anti-tumor immunity, especially in combination therapies.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- C-C chemokine receptor 5 (CCR5) is a G-protein-coupled receptor crucial for HIV entry into immune cells.
- CCR5 is also found on breast cancer epithelial cells, where it drives aberrant survival signaling and chemoattractant tropism.
- Its presence on cancer cells but not normal epithelium makes CCR5 a potential therapeutic target.
Purpose of the Study:
- To review the role of CCR5 in breast cancer.
- To discuss the therapeutic potential of CCR5 inhibitors (CCR5i) in cancer treatment.
- To highlight emerging clinical findings and combination therapy strategies involving CCR5i.
Main Methods:
- Literature review of preclinical and early clinical studies on CCR5 and CCR5 inhibitors in breast cancer.
- Analysis of CCR5 expression, function, and therapeutic targeting in breast cancer models.
- Evaluation of clinical trial data for CCR5 inhibitors, including monotherapy and combination approaches.
Main Results:
- CCR5 inhibitors (small molecules and antibodies) demonstrate anti-tumor and anti-metastatic effects in preclinical studies.
- Early clinical studies indicate that CCR5 inhibitors yield promising results, impacting both the tumor and the anti-tumor immune response.
- Combination therapies involving CCR5 inhibitors and checkpoint inhibitors are being explored in current clinical trials.
Conclusions:
- CCR5 represents a viable therapeutic target for breast cancer due to its specific expression on cancer cells.
- CCR5 inhibitors have demonstrated significant potential in preclinical and early clinical settings for breast cancer treatment.
- Combination strategies, particularly with checkpoint inhibitors, are a key focus for advancing CCR5-targeted therapies in oncology.
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