Trop2-targeted therapies in solid tumors: advances and future directions
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Published on: June 16, 2023
Xinlin Liu1,2, Leina Ma1,2, Jiyixuan Li1,2
1The Affiliated Hospital of Qingdao University, Qingdao University, Qingdao 266071, China.
Abstract:
Trophoblast cell surface antigen 2 (Trop2) is overexpressed in a range of solid tumors and participants in multiple oncogenic signaling pathways, making it an attractive therapeutic target. In the past decade, the rapid development of various Trop2-targeted therapies, notably marked by the advent of the antibody-drug conjugate (ADC), revolutionized the outcome for patients facing Trop2-positive tumors with limited treatment opinions, such as triple-negative breast cancer (TNBC). This review provides a comprehensive summary of advances in Trop2-targeted therapies, including ADCs, antibodies, multispecific agents, immunotherapy, cancer vaccines, and small molecular inhibitors, along with in-depth discussions on their designs, mechanisms of action (MOAs), and limitations. Additionally, we emphasize the clinical research progress of these emerging Trop2-targeted agents, focusing on their clinical application and therapeutic efficacy against tumors. Furthermore, we propose directions for future research, such as enhancing our understanding of Trop2's structure and biology, exploring the best combination strategies, and tailoring precision treatment based on Trop2 testing methodologies.
Insights
Trophoblast cell surface antigen 2 (Trop2) targeted therapies, including antibody-drug conjugates (ADCs), show promise for treating Trop2-positive solid tumors like triple-negative breast cancer. This review summarizes current advances, clinical progress, and future research directions for these novel cancer treatments.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Trophoblast cell surface antigen 2 (Trop2) is overexpressed in various solid tumors, driving oncogenic signaling pathways.
- Trop2 represents a significant therapeutic target due to its role in cancer progression.
Purpose of the Study:
- To provide a comprehensive review of emerging Trop2-targeted therapies.
- To discuss the design, mechanisms of action (MOAs), and limitations of these therapies.
- To highlight clinical progress and therapeutic efficacy against various tumors.
Main Methods:
- Review of current scientific literature on Trop2-targeted therapies.
- Analysis of clinical trial data for Trop2-targeted agents.
- Discussion of future research directions and precision medicine approaches.
Main Results:
- Significant advancements have been made in Trop2-targeted therapies, particularly antibody-drug conjugates (ADCs).
- These therapies, including ADCs, antibodies, multispecific agents, immunotherapy, cancer vaccines, and small molecular inhibitors, demonstrate therapeutic potential.
- Clinical research shows promising efficacy against Trop2-positive tumors, including triple-negative breast cancer (TNBC).
Conclusions:
- Trop2-targeted therapies have revolutionized treatment outcomes for patients with limited options.
- Further research is needed to enhance understanding of Trop2 biology and optimize combination strategies.
- Precision treatment tailored by Trop2 testing holds promise for improved patient care.
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