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The progress and prospects of targeting the adenosine pathway in cancer immunotherapy
Yuying Yang1,2,3, Lin Zhu1,2,3, Yantao Xu1,2,3
1Department of Dermatology, Hunan Engineering Research Center of Skin Health and Disease, Hunan Key Laboratory of Skin Cancer and Psoriasis, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
Abstract:
Despite the notable success of cancer immunotherapy, its effectiveness is often limited in a significant proportion of patients, highlighting the need to explore alternative tumor immune evasion mechanisms. Adenosine, a key metabolite accumulating in hypoxic tumor regions, has emerged as a promising target in oncology. Inhibiting the adenosinergic pathway not only inhibits tumor progression but also holds potential to enhance immunotherapy outcomes. Multiple therapeutic strategies targeting this pathway are being explored, ranging from preclinical studies to clinical trials. This review examines the complex interactions between adenosine, its receptors, and the tumor microenvironment, proposing strategies to target the adenosinergic axis to boost anti-tumor immunity. It also evaluates early clinical data on pharmacological inhibitors of the adenosinergic pathway and discusses future directions for improving clinical responses.
Insights
Cancer immunotherapy is limited for many patients. Targeting the adenosinergic pathway, which involves adenosine, can inhibit tumor growth and enhance immune responses against cancer.
Area of Science:
- Oncology
- Immunology
- Metabolism
Background:
- Cancer immunotherapy success is limited in many patients.
- Tumor immune evasion mechanisms require further investigation.
- Adenosine, accumulating in hypoxic tumors, influences the tumor microenvironment.
Purpose of the Study:
- To review the role of the adenosinergic axis in tumor immune evasion.
- To propose strategies for targeting adenosine to enhance anti-tumor immunity.
- To evaluate clinical data on adenosinergic pathway inhibitors.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of adenosine-receptor interactions within the tumor microenvironment.
- Evaluation of therapeutic strategies targeting the adenosinergic axis.
Main Results:
- The adenosinergic pathway is a significant mechanism of tumor immune evasion.
- Inhibiting adenosine signaling can suppress tumor progression.
- Adenosine pathway inhibitors show potential for enhancing immunotherapy outcomes.
Conclusions:
- Targeting the adenosinergic axis is a promising strategy to overcome immunotherapy resistance.
- Further clinical evaluation of adenosine pathway inhibitors is warranted.
- Optimizing strategies to boost anti-tumor immunity by targeting adenosine is crucial.
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