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PD-1, BTLA and TIGIT as therapeutic targets for rheumatic disease
Juhi R Kuchroo1,2, Naomi Goldman1,2, Arlene H Sharpe3,4
1Department of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA.
Abstract:
Immune-checkpoint molecules have essential roles in regulating immune responses, which maintain the delicate balance between physiological immune reactions and autoimmunity. The clinical success of immune checkpoint blockade for cancer therapy, and the occurrence of immune-related adverse events during cancer immunotherapy, highlight the profound effect of modulating these receptors on both tumour-specific and 'self'-specific responses. As a result, interest in exploring how these molecules can be targeted to treat autoimmune and rheumatological diseases is expanding. Targeting of the immune-checkpoint molecules PD-1, B and T lymphocyte attenuator (BTLA) and T cell immunoreceptor with Ig and ITIM domains (TIGIT) to induce immune tolerance has shown therapeutic promise in pre-clinical models and, in some instances, clinical trials. A comprehensive understanding of how these receptors function in various immune cell populations, particularly T cells, and across different diseases is crucial for the successful translation of these findings to clinical applications.
Insights
Immune checkpoint molecules like PD-1, BTLA, and TIGIT regulate immune responses. Targeting these checkpoints shows promise for treating autoimmune diseases by inducing immune tolerance.
Area of Science:
- Immunology
- Autoimmunity
- Cancer Immunotherapy
Background:
- Immune-checkpoint molecules are crucial for balancing immune responses and preventing autoimmunity.
- Modulating immune checkpoints impacts both tumor-specific and self-specific immune reactions, as seen in cancer therapy and immunotherapy side effects.
- There is growing interest in targeting immune checkpoints for autoimmune and rheumatological diseases.
Purpose of the Study:
- To explore the therapeutic potential of targeting immune-checkpoint molecules for autoimmune diseases.
- To investigate the role of PD-1, BTLA, and TIGIT in inducing immune tolerance.
- To highlight the importance of understanding these molecules' functions in immune cells for clinical translation.
Main Methods:
- Pre-clinical models were used to test the targeting of immune-checkpoint molecules.
- Clinical trials were initiated for some targeted immune-checkpoint molecules.
- Analysis of immune cell populations, particularly T cells, across different diseases was emphasized.
Main Results:
- Targeting immune-checkpoint molecules PD-1, BTLA, and TIGIT demonstrated therapeutic promise in pre-clinical settings.
- Some targeted immune-checkpoint therapies have progressed to clinical trials.
- The modulation of these receptors profoundly affects immune responses.
Conclusions:
- Targeting immune checkpoints like PD-1, BTLA, and TIGIT offers a promising strategy for inducing immune tolerance in autoimmune diseases.
- A thorough understanding of immune checkpoint receptor function in various immune cells and diseases is essential for successful clinical application.
- Further research is needed to fully translate these findings into effective treatments for autoimmune conditions.
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