Big opportunities for small molecules in immuno-oncology

被引:410
作者
Adams, Jerry L. [1 ]
Smothers, James [1 ]
Srinivasan, Roopa [1 ]
Hoos, Axel [1 ]
机构
[1] GlaxoSmithKline, Collegeville, PA 19426 USA
关键词
REGULATORY T-CELLS; HUMAN DENDRITIC CELLS; ADENYLYL-CYCLASE-VII; SUPPRESSOR-CELLS; TUMOR-GROWTH; CANCER-IMMUNOTHERAPY; IMMUNOSUPPRESSIVE ACTIVITY; ANTITUMOR IMMUNITY; EXTRACELLULAR ADENOSINE; ADOPTIVE IMMUNOTHERAPY;
D O I
10.1038/nrd4596
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 [微生物学]; 090105 [作物生产系统与生态工程];
摘要
The regulatory approval of ipilimumab (Yervoy) in 2011 ushered in a new era of cancer immunotherapies with durable clinical effects. Most of these breakthrough medicines are monoclonal antibodies that block protein-protein interactions between T cell checkpoint receptors and their cognate ligands. In addition, genetically engineered autologous T cell therapies have also recently demonstrated significant clinical responses in haematological cancers. Conspicuously missing from this class of therapies are traditional small-molecule drugs, which have previously served as the backbone of targeted cancer therapies. Modulating the immune system through a small-molecule approach offers several unique advantages that are complementary to, and potentially synergistic with, biologic modalities. This Review highlights immuno-oncology pathways and mechanisms that can be best or solely targeted by small-molecule medicines. Agents aimed at these mechanisms - modulation of the immune response, trafficking to the tumour microenvironment and cellular infiltration - are poised to significantly extend the scope of immuno-oncology applications and enhance the opportunities for combination with tumour-targeted agents and biologic immunotherapies.
引用
收藏
页码:603 / 622
页数:20
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