CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Recent insights into the therapeutic strategies targeting the pseudokinase PTK7 in cancer.
Recent insights into the therapeutic strategies targeting the pseudokinase PTK7 in cancer.
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开发对抗失调蛋白激酶的药物一直是癌症治疗研发的重点。通过开发靶向活性激酶的化学药物或抗体药物,这一领域取得了突破,为患者带来多种治疗药物。然而,这些策略在面对催化失活的蛋白激酶(即假激酶)时存在挑战;假激酶约占人类激酶组的 10%,其中许多与癌症相关。在所谓的假酪氨酸激酶中,受体酪氨酸激酶 PTK7 是一个确切的靶点,在多种实体瘤和血液系统恶性肿瘤中过表达,并与转移、预后不良及治疗耐药相关。尽管缺乏催化活性,PTK7 可通过与活性受体酪氨酸激酶形成异二聚体而发挥信号转导功能,其失活激酶结构域也提供了药理学靶向机会。针对 PTK7 的抗体药物偶联物、适配体及 CAR-T 细胞疗法已在临床前和临床研究中显示出令人鼓舞的结果。本综述回顾了关于 PTK7 在癌症进展中重要作用的最新数据,以及针对包括 PTK7 在内的受体酪氨酸激酶家族假激酶的当前临床前和临床靶向策略。
The generation of drugs counteracting deregulated protein kinases has been a major focus in cancer therapy development. Breakthroughs in this effort have produced many therapeutic agents to the benefit of patients, mostly through the development of chemical or antibody-based drugs targeting active kinases. These strategies are challenged when considering catalytically inactive protein kinases (or pseudokinases), which represent 10% of the human kinome with many of relevance in cancer.
Among the so-called pseudotyrosine kinases, the PTK7 receptor tyrosine kinase (RTK) stands as a bona fide target overexpressed in several solid tumors and hematological malignancies and linked to metastasis, poor prognosis, and resistance to treatment. Despite the lack of catalytic activity, PTK7 has signaling capacities through heterodimerization with active RTKs and offers pharmacological targeting opportunities through its inactive kinase domain.
Moreover, PTK7-targeting strategies based on antibody-drug conjugates, aptamers, and CAR-T cell-based therapies have demonstrated encouraging results in preclinical and clinical settings.
We review the most recent data assigning to PTK7 a prominent role in cancer progression as well as current preclinical and clinical targeting strategies against RTK family pseudokinases including PTK7.
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