靶向巨噬细胞的癌症治疗策略
Macrophage-directed therapeutic strategies in cancer.
肿瘤相关巨噬细胞(TAMs)是肿瘤微环境的主要组成部分,具有显著的功能可塑性,根据所处的微环境信号,既可表现为促进肿瘤进展的免疫抑制细胞,也可表现为支持抗肿瘤免疫的免疫刺激细胞。
英文原题:Research progress of drugs targeting GPC3 in cancer therapy.
Glypican-3 (GPC3) 是一种细胞表面硫酸乙酰肝素蛋白聚糖,在正常成人组织中沉默,但在几种癌症中异常重新表达,尤其是肝细胞癌 (HCC)。
Glypican-3 (GPC3) 是一种细胞表面硫酸乙酰肝素蛋白聚糖,在正常成人组织中沉默,但在多种癌症中异常重新表达,尤其是肝细胞癌 (HCC)。其受限的表达模式及参与致癌信号传导的特性使其成为有吸引力的治疗靶点。近年来的进展促进了多种 GPC3 导向治疗方式的开发,包括单克隆抗体和双特异性抗体、抗体药物偶联物 (ADC)、免疫毒素、多肽以及嵌合抗原受体 (CAR) 工程化免疫细胞。这些方法在临床前和早期临床研究中已展现出有前景的疗效和可控的安全性。此外,非编码 RNA 对 GPC3 的转录后调控已成为影响其表达和致瘤潜力的关键机制,为基于 RNA 的治疗提供了新的机会。本综述总结了 GPC3 靶向药物开发的当前进展,重点介绍了结构-亲和力优化策略,并讨论了转化结果和新兴的联合治疗策略。该概述提供了整合性视角,以支持癌症治疗中下一代 GPC3 靶向治疗药物的合理设计。
Glypican-3 (GPC3) is a cell surface heparan sulfate proteoglycan that is silenced in normal adult tissues but aberrantly re-expressed in several cancers, particularly hepatocellular carcinoma (HCC). Its restricted expression pattern and involvement in oncogenic signaling make it an attractive therapeutic target. Recent advances have led to the development of diverse GPC3-directed modalities, including monoclonal and bispecific antibodies, antibody-drug conjugates (ADCs), immunotoxins, peptides, and chimeric antigen receptor (CAR)-engineered immune cells. These approaches have demonstrated promising efficacy and manageable safety profiles in preclinical and early clinical studies. In addition, post-transcriptional regulation of GPC3 by non-coding RNAs has emerged as a key mechanism influencing its expression and tumorigenic potential, providing novel opportunities for RNA-based therapies. This review summarizes current progress in GPC3-targeted drug development, highlights structure-affinity optimization strategies and discusses translational outcomes and emerging combination strategies. The overview offers an integrated perspective to support the rational design of next-generation GPC3-targeted therapeutics in cancer therapy.
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