2018
DOI: 10.3390/ijms19123837
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Targeting Adenosine Receptor Signaling in Cancer Immunotherapy

Abstract: The immune system plays a major role in the surveillance and control of malignant cells, with the presence of tumor infiltrating lymphocytes (TILs) correlating with better patient prognosis in multiple tumor types. The development of ‘checkpoint blockade’ and adoptive cellular therapy has revolutionized the landscape of cancer treatment and highlights the potential of utilizing the patient’s own immune system to eradicate cancer. One mechanism of tumor-mediated immunosuppression that has gained attention as a … Show more

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Cited by 146 publications
(113 citation statements)
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(272 reference statements)
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“…The expression of CD73 in the tumor TME has been described in various types of cancer and is at least partly driven by hypoxia and activation of hypoxia-inducible (HIF) transcription factors [30]. Hypoxia drives expression of the well-defined transcription factor HIF1α, which promotes the expression of ectoenzymes CD39 and CD73 on tumor cells, stromal cells, and tumor-infiltrating immunosuppressive cell subsets, such as regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs) [31]. CD39 catalyzes the conversion of ATP and ADP into AMP, while CD73 catalyzes the irreversible conversion of AMP into adenosine [31].…”
Section: Discussionmentioning
confidence: 99%
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“…The expression of CD73 in the tumor TME has been described in various types of cancer and is at least partly driven by hypoxia and activation of hypoxia-inducible (HIF) transcription factors [30]. Hypoxia drives expression of the well-defined transcription factor HIF1α, which promotes the expression of ectoenzymes CD39 and CD73 on tumor cells, stromal cells, and tumor-infiltrating immunosuppressive cell subsets, such as regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs) [31]. CD39 catalyzes the conversion of ATP and ADP into AMP, while CD73 catalyzes the irreversible conversion of AMP into adenosine [31].…”
Section: Discussionmentioning
confidence: 99%
“…Hypoxia drives expression of the well-defined transcription factor HIF1α, which promotes the expression of ectoenzymes CD39 and CD73 on tumor cells, stromal cells, and tumor-infiltrating immunosuppressive cell subsets, such as regulatory T cells (Tregs) and myeloid-derived suppressor cells (MDSCs) [31]. CD39 catalyzes the conversion of ATP and ADP into AMP, while CD73 catalyzes the irreversible conversion of AMP into adenosine [31]. CD73-derived adenosine accumulates in the TME and exerts multiple immunosuppressive actions to dampen antitumor immunity, leading to worse clinical outcomes [30].…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, shIF1 cells reveal significant increased expression of the CXC chemokine receptor 4 (CXCR4), which is involved in the inhibition of the activation and proliferation of NK cells by tumor cells [48,49] (Figure 7E). Moreover, shIF1 cells significantly increased the expression of the transcription factor SMAD3 and of the ecto-5'nucleotidase CD73/NT5E, which is under the control of SMAD3, an enzyme that generates adenosine in the tumor microenvironment leading to the suppression of multiple immune subsets including NK cells [50,51] ( Figure 7E). In addition, the mRNA of LDHA (two fold, false discovery rate (FDR) < 0.007) was also significantly increased in shIF1 cells, suggesting that they produce more lactate which might be released to the tumor microenvironment acting also as an immune metabolite that hampers immune surveillance and activation of NK cells [52] ( Figure 7E).…”
Section: Discussionmentioning
confidence: 99%
“…Adenosine signaling in the TME can reduce NK cell proliferation and activation, as well as its effector function (327)(328)(329). Blocking adenosine-catalyzing enzymes and purinergic signaling in the TME (such as antibodies against CD73, CD39, and CD38, which mediate the production of extracellular adenosine, and blockade of A 2A R) is therefore being investigated in multiple clinical trials in combination with immune checkpoint blockade (330) and may synergistically enhance tumor-resident NK cell activity (330)(331)(332)(333)(334)(335)(336)(337)(338).…”
Section: Modulating Tumor Metabolitesmentioning
confidence: 99%