Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH

Cellular immunotherapy has recently emerged as a fourth pillar in cancer treatment co-joining surgery, chemotherapy and radiotherapy. Where, the discovery of immune checkpoint blockage or inhibition (ICB/ICI), anti-PD-1/PD-L1 and anti-CTLA4-based, therapy has revolutionized the class of cancer treat...

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Main Authors: Sunil Kumar, Parth Sarthi, Indra Mani, Muhammad Umer Ashraf, Myeong-Ho Kang, Vishal Kumar, Yong-Soo Bae
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/10/9/2250
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author Sunil Kumar
Parth Sarthi
Indra Mani
Muhammad Umer Ashraf
Myeong-Ho Kang
Vishal Kumar
Yong-Soo Bae
author_facet Sunil Kumar
Parth Sarthi
Indra Mani
Muhammad Umer Ashraf
Myeong-Ho Kang
Vishal Kumar
Yong-Soo Bae
author_sort Sunil Kumar
collection DOAJ
description Cellular immunotherapy has recently emerged as a fourth pillar in cancer treatment co-joining surgery, chemotherapy and radiotherapy. Where, the discovery of immune checkpoint blockage or inhibition (ICB/ICI), anti-PD-1/PD-L1 and anti-CTLA4-based, therapy has revolutionized the class of cancer treatment at a different level. However, some cancer patients escape this immune surveillance mechanism and become resistant to ICB-therapy. Therefore, a more advanced or an alternative treatment is required urgently. Despite the functional importance of epitranscriptomics in diverse clinico-biological practices, its role in improving the efficacy of ICB therapeutics has been limited. Consequently, our study encapsulates the evidence, as a possible strategy, to improve the efficacy of ICB-therapy by co-targeting molecular checkpoints especially N<sup>6</sup>A-modification machineries which can be reformed into RNA modifying drugs (RMD). Here, we have explained the mechanism of individual RNA-modifiers (editor/writer, eraser/remover, and effector/reader) in overcoming the issues associated with high-dose antibody toxicities and drug-resistance. Moreover, we have shed light on the importance of suppressor of cytokine signaling (SOCS/CISH) and microRNAs in improving the efficacy of ICB-therapy, with brief insight on the current monoclonal antibodies undergoing clinical trials or already approved against several solid tumor and metastatic cancers. We anticipate our investigation will encourage researchers and clinicians to further strengthen the efficacy of ICB-therapeutics by considering the importance of epitranscriptomics as a personalized medicine.
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spelling doaj.art-3a86580c1051408fb7a0086a7285887b2023-11-22T12:23:11ZengMDPI AGCells2073-44092021-08-01109225010.3390/cells10092250Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISHSunil Kumar0Parth Sarthi1Indra Mani2Muhammad Umer Ashraf3Myeong-Ho Kang4Vishal Kumar5Yong-Soo Bae6Department of Biological Sciences, Sungkyunkwan University, Jangan-gu, Suwon 16419, Gyeonggi-do, KoreaUniversity Department of Botany, M.Sc. Biotechnology, Ranchi University, Ranchi 834008, IndiaDepartment of Microbiology, Gargi College, University of Delhi, New Delhi 110049, IndiaDepartment of Biological Sciences, Sungkyunkwan University, Jangan-gu, Suwon 16419, Gyeonggi-do, KoreaDepartment of Biological Sciences, Sungkyunkwan University, Jangan-gu, Suwon 16419, Gyeonggi-do, KoreaDepartment of Pharmaceutical Science, Dayananda Sagar University, Bengaluru 560078, IndiaDepartment of Biological Sciences, Sungkyunkwan University, Jangan-gu, Suwon 16419, Gyeonggi-do, KoreaCellular immunotherapy has recently emerged as a fourth pillar in cancer treatment co-joining surgery, chemotherapy and radiotherapy. Where, the discovery of immune checkpoint blockage or inhibition (ICB/ICI), anti-PD-1/PD-L1 and anti-CTLA4-based, therapy has revolutionized the class of cancer treatment at a different level. However, some cancer patients escape this immune surveillance mechanism and become resistant to ICB-therapy. Therefore, a more advanced or an alternative treatment is required urgently. Despite the functional importance of epitranscriptomics in diverse clinico-biological practices, its role in improving the efficacy of ICB therapeutics has been limited. Consequently, our study encapsulates the evidence, as a possible strategy, to improve the efficacy of ICB-therapy by co-targeting molecular checkpoints especially N<sup>6</sup>A-modification machineries which can be reformed into RNA modifying drugs (RMD). Here, we have explained the mechanism of individual RNA-modifiers (editor/writer, eraser/remover, and effector/reader) in overcoming the issues associated with high-dose antibody toxicities and drug-resistance. Moreover, we have shed light on the importance of suppressor of cytokine signaling (SOCS/CISH) and microRNAs in improving the efficacy of ICB-therapy, with brief insight on the current monoclonal antibodies undergoing clinical trials or already approved against several solid tumor and metastatic cancers. We anticipate our investigation will encourage researchers and clinicians to further strengthen the efficacy of ICB-therapeutics by considering the importance of epitranscriptomics as a personalized medicine.https://www.mdpi.com/2073-4409/10/9/2250epitranscriptomicsimmune checkpoint blockage (ICB) therapyanti-PD-1/PD-L1 drug resistancepersonalized medicineCISHmicroRNAs
spellingShingle Sunil Kumar
Parth Sarthi
Indra Mani
Muhammad Umer Ashraf
Myeong-Ho Kang
Vishal Kumar
Yong-Soo Bae
Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
Cells
epitranscriptomics
immune checkpoint blockage (ICB) therapy
anti-PD-1/PD-L1 drug resistance
personalized medicine
CISH
microRNAs
title Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
title_full Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
title_fullStr Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
title_full_unstemmed Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
title_short Epitranscriptomic Approach: To Improve the Efficacy of ICB Therapy by Co-Targeting Intracellular Checkpoint CISH
title_sort epitranscriptomic approach to improve the efficacy of icb therapy by co targeting intracellular checkpoint cish
topic epitranscriptomics
immune checkpoint blockage (ICB) therapy
anti-PD-1/PD-L1 drug resistance
personalized medicine
CISH
microRNAs
url https://www.mdpi.com/2073-4409/10/9/2250
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