Kynurenines as a Novel Target for the Treatment of Malignancies

Malignancies are unquestionably a significant public health problem. Their effective treatment is still a big challenge for modern medicine. Tumors have developed a wide range of mechanisms to evade an immune and therapeutic response. As a result, there is an unmet clinical need for research on solu...

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Main Authors: Adrian Mor, Anna Tankiewicz-Kwedlo, Dariusz Pawlak
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/7/606
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author Adrian Mor
Anna Tankiewicz-Kwedlo
Dariusz Pawlak
author_facet Adrian Mor
Anna Tankiewicz-Kwedlo
Dariusz Pawlak
author_sort Adrian Mor
collection DOAJ
description Malignancies are unquestionably a significant public health problem. Their effective treatment is still a big challenge for modern medicine. Tumors have developed a wide range of mechanisms to evade an immune and therapeutic response. As a result, there is an unmet clinical need for research on solutions aimed at overcoming this problem. An accumulation of tryptophan metabolites belonging to the kynurenine pathway can enhance neoplastic progression because it causes the suppression of immune system response against cancer cells. They are also involved in the development of the mechanisms responsible for the resistance to antitumor therapy. Kynurenine belongs to the most potent immunosuppressive metabolites of this pathway and has a significant impact on the development of malignancies. This fact prompted researchers to assess whether targeting the enzymes responsible for its synthesis could be an effective therapeutic strategy for various cancers. To date, numerous studies, both preclinical and clinical, have been conducted on this topic, especially regarding the inhibition of indoleamine 2,3-dioxygenase activity and their results can be considered noteworthy. This review gathers and systematizes the knowledge about the role of the kynurenine pathway in neoplastic progression and the findings regarding the usefulness of modulating its activity in anticancer therapy.
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spelling doaj.art-f0671911bbec43668164900908fafa8b2023-11-22T01:26:08ZengMDPI AGPharmaceuticals1424-82472021-06-0114760610.3390/ph14070606Kynurenines as a Novel Target for the Treatment of MalignanciesAdrian Mor0Anna Tankiewicz-Kwedlo1Dariusz Pawlak2Department of Pharmacodynamics, Medical University of Bialystok, Mickiewicza 2c, 15-222 Bialystok, PolandDepartment of Monitored Pharmacotherapy, Medical University of Bialystok, Mickiewicza 2c, 15-222 Bialystok, PolandDepartment of Pharmacodynamics, Medical University of Bialystok, Mickiewicza 2c, 15-222 Bialystok, PolandMalignancies are unquestionably a significant public health problem. Their effective treatment is still a big challenge for modern medicine. Tumors have developed a wide range of mechanisms to evade an immune and therapeutic response. As a result, there is an unmet clinical need for research on solutions aimed at overcoming this problem. An accumulation of tryptophan metabolites belonging to the kynurenine pathway can enhance neoplastic progression because it causes the suppression of immune system response against cancer cells. They are also involved in the development of the mechanisms responsible for the resistance to antitumor therapy. Kynurenine belongs to the most potent immunosuppressive metabolites of this pathway and has a significant impact on the development of malignancies. This fact prompted researchers to assess whether targeting the enzymes responsible for its synthesis could be an effective therapeutic strategy for various cancers. To date, numerous studies, both preclinical and clinical, have been conducted on this topic, especially regarding the inhibition of indoleamine 2,3-dioxygenase activity and their results can be considered noteworthy. This review gathers and systematizes the knowledge about the role of the kynurenine pathway in neoplastic progression and the findings regarding the usefulness of modulating its activity in anticancer therapy.https://www.mdpi.com/1424-8247/14/7/606tryptophankynurenine pathwaykynureninecancerimmune escapeindoleamine 2,3-dioxygenase
spellingShingle Adrian Mor
Anna Tankiewicz-Kwedlo
Dariusz Pawlak
Kynurenines as a Novel Target for the Treatment of Malignancies
Pharmaceuticals
tryptophan
kynurenine pathway
kynurenine
cancer
immune escape
indoleamine 2,3-dioxygenase
title Kynurenines as a Novel Target for the Treatment of Malignancies
title_full Kynurenines as a Novel Target for the Treatment of Malignancies
title_fullStr Kynurenines as a Novel Target for the Treatment of Malignancies
title_full_unstemmed Kynurenines as a Novel Target for the Treatment of Malignancies
title_short Kynurenines as a Novel Target for the Treatment of Malignancies
title_sort kynurenines as a novel target for the treatment of malignancies
topic tryptophan
kynurenine pathway
kynurenine
cancer
immune escape
indoleamine 2,3-dioxygenase
url https://www.mdpi.com/1424-8247/14/7/606
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