Immune checkpoints as therapeutic targets in autoimmunity

Antibodies that block the immune checkpoint receptors PD1 and CTLA4 have revolutionized the treatment of melanoma and several other cancers, but in the process, a new class of drug side effect has emerged-immune related adverse events. The observation that therapeutic blockade of these inhibitory re...

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Main Authors: Paluch, C, Santos, A, Anzilotti, C, Cornall, R, Davis, S
格式: Journal article
语言:English
出版: Frontiers Media 2018
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author Paluch, C
Santos, A
Anzilotti, C
Cornall, R
Davis, S
author_facet Paluch, C
Santos, A
Anzilotti, C
Cornall, R
Davis, S
author_sort Paluch, C
collection OXFORD
description Antibodies that block the immune checkpoint receptors PD1 and CTLA4 have revolutionized the treatment of melanoma and several other cancers, but in the process, a new class of drug side effect has emerged-immune related adverse events. The observation that therapeutic blockade of these inhibitory receptors is sufficient to break self-tolerance, highlights their crucial role in the physiological modulation of immune responses. Here, we discuss the rationale for targeting immune checkpoint receptors with agonistic agents in autoimmunity, to restore tolerance when it is lost. We review progress that has been made to date, using Fc-fusion proteins, monoclonal antibodies or other novel constructs to induce immunosuppressive signaling through these pathways. Finally, we explore potential mechanisms by which these receptors trigger and modulate immune cell function, and how understanding these processes might shape the design of more effective therapeutic agents in future.
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spelling oxford-uuid:bd30473e-f983-402b-a35e-e29dba049c652022-03-27T05:29:54ZImmune checkpoints as therapeutic targets in autoimmunityJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bd30473e-f983-402b-a35e-e29dba049c65EnglishSymplectic Elements at OxfordFrontiers Media2018Paluch, CSantos, AAnzilotti, CCornall, RDavis, SAntibodies that block the immune checkpoint receptors PD1 and CTLA4 have revolutionized the treatment of melanoma and several other cancers, but in the process, a new class of drug side effect has emerged-immune related adverse events. The observation that therapeutic blockade of these inhibitory receptors is sufficient to break self-tolerance, highlights their crucial role in the physiological modulation of immune responses. Here, we discuss the rationale for targeting immune checkpoint receptors with agonistic agents in autoimmunity, to restore tolerance when it is lost. We review progress that has been made to date, using Fc-fusion proteins, monoclonal antibodies or other novel constructs to induce immunosuppressive signaling through these pathways. Finally, we explore potential mechanisms by which these receptors trigger and modulate immune cell function, and how understanding these processes might shape the design of more effective therapeutic agents in future.
spellingShingle Paluch, C
Santos, A
Anzilotti, C
Cornall, R
Davis, S
Immune checkpoints as therapeutic targets in autoimmunity
title Immune checkpoints as therapeutic targets in autoimmunity
title_full Immune checkpoints as therapeutic targets in autoimmunity
title_fullStr Immune checkpoints as therapeutic targets in autoimmunity
title_full_unstemmed Immune checkpoints as therapeutic targets in autoimmunity
title_short Immune checkpoints as therapeutic targets in autoimmunity
title_sort immune checkpoints as therapeutic targets in autoimmunity
work_keys_str_mv AT paluchc immunecheckpointsastherapeutictargetsinautoimmunity
AT santosa immunecheckpointsastherapeutictargetsinautoimmunity
AT anzilottic immunecheckpointsastherapeutictargetsinautoimmunity
AT cornallr immunecheckpointsastherapeutictargetsinautoimmunity
AT daviss immunecheckpointsastherapeutictargetsinautoimmunity