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靶向 NKG2D/NKG2D-L 轴治疗急性髓系白血病。

Targeting the NKG2D/NKG2D-L axis in acute myeloid leukemia.

机构信息

The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, 330006, Jiangxi Province, China.

Jiangxi University of Traditional Chinese Medicine, Nanchang, 330004, Jiangxi Province, China.

出版信息

Biomed Pharmacother. 2021 May;137:111299. doi: 10.1016/j.biopha.2021.111299. Epub 2021 Jan 25.

Abstract

Natural killer group 2, member D (NKG2D) receptor is a crucial activating receptor in the immune recognition and eradication of abnormal cells by natural killer (NK) cells, and T lymphocytes. NKG2D can transmit activation signals and activate the immune system by recognizing the NKG2D ligands (NKG2D-L) on acute myeloid leukemia (AML) cells. Downregulation of NKG2D-L in AML can circumvent resistance to chemotherapy and immune recognition. Considering this effect, the exploration of targeting the NKG2D/NKG2D-L axis is considered to have tremendous potential for the discovery of novel biomacromolecule antibodies and pharmacological modulators in AML. This review was to outline the impact of NKG2D/NKG2D-L axis on intrinsic immunosurveillance and the development of AML. Furthermore, the NKG2D/NKG2D-L axis related modulators and progress in preclinical and clinical trials was also to be reviewed.

摘要

自然杀伤细胞群 2 成员 D(NKG2D)受体是自然杀伤(NK)细胞和 T 淋巴细胞识别和清除异常细胞的关键激活受体。NKG2D 通过识别急性髓系白血病(AML)细胞上的 NKG2D 配体(NKG2D-L),可以传递激活信号并激活免疫系统。AML 中 NKG2D-L 的下调可以规避化疗和免疫识别的耐药性。考虑到这种作用,靶向 NKG2D/NKG2D-L 轴的探索被认为在 AML 中发现新型生物大分子抗体和药理学调节剂方面具有巨大潜力。本综述旨在概述 NKG2D/NKG2D-L 轴对固有免疫监视和 AML 发展的影响。此外,还对 NKG2D/NKG2D-L 轴相关调节剂以及临床前和临床试验的进展进行了综述。

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