Babič Davor, Jovčevska Ivana, Zottel Alja
Centre for Functional Genomics and Bio-Chips, Institute of Biochemistry and Molecular Genetics, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
Front Immunol. 2024 Nov 25;15:1495283. doi: 10.3389/fimmu.2024.1495283. eCollection 2024.
Cancer has emerged as the second most prevalent disease and the leading cause of death, claiming the lives of 10 million individuals each year. The predominant varieties of cancer encompass breast, lung, colon, rectal, and prostate cancers. Among the more aggressive malignancies is glioblastoma, categorized as WHO stage 4 brain cancer. Following diagnosis, the typical life expectancy ranges from 12 to 15 months, as current established treatments like surgical intervention, radiotherapy, and chemotherapy using temozolomide exhibit limited effectiveness. Beyond conventional approaches, the exploration of immunotherapy for glioblastoma treatment is underway. A methodology involves CAR-T cells, monoclonal antibodies, ADCC and nanobodies sourced from camelids. Immunotherapy's recent focal point is the cellular ligand B7-H3, notably abundant in tumor cells while either scarce or absent in normal ones. Its expression elevates with cancer progression and serves as a promising prognostic marker. In this article, we delve into the essence of B7-H3, elucidating its function and involvement in signaling pathways. We delineate the receptors it binds to and its significance in glioblastoma and other cancer types. Lastly, we examine its role in immunotherapy and the utilization of nanobodies in this domain.
癌症已成为第二大常见疾病和主要死因,每年夺去1000万人的生命。主要的癌症类型包括乳腺癌、肺癌、结肠癌、直肠癌和前列腺癌。侵袭性更强的恶性肿瘤之一是胶质母细胞瘤,被归类为世界卫生组织4期脑癌。确诊后,典型的预期寿命为12至15个月,因为目前既定的治疗方法,如手术干预、放疗和使用替莫唑胺的化疗,效果有限。除了传统方法外,针对胶质母细胞瘤治疗的免疫疗法探索正在进行中。一种方法涉及嵌合抗原受体T细胞(CAR-T)、单克隆抗体、抗体依赖的细胞介导的细胞毒性作用(ADCC)以及源自骆驼科动物的纳米抗体。免疫疗法最近的重点是细胞配体B7-H3,它在肿瘤细胞中显著丰富,而在正常细胞中稀缺或不存在。其表达随癌症进展而升高,是一个有前景的预后标志物。在本文中,我们深入探讨B7-H3的本质,阐明其功能以及在信号通路中的作用。我们描述它所结合的受体及其在胶质母细胞瘤和其他癌症类型中的意义。最后,我们研究它在免疫疗法中的作用以及纳米抗体在该领域的应用。