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Targeting co-stimulatory molecules in autoimmune disease

Edner, NM; Carlesso, G; Rush, JS; Walker, LSK; (2020) Targeting co-stimulatory molecules in autoimmune disease. Nature Reviews Drug Discovery , 19 (12) pp. 860-883. 10.1038/s41573-020-0081-9. Green open access

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Abstract

Therapeutic targeting of immune checkpoints has garnered significant attention in the area of cancer immunotherapy, in which efforts have focused in particular on cytotoxic T lymphocyte antigen 4 (CTLA4) and PD1, both of which are members of the CD28 family. In autoimmunity, these same pathways can be targeted to opposite effect: to curb the over-exuberant immune response. The CTLA4 checkpoint serves as an exemplar, whereby CTLA4 activity is blocked by antibodies in cancer immunotherapy and augmented by the provision of soluble CTLA4 in autoimmunity. Here, we review the targeting of co-stimulatory molecules in autoimmune diseases, focusing in particular on agents directed at members of the CD28 or tumour necrosis factor receptor families. We present the state of the art in co-stimulatory blockade approaches, including rational combinations of immune inhibitory agents, and discuss the future opportunities and challenges in this field.

Type: Article
Title: Targeting co-stimulatory molecules in autoimmune disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/s41573-020-0081-9
Publisher version: https://doi.org/10.1038/s41573-020-0081-9
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Infection and Immunity
URI: https://discovery.ucl.ac.uk/id/eprint/10119244
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