Targeting Metabolism of Extracellular Nucleotides via Inhibition of Ectonucleotidases CD73 and CD39

In the tumor microenvironment, unusually high concentrations of extracellular adenosine promote tumor proliferation through various immunosuppressive mechanisms. Blocking adenosine production by inhibiting nucleotide-metabolizing enzymes, such as ectonucleotidases CD73 and CD39, represents a promisi...

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Veröffentlicht in:Journal of medicinal chemistry 2020-11, Vol.63 (22), p.13444-13465
Hauptverfasser: Jeffrey, Jenna L, Lawson, Kenneth V, Powers, Jay P
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container_title Journal of medicinal chemistry
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creator Jeffrey, Jenna L
Lawson, Kenneth V
Powers, Jay P
description In the tumor microenvironment, unusually high concentrations of extracellular adenosine promote tumor proliferation through various immunosuppressive mechanisms. Blocking adenosine production by inhibiting nucleotide-metabolizing enzymes, such as ectonucleotidases CD73 and CD39, represents a promising therapeutic strategy that may synergize with other immuno-oncology mechanisms and chemotherapies. Emerging small-molecule ectonucleotidase inhibitors have recently entered clinical trials. This Perspective will outline challenges, strategies, and recent advancements in targeting this class with small-molecule inhibitors, including AB680, the first small-molecule CD73 inhibitor to enter clinical development. Specific case studies, including structure-based drug design and lead optimization, will be outlined. Preclinical data on these molecules and their ability to enhance antitumor immunity will be discussed.
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subjects 5'-Nucleotidase - antagonists & inhibitors
5'-Nucleotidase - chemistry
5'-Nucleotidase - metabolism
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - chemistry
Antineoplastic Agents - metabolism
Apyrase - antagonists & inhibitors
Apyrase - chemistry
Apyrase - metabolism
Drug Delivery Systems - methods
Enzyme Inhibitors - administration & dosage
Enzyme Inhibitors - chemistry
Enzyme Inhibitors - metabolism
GPI-Linked Proteins - antagonists & inhibitors
GPI-Linked Proteins - chemistry
GPI-Linked Proteins - metabolism
Humans
Nucleotides - antagonists & inhibitors
Nucleotides - chemistry
Nucleotides - metabolism
Protein Structure, Secondary
title Targeting Metabolism of Extracellular Nucleotides via Inhibition of Ectonucleotidases CD73 and CD39
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