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The CD27 gene codes for a protein of the tumor necrosis factor (TNF) receptor superfamily. Acting as a necessary mediator in the immune response, this receptor is fundamental for the establishment and long-term maintenance of T cell immunity. CD70 binds to its ligand and then becomes very important in controlling B-cell activation and immunoglobulin production. Traf2 and TRAF5 help to stimulate important intracellular pathways like NF-kappaB and MAPK8/JNK, therefore activating the signaling pathway driven by CD27. Fascinatingly, CD27 may also interact with the pro-apoptotic protein CD27-binding protein (SIVA), indicating its participation in the control of death connected to immune responses.
Mostly on the surface of T cells, B cells, and natural killer (NK) cells, CD27 is expressed. Mostly present on activated T cells, B cells, and mature dendritic cells is the ligand CD70. CD27's interaction with CD70 sets off a series of intracellular signals that activate cells, proliferate them, provide effector action, and enable survival. Apart from encouraging T cell and B cell activation, this connection is essential for their proliferation and differentiation, hence generating a strong immunological response.
Figure 1. CD27–CD70 Pathway in Immune Regulation. (Han BK et al., 2016)
In the framework of carcinogenesis, NK cells show a two-fold method of action: they may either directly detect and activate against malignant cells or be activated indirectly via contact with auxiliary cells like dendritic cells, monocytes, and macrophages. These interactions improve their ability to target tumors. To bind with CD70 on tumor cells and therefore release perforin and cytokines, NK cells specifically use transmembrane glycoproteins including CD27. This acts finally to activate cytotoxic T lymphocytes (CTLs), therefore helping to destroy tumor cells.
Expressed on most T cells—including naïve CD4 T cells, effector CD4 T cells, and CD8 T cells—as a member of the TNFR superfamily, CD27 The signaling pathway of CD27 depends on the presence of its ligand, CD70, with a strong secondary signal required for the activation of CD4-dependent T cells and CD8-independent T cells during tumor clearance provided by their interaction.
Recent developments in cancer immunotherapy have shown how important immunological checkpoints such as PD-1 are in T cell activation. For certain individuals, nevertheless, inadequate activation of T cells resulting from the lack of activated dendritic cells might restrict the efficacy of PD-1 blocking treatments. Promisingly, the use of CD27 agonists has become a possible approach to overcome this restriction. Combining PD-1 inhibition with CD27 agonists greatly increases CD8 + T cell-driven anti-tumor immune responses, according to studies by Sarah L. Buchan and colleagues.
Recently Laura A. found that CDX-527 generates a bispecific antibody by efficiently combining a PD-1 blocking drug with CD27 co-stimulation. This bispecific method shows the synergistic possibilities of combining two pathways as it provides a theoretical foundation for improving tumor-targeted T-cell immunity.
By attracting effector cells and increasing cytotoxic T-cell activity, monoclonal antibodies provide even another means of boosting immune responses against tumors. To cure cancer, researchers have investigated the possibilities of tumor-targeting antibodies including CD20 antibodies in concert with other immune-modulating monoclonal antibodies. Results show that in mice against lymphomas and B16 melanoma, CD27-activating antibodies may boost anti-tumor immune responses. These results unequivocally show that by attracting myeloid cells, hence strengthening the anti-tumor immune response, CD27 agonists may improve the effectiveness of tumor-targeting antibodies.
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