Therapeutic strategies targeting folate receptor α for ovarian cancer.

Therapeutic strategies targeting folate receptor α for ovarian cancer.
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DOI:
10.3389/fimmu.2023.1254532
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发表时间:
2023
影响因子:
7.3
通讯作者:
Li, Qintong
Li, Qintong
中科院分区:
医学2区
文献类型:
--
作者:
Mai, Jia;Wu, Limei;Yang, Ling;Sun, Ting;Liu, Xiaojuan;Yin, Rutie;Jiang, Yongmei;Li, Jinke;Li, Qintong

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上皮性卵巢癌(EOC)是最致命的妇科癌症,由于治疗选择有限,带来了重大的临床挑战。叶酸受体 α (FRα) 由 FOLR1 基因编码,由于其在 EOC 细胞中普遍且高表达,因此成为一个有吸引力的治疗靶点。最近的基础和转化研究探索了多种方式,例如抗体药物偶联物 (ADC)、单克隆抗体、小分子和叶酸药物偶联物,以利用 FRα 进行 EOC 治疗。在这篇综述中,我们总结了 FRα 的功能以及各种基于 FRα 的疗法的临床疗效。我们重点介绍 mirvetuximab soravtansine (MIRV) 或 Elahere (ImmunoGen),这是 FDA 批准的第一个 FRα 靶向 ADC,用于治疗铂类耐药卵巢癌。我们讨论了与 MIRV 给药相关的眼部不良事件的潜在机制和处理。
Epithelial ovarian cancer (EOC) is the deadliest gynecological cancer, and presents a major clinical challenge due to limited treatment options. Folate receptor alpha (FRα), encoded by the FOLR1 gene, is an attractive therapeutically target due to its prevalent and high expression in EOC cells. Recent basic and translational studies have explored several modalities, such as antibody-drug conjugate (ADC), monoclonal antibodies, small molecules, and folate-drug conjugate, to exploit FRα for EOC treatment. In this review, we summarize the function of FRα, and clinical efficacies of various FRα-based therapeutics. We highlight mirvetuximab soravtansine (MIRV), or Elahere (ImmunoGen), the first FRα-targeting ADC approved by the FDA to treat platinum-resistant ovarian cancer. We discuss potential mechanisms and management of ocular adverse events associated with MIRV administration.
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