4.7 Article

Adenosine A2A Receptor Antagonists for Cancer Immunotherapy

Journal

JOURNAL OF MEDICINAL CHEMISTRY
Volume 63, Issue 21, Pages 12196-12212

Publisher

AMER CHEMICAL SOC
DOI: 10.1021/acs.jmedchem.0c00237

Keywords

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Funding

  1. National Science Foundation of China [81874287, 81973163]
  2. Shanghai Bio-pharmaceutical Science and Technology Supporting Plan [17431902100, 19431900100]
  3. National Science and Technology Major Project Key New Drug Creation and Manufacturing Program, China [2018ZX09711002-003-014]

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Currently, the most promising therapeutic modality for cancer treatment is the blockade of immune checkpoint pathways, which has revolutionized cancer therapy in the past 15 years. Strategies targeting and modulating adenosine A(2A) receptor (A(2A)R), an emerging alternative immune checkpoint, have shown the potential to produce significant therapeutic effects. In this review, we describe the immunosuppressive activities of A(2A)R and A(2B)R in the tumor microenvironment (TME), followed by a summary and discussion of the structure-activity relationship (SAR) of the A(2A)R (and dual A(2A)R/A(2B)R) antagonists that have been experimentally confirmed to exert oncoimmunological effects. This review also provides an update on the compounds under clinical evaluation and insights into the ligand binding modes of the receptor.

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