Checkpoint (two meanings)
In cancer the word checkpoint means two unrelated things: a brake on immune cells that tumours press and checkpoint inhibitor drugs release, or a gate inside every dividing cell that stops it copying or splitting damaged DNA.
Overview
Immune checkpoints are receptor-ligand pairs such as PD-1 with PD-L1, CTLA-4 with CD80 and CD86, LAG-3, TIM-3 and TIGIT that hold T cells and NK cells back; the drugs are antibodies that block them (or, for co-stimulatory receptors, agonists that press them). Cell-cycle checkpoints are the G1/S, G2/M and spindle assembly gates governed by cyclin D-CDK4/6 and RB, ATR-CHK1-WEE1, and MPS1, BUB1 and Aurora B, with the DNA-damage response behind them; the drugs are small molecules such as palbociclib, olaparib and azenosertib. The two families share a word and nothing else; OnCo keeps a hub for each, with every member, its partner, where it is expressed and the drugs against it.
- Target · the protein and the cell it sits on
- Drug · antibody, small molecule, cell or radioligand
- Effect · signal, damage or kill
In plain words · PD-1 is a brake on T cells. Blocking it releases the immune system against the tumour and has cured some previously incurable cancers.
Showing the target this term concerns: PD-1.
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