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Drug Target Encyclopedia Series (36) —CD152


 

  

CD152 (CTLA-4) is a well-established immune checkpoint receptor primarily expressed on activated T cells and regulatory T cells (Tregs). By competing with CD28 for binding to CD80/CD86, CTLA-4 acts as a negative regulator of T-cell activation and plays a central role in maintaining immune homeostasis.

CTLA-4 has become one of the most important targets in cancer immunotherapy, especially in the development of checkpoint inhibitors and next-generation immune modulators. It is also highly relevant in autoimmune disease research, Treg biology, and combination immuno-oncology strategies.

 

CTLA-4 is highly relevant in:

• Melanoma

• Non-small cell lung cancer (NSCLC)

• Renal cell carcinoma (RCC)

• Hepatocellular carcinoma (HCC)

• Immune regulation and autoimmune disorders

 

Targeting CTLA-4 in immunotherapy:

🧪 Monoclonal antibodies (mAbs) – CTLA-4 antibodies were among the first to validate immune checkpoint blockade as a transformative therapeutic strategy in oncology.

🧪 Combination therapies – CTLA-4 is widely explored in combination with PD-1/PD-L1 inhibitors to enhance anti-tumor immune responses.

🧪 Fc-engineered antibodies – New designs aim to improve efficacy through better Treg depletion and immune activation in the tumor microenvironment.

🧪 Bispecific antibodies – Emerging CTLA-4-based bispecific formats are being developed for more selective and differentiated immunotherapy approaches.

🧪 Tumor-selective strategies – Next-generation programs are focused on reducing systemic toxicity while preserving anti-tumor benefit.

 

💥 Challenges include:

• Immune-related adverse events associated with systemic checkpoint blockade

• Limited therapeutic window in some patient populations

• Balancing efficacy with safety in combination regimens

 

🔬 Ongoing research is advancing safer CTLA-4-targeted molecules, optimized combination regimens, and novel multispecific formats designed to improve response durability and tolerability across solid tumors.

 

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