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Drug Target Encyclopedia Series (10) — SLAMF7


 

SLAMF7 is an immunomodulatory receptor primarily expressed on natural killer (NK) cells, plasma cells, and subsets of T and B cells. Unlike many targets, SLAMF7 is not widely expressed in healthy tissues, making it an attractive candidate for immune-oncology therapies.

SLAMF7 is overexpressed in:

• Multiple myeloma

• Chronic lymphocytic leukemia (CLL)

• Diffuse large B-cell lymphoma (DLBCL)

• Other plasma cell dyscrasias

Targeting SLAMF7 in oncology:

  • Monoclonal antibodies – Elotuzumab (FDA-approved) enhances NK cell-mediated cytotoxicity in multiple myeloma.
  • Bispecific antibodies – SLAMF7/CD3 formats are under development to engage T cells in tumor killing.
  • CAR-T cell therapy – SLAMF7-CAR-T is being explored in early-phase trials, offering potential for relapsed/refractory myeloma.
  • Immunocytokines – Engineered cytokines targeting SLAMF7 to improve local immune activation.

Challenges include fratricide in CAR-T cells (due to SLAMF7 expression on T cells), potential NK cell exhaustion, and immune escape mechanisms in heavily treated patients.

Current research focuses on CRISPR-based editing to eliminate SLAMF7 from T cells, improving CAR construct design, and combination with checkpoint blockade to enhance efficacy.

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