2021
DOI: 10.1002/eji.202049043
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CCR4 in cutaneous T‐cell lymphoma: Therapeutic targeting of a pathogenic driver

Abstract: New treatments are needed for patients with cutaneous T‐cell lymphoma (CTCL), particularly for advanced mycosis fungoides (MF) and Sezary syndrome (SS). The immunopathology of MF and SS is complex, but recent advances in tumor microenvironment understanding have identified CCR4 as a promising therapeutic target. CCR4 is widely expressed on malignant T cells and Tregs in the skin and peripheral blood of patients with MF and SS. The interaction of CCR4 with its dominant ligands CCL17 and CCL22 plays a critical r… Show more

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Cited by 39 publications
(23 citation statements)
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“…Sézary syndrome (SS) is the representative aggressive CTCL and is characterized by the triad of generalized erythroderma, lymphadenopathy, and leukemic involvement [1,2]. MF and SS share common features, such as epidermotropism of tumor cells and CD4, CD45RO, and CCR4 expression in tumor cells [1,3]. Patients with advanced MF and SS have poor prognosis, with 5-year survival rates of 52% and median overall survival of 63 months [4].…”
Section: Introductionmentioning
confidence: 99%
“…Sézary syndrome (SS) is the representative aggressive CTCL and is characterized by the triad of generalized erythroderma, lymphadenopathy, and leukemic involvement [1,2]. MF and SS share common features, such as epidermotropism of tumor cells and CD4, CD45RO, and CCR4 expression in tumor cells [1,3]. Patients with advanced MF and SS have poor prognosis, with 5-year survival rates of 52% and median overall survival of 63 months [4].…”
Section: Introductionmentioning
confidence: 99%
“…The chemokine receptors, such as cutaneous lymphocyte-associated antigen [ 5 ], CCR4 [ 38 ], CCR8 [ 39 ], CCR10 [ 40 ], CXCR3 [ 26 , 37 ], and CXCR6 [ 41 ] have also been reported to play important roles in homing and/or retention in skin. The contribution of some of these molecules to MF pathogenesis and prognosis has been demonstrated [ 7 , 42 , 43 ], supporting the skin-tropic phenotype of malignant T cells in MF and the involvement of the tumor microenvironment in disease manifestation, as described in Section 7 . However, although the malignant T cells in CTCL are in most cases CD4 T cells, the information on the development of CD4 T RM is still limited.…”
Section: The Development Of Skin T Rmmentioning
confidence: 65%
“…Mogamulizumab, a non-fucosylated, humanized antibody specific for human CCR4, is another recent example of an approved antibody reagent causing irAEs in patients with cancer [128,129]. The ADCC-active antibody reagent is approved in the USA and Europe for the treatment of cutaneous T cell lymphomas, including patients suffering from advanced forms of mycosis fungoides or Sezary syndrome, as well as in Japan for advanced adult and peripheral T cell lymphoma [130][131][132]. The distribution of CCR4 + cells is relatively widespread and includes platelets, NK cells, mast cells and T cells [4].…”
Section: Safety Concerns Related To Ccr8-targeted Therapiesmentioning
confidence: 99%