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A. Monoclonal antibodies against PD-1 can induce the increase synthesis of IFN-γ by T lymphocytes, with increase of interferon regulatory fator-8 (IRF8) that binds to the MDM2 promoter inducing MDM2 amplification in tumor cells. This results in suppression of p53, with tumor growth and progression. B. The use of phosphodiesterase inhibitors promotes increase levels of cAMP, diminishing the production of IFN-γ, expression of IRF8 and MDM2 amplification. In turn, not occurring suppression of p53, or tumor growth and progression. APC=Antigen presenting cell; MHC=Major histocompatibility complex; mAB=Monoclonal antibody. B. Increase in the expression of MDM2. 

A. Monoclonal antibodies against PD-1 can induce the increase synthesis of IFN-γ by T lymphocytes, with increase of interferon regulatory fator-8 (IRF8) that binds to the MDM2 promoter inducing MDM2 amplification in tumor cells. This results in suppression of p53, with tumor growth and progression. B. The use of phosphodiesterase inhibitors promotes increase levels of cAMP, diminishing the production of IFN-γ, expression of IRF8 and MDM2 amplification. In turn, not occurring suppression of p53, or tumor growth and progression. APC=Antigen presenting cell; MHC=Major histocompatibility complex; mAB=Monoclonal antibody. B. Increase in the expression of MDM2. 

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Cell signaling is a crucial event for the survival and progress of normal cellular functions. However, mutations of certain genes can lead to the emerging of cancer cells, which can use these signaling mechanisms for their survival, growth and dissemination. Among these mechanisms, we highlight the role of cyclic nucleotides such as cAMP, and Ca2+...

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Context 1
... antibodies against PD-1 can induce the increase synthesis of interferon gamma (IFN-γ) by T lymphocytes [67], which in turn activates JAK-STAT signaling [68] resulting in increase of interferon regulatory fator-8 (IRF8) expression [69]. Finally, the IRF8 binds to the MDM2 promoter inducing MDM2 higher expression [70] shown in Figure 1A. Because the elevation of intracellular cAMP creates an oxidative environment that oxidizes and inactivates p56(lck) in lymphocytes by an H 2 O 2 dependent, PKA-independent mechanism, and inhibits the production of IFN-γ by nitric oxide, PKA-dependent mechanism [71], the use of phosphodiesterase inhibitors can promote the increase levels of cAMP [72], hindering the production of IFN-γ, which would make difficult to increase the expression of IRF8, and increase in the expression of MDM2 shown in Figure 1B. ...
Context 2
... the IRF8 binds to the MDM2 promoter inducing MDM2 higher expression [70] shown in Figure 1A. Because the elevation of intracellular cAMP creates an oxidative environment that oxidizes and inactivates p56(lck) in lymphocytes by an H 2 O 2 dependent, PKA-independent mechanism, and inhibits the production of IFN-γ by nitric oxide, PKA-dependent mechanism [71], the use of phosphodiesterase inhibitors can promote the increase levels of cAMP [72], hindering the production of IFN-γ, which would make difficult to increase the expression of IRF8, and increase in the expression of MDM2 shown in Figure 1B. ...

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... Cyclic adenosine monophosphate (cAMP) is a second messenger that has a major role in transduction and cell signaling in several pathways and biological systems [1]. cAMP elevation may be achieved via the activation of the adenylate cyclases by Gs proteins, and the inhibition of cAMP-degrading phosphodiesterases [2], and has been shown to inhibit proliferation of several cancer cell types such as breast cancer, colon cancer, lung cancer, glioblastoma etc [3][4][5][6]. ...
... Additionally compounds 1, 4 and 5 (with the highest predicted affinities and the most potent agonists identified), compound 6 (which did not exhibit any agonist activity), CHEMBL3799351 (an antagonist with an IC 50 = 4.35 nM and confidence score equal to 9) and CGS21680 (the selective and potent A 2A R agonist) and adenosine (a non-selective adenosine receptor agonist), were docked into the inactive form of the A 2A R protein crystal structure (PDB ID: 5IU4) for MD simulation and analysis. The six triazoloquinazolines (1)(2)(3)(4)(5)(6) were then shortlisted for validation as A 2A R agonists in relevant biochemical assays. ...
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... Cyclic adenosine monophosphate (cAMP) is a second messenger that has a major role in transduction and cell signaling in several pathways and biological systems [1]. cAMP elevation may be achieved via the activation of the adenylate cyclases by Gs proteins, and the inhibition of cAMP-degrading phosphodiesterases [2], and has been shown to inhibit proliferation of several cancer cell types such as breast cancer, colon cancer, lung cancer, glioblastoma etc [3][4][5][6]. ...
... Additionally compounds 1, 4 and 5 (with the highest predicted affinities and the most potent agonists identified), compound 6 (which did not exhibit any agonist activity), CHEMBL3799351 (an antagonist with an IC 50 = 4.35 nM and confidence score equal to 9) and CGS21680 (the selective and potent A 2A R agonist) and adenosine (a non-selective adenosine receptor agonist), were docked into the inactive form of the A 2A R protein crystal structure (PDB ID: 5IU4) for MD simulation and analysis. The six triazoloquinazolines (1)(2)(3)(4)(5)(6) were then shortlisted for validation as A 2A R agonists in relevant biochemical assays. ...
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Enhanced/prolonged cAMP signalling has been suggested as a suppressor of cancer proliferation. Interestingly, two key modulators that elevate cAMP, the A 2A receptor (A 2A R) and phosphodiesterase 10A (PDE10A), are differentially co-expressed in various types of non-small lung cancer (NSCLC) cell-lines. Thus, finding dual-target compounds, which are simultaneously agonists at the A 2A R whilst also inhibiting PDE10A, could be a novel anti-proliferative approach. Using ligand-and structure-based modelling combined with MD simulations (which identified Val 84 displacement as a novel conformational descriptor of A 2A R activation), a series of known PDE10A inhibitors were shown to dock to the orthosteric site of the A 2A R. Subsequent in-vitro analysis confirmed that these compounds bind to the A 2A R and exhibit dual-activity at both the A 2A R and PDE10A. Furthermore, many of the compounds exhibited promising anti-proliferative effects upon NSCLC cell-lines, which directly correlated with the expression of both PDE10A and the A 2A R. Thus, we propose a structure-based methodology, which has been validated in in-vitro binding and functional assays, and demonstrated a promising therapeutic value.
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... These findings suggest that the cAMP analogs, such as 8-Cl-cAMP and the PKA -selective cAMP analogs, could be used in human tumor therapy. Thus, considering that our studies have shown that the reduction of Ca 2+ influx through L-type Ca 2+ channels, produced by CCBs, increases the AC activity (and consequently elevating cAMP levels; named as Ca 2+ /cAMP signaling interaction) [9][10][11][12][13], and that these CCBs-effects can be potentiated by cAMP-stimulating compounds (like PDEs inhibitors), then the pharmacological modulation of the Ca 2+ /cAMP signaling could be a new therapeutic strategy for the tumor therapy. In addition, our discovery, which demonstrated the role of Ca 2+ /cAMP signaling in the neurotransmitter release and neuroprotection [18][19][20][21], may put some new ´light´ in the association between hypertension and higher risk for the development of cancer! ...
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... In response to the reduction of Ca 2+ influx through plasma membrane voltage-activated Ca 2+ channels (L) produced Several evidences support that the abnormal intracellular signaling mediated by Ca 2+ and cAMP could be involved in tumor growth and dissemination [31][32][33][34][35][36][37]. As previously mentioned, the abnormal gene expression and activity of the different proteins involved intracellular Ca 2+ homeostasis contribute to tumor growth [14][15][16][17][18]. ...
... In addition, the increase of [cAMP] c inhibits the angiogenesis and tumor growth [21][22][23][24]. Thus, we have proposed that the combined use of monoclonal antibodies with drugs that modulate the Ca 2+ /cAMP signaling interaction to reduce tumor growth could be potential strategy in the antitumor immunotherapy due to increment of antitumor efficacy and reduction of adverse effects [31][32][33][34][35][36][37]. Figure 1 shows how the Ca 2+ /cAMP signaling interaction could be pharmacologically modulated by the combined use of the Ca 2+ channel blockers (CCB) and drugs that promote the increase of [cAMP] c (cAMP-enhancer compounds). ...
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... Intracellular levels of Ca 2+ are regulated by plasma membrane transporters that control the influx, and efflux of Ca 2+ . Organelles, such as endo/sarcoplasmic reticulum, and Golgi complex, also regulate the intracellular levels of Ca 2+ [8]. Since tumor cells preferentially produce energy by anaerobic glycolysis in detrimental of mitochondrial oxidative phosphorylation process, it is necessary to pump larger amounts of Ca 2+ into the intracellular compartment [9]. ...
... 2017 | Volume 2 | Issue 1 2 may be associated with alterations in the regulation of the Ca 2+ and cAMP signaling pathways [15], and different tumors are associated with the Ras mediated signaling pathway [16,17]. Once the use of Ca 2+ channels blockers [18] and phosphodiesterase inhibitors (alone or in combination with other drugs) [19,20] for the treatment of cancer presents significant pre-clinical results, our proposal is to pharmacologically modulate the intracellular levels of Ca 2+ and cAMP signaling pathways in tumor cells [8], pathways that are altered in relation to healthy cells. Thus, we believe that combining this new strategy of treatment with existing antitumoral therapies may lead to reduce tumor progression, toxicity and costs of treatment. ...
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