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DRUG:

fingolimod

i
Other names: FTY 720, TDI-132, FTY-720, FTY720
Company:
Generic mfg.
Drug class:
S1PR modulator
29d
An epigenetic switch in vascular phenotype augments anti-tumor immunity. (PubMed, bioRxiv)
Depleting CD4+ T-cells, or blocking lymphocyte egress from the lymph nodes with FTY720, rescues tumor growth in mice with conditional deletion of Dnmt1 in ECs (Dnmt1iECKO) and dramatically shortens overall survival, whereas NK cells are dispensable...Finally, immune checkpoint blockade (ICB) administered to Dnmt1iECKO mice with experimental melanoma lung metastasis reduces tumor burden, with some mice showing tumor eradication. Our findings identify endothelial Dnmt1 as a key regulator of vascular-mediated anti-tumor immunity, providing a rationale for integrating epigenetic modulation of the vasculature with cancer immunotherapy regimens.
Journal • IO biomarker
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TNFA (Tumor Necrosis Factor-Alpha) • DNMT1 (DNA methyltransferase 1) • CD40 (CD40 Molecule) • TNFSF4 (TNF Superfamily Member 4) • VCAM1 (Vascular Cell Adhesion Molecule 1)
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fingolimod
1m
Cellular and humoral vaccination response under immunotherapies-German consensus on vaccination strategies in neurological autoimmune diseases. (PubMed, Ther Adv Neurol Disord)
The specific humoral and cellular response to vaccination can be compromised under alemtuzumab, azathioprine, cladribine, cyclophosphamide, CD19/CD20 antibodies (inebilizumab, ocrelizumab, ofatumumab, rituximab, ublituximab), dimethyl fumarate/diroximel fumarate, FcRn inhibitors (efgartigimod, rozanolixizumab), complement C5 inhibitors (eculizumab, ravulizumab, zilucoplan), interleukin-6 receptor antibodies (tocilizumab, satralizumab), intravenous immunoglobulins, long-term steroid administration, methotrexate, mitoxantrone, mycophenolate mofetil, tacrolimus, teriflunomide, tumor necrosis factor-α blockers, and sphingosine-1-phosphate receptor modulators (fingolimod, ozanimod, ponesimod, siponimod), as well as after autologous stem cell transplantation...However, the humoral and cellular vaccination response may be impaired under immunotherapy necessitating close monitoring. Here, we provide applicable recommendations to optimize immunization for individuals receiving immunotherapy due to a neurological autoimmune disease.
Journal
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IL6R (Interleukin 6 receptor)
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Rituxan (rituximab) • cyclophosphamide • methotrexate • Campath (alemtuzumab) • mitoxantrone • cladribine • Arzerra (ofatumumab) • Briumvi (ublituximab-xiiy) • fingolimod • Actemra IV (tocilizumab) • Ocrevus (ocrelizumab) • Uplizna (inebilizumab-cdon)
2ms
Sphingosine-1-phosphate receptor modulators resensitize FLT3-ITD acute myeloid leukemia cells with NRAS mutations to FLT3 inhibitors. (PubMed, bioRxiv)
Moreover, FTY720 co-treatment resensitized G12D NRAS -mutated M14(R)701 cells to gilteritinib in vivo. Co-treatment inactivated ERK, transcriptionally downregulated SPHK1, and inactivated downstream AKT, p70S6K and BAD, with inactivation abrogated by constitutive SPHK1 expression. The clinically applicable S1PR modulators fingolimod and mocravimod resensitize NRAS -mutated FLT3-ITD AML cells to FLT3 inhibitors, supporting potential clinical efficacy of these combinations.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • NRAS (Neuroblastoma RAS viral oncogene homolog) • SPHK1 (Sphingosine Kinase 1)
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NRAS mutation • FLT3-ITD mutation • FLT3 mutation • RAS mutation • NRAS Q61 • NRAS G12 • NRAS G13
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Xospata (gilteritinib) • fingolimod • mocravimod (KRP-203)
2ms
Reprogramming autoimmunity: inducing antigen-specific tolerance via apoptotic mimicry in an experimental model of multiple sclerosis. (PubMed, J Neuroinflammation)
Our findings indicate that antigen-specific therapy with PS liposomes mimicking apoptotic bodies downregulates the MOG-specific inflammatory immune response and expands Breg and Treg cells, offering a safe, versatile, and easily applicable approach that strongly supports its potential for near-future clinical translation in MS.
Journal
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CD4 (CD4 Molecule) • IL10 (Interleukin 10) • TGFB1 (Transforming Growth Factor Beta 1) • FOXP3 (Forkhead Box P3) • ENTPD1 (Ectonucleoside Triphosphate Diphosphohydrolase 1)
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fingolimod
2ms
Intraperitoneal administration of cationic liposomes containing a TLR3 agonist recruits type I conventional dendritic cells and primes a local CD8+ T cell response. (PubMed, Vaccine)
This study demonstrates that adjuvants can facilitate recruitment of cDC1s to the peritoneal cavity, a feature that may contribute to the effectiveness of i.p. administration on elicitation of CD8 T cell responses. Furthermore, we demonstrate that CAF09b-induced CD8 T cell responses require BATF3-dependent cDC1 cells. Understanding cDC1 and CD8 T cell dynamics via different immunization routes may aid in the design of more effective vaccine strategies.
Journal
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CD8 (cluster of differentiation 8) • ITGAE (Integrin Subunit Alpha E) • ITGAX (Integrin Subunit Alpha X) • BATF3 (Basic Leucine Zipper ATF-Like Transcription Factor 3)
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fingolimod
2ms
S1PR1-MYPT1 Maintains Coronary Endothelial Barrier in Pressure-Overloaded Hearts. (PubMed, Hypertension)
Mice with EC-specifically MYPT1-deficient (Mypt1ΔEC) also showed coronary endothelial hyperpermeability, and treatment with the S1PR1 agonist FTY720 failed in alleviating the pathological effects. At 1 month post-transverse aortic constriction, both Mypt1ΔEC and S1pr1ΔEC mice displayed aggravated pathological cardiac remodeling. These findings suggest that the S1PR1-MYPT1 signaling is crucial for coronary endothelial permeability and myocardial microenvironmental homeostasis under pressure overload, targeting which may offer therapeutic potential for related heart diseases.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • S1PR1 (Sphingosine-1-Phosphate Receptor 1)
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fingolimod
3ms
Bioinformatics-Based Analysis of the Screening and Evaluation of Potential Targets of FTY720 for the Treatment of Non-Small Cell Lung Cancer. (PubMed, Biology (Basel))
Our research indicates that FTY720 may inhibit NSCLC via possible targets ZEB2 and S1PR1, further laying the theoretical foundation for the utilization of FTY720 in NSCLC treatment.
Journal
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CD8 (cluster of differentiation 8) • AKT1 (V-akt murine thymoma viral oncogene homolog 1) • PIK3R1 (Phosphoinositide-3-Kinase Regulatory Subunit 1) • MIR192 (MicroRNA 192) • CTBP1 (C-Terminal Binding Protein 1) • MIR132 (MicroRNA 132) • ZEB2 (Zinc Finger E-Box Binding Homeobox 2) • S1PR1 (Sphingosine-1-Phosphate Receptor 1)
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fingolimod
3ms
New P2/3 trial
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Briumvi (ublituximab-xiiy) • fingolimod
3ms
Systems Biology-Based Drug Repositioning Identifies Extracellular Matrix Module as a Therapeutic Target in Lung Squamous Cell Carcinoma. (PubMed, J Med Chem)
In vitro and in vivo experiments validated two repositioned drugs, Fingolimod and Piperlongumine, both targeting ECM components, significantly inhibited LSCC cell growth, proliferation and migration at concentrations below 10 μM. These results provide compelling evidence for the power of systems biology to identify subtype-specific therapeutic vulnerabilities. Our findings highlight a promising framework for precision oncology and underscore the potential of ECM-targeted interventions in LSCC.
Journal
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LAMA1 (Laminin Subunit Alpha 1)
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fingolimod
3ms
SPRING: Safety and Efficacy Study of Fingolimod in Taiwanese Adults (≥ 20years) With Relapsing Remitting Multiple Sclerosis (clinicaltrials.gov)
P4, N=30, Recruiting, Novartis Pharmaceuticals | Trial completion date: Jan 2026 --> Sep 2027 | Trial primary completion date: Jan 2026 --> Sep 2027
Trial completion date • Trial primary completion date
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fingolimod
3ms
Neuroinflammatory Human Brain Organoids Enable Comprehensive Drug Screening Studies: Fingolimod and its Analogues in Focus. (PubMed, Curr Med Chem)
The findings supported the applicability of brain organoids as a model system for drug screening studies for neuroinflammatory brain diseases.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL10 (Interleukin 10) • NFKB1 (Nuclear factor of kappa light polypeptide gene enhancer in B-cells 1) • SOX2 • MAPT (Microtubule Associated Protein Tau)
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fingolimod
4ms
Ginsenoside F4 inhibits colorectal cancer progression by boosting dendritic cell maturation and remodeling the tumor microenvironment. (PubMed, World J Gastrointest Oncol)
The results demonstrated that F4 inhibited the growth of CRC by maturing DCs through activating S1PR1-mediated phosphoinositide 3-kinase/protein kinase B and NF-κB pathways, which triggered the antitumor effects of CD8+ T cells. Therefore, F4 could serve as an antitumor immunomodulator for CRC treatment.
Journal • IO biomarker
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CD8 (cluster of differentiation 8) • IL10 (Interleukin 10) • CD86 (CD86 Molecule) • S1PR1 (Sphingosine-1-Phosphate Receptor 1)
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fingolimod