VT1021 is a cyclic pentapeptide that activates thrombospondin 1 (TSP-1) expression in myeloid-derived suppressor cells within the tumor microenvironment. It stimulates anti-angiogenic and pro-apoptotic signaling through CD36 and CD47, while blocking CD47-mediated immune suppression to enhance macrophage activation and cytotoxic T-lymphocyte infiltration. It is studied in glioblastoma.
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