Human cancer immunotherapy with antibodies to the PD-1 and PD-L1 pathway.

Trends Mol Med

Department of Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY 10461, USA; Department of Oncology, Montefiore Medical Center, New York, NY 10467, USA. Electronic address:

Published: January 2015

AI Article Synopsis

  • The PD-1 receptor and its ligands PD-L1 and PD-L2 are key players in regulating T cell activity, often leading to T cell exhaustion in cancer.
  • High levels of PD-L1 on tumor cells and PD-1 on immune cells are associated with worse outcomes in certain cancers.
  • Monoclonal antibodies targeting the PD-1/PD-L1 pathway have shown promising results in clinical trials for various cancers, but more research is needed to understand response variability and enhance treatment strategies.

Article Abstract

The programmed death 1 (PD-1) receptor and its ligands programmed death ligand 1 (PD-L1) and PD-L2, members of the CD28 and B7 families, play critical roles in T cell coinhibition and exhaustion. Overexpression of PD-L1 and PD-1 on tumor cells and tumor-infiltrating lymphocytes, respectively, correlates with poor disease outcome in some human cancers. Monoclonal antibodies (mAbs) blockading the PD-1/PD-L1 pathway have been developed for cancer immunotherapy via enhancing T cell functions. Clinical trials with mAbs to PD-1 and PD-L1 have shown impressive response rates in patients, particularly for melanoma, non-small-cell lung cancer (NSCLC), renal cell carcinoma (RCC), and bladder cancer. Further studies are needed to dissect the mechanisms of variable response rate, to identify biomarkers for clinical response, to develop small-molecule inhibitors, and to combine these treatments with other therapies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4282825PMC
http://dx.doi.org/10.1016/j.molmed.2014.10.009DOI Listing

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