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Updated: Apr 21, 2026

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Published on: May 2, 2025
The role of programmed cell death-1 (PD-1) and its ligands in pediatric cancer
Laura S van Dam1, Verena M de Zwart1, Friederike A G Meyer-Wentrup1
1Department of Pediatric Hematology and Oncology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Abstract:
Programmed cell death-1 (PD-1) and its ligands, PD-L1 and PD-L2 maintain self-tolerance and modulate physiological immune responses. Recently, targeting the PD-1/PD-L1 pathway with blocking antibodies has emerged as a potentially promising approach to treat advanced cancers in adult patients. Since tumor PD-L1 expression is currently considered the most important predictive biomarker for successful checkpoint blockade, we summarize expression data for the most common tumors of childhood. Additionally, we give an introduction into PD-1 function in the immune system to then focus on PD-1 mediated tumor immune escape. Pediatr Blood Cancer 2015;62:190-197. © 2014 Wiley Periodicals, Inc.
Insights
Checkpoint blockade therapy targeting Programmed Cell Death-1 (PD-1) shows promise for adult cancers. This study summarizes PD-1 ligand (PD-L1) expression in childhood tumors, crucial for predicting treatment success.
Area of Science:
- Immunology
- Oncology
- Pediatrics
Background:
- Programmed Cell Death-1 (PD-1) and its ligands (PD-L1, PD-L2) are key regulators of immune self-tolerance.
- Targeting the PD-1/PD-L1 pathway with blocking antibodies is a promising cancer immunotherapy for adults.
- Tumor PD-L1 expression is a critical predictive biomarker for checkpoint blockade therapy efficacy.
Purpose of the Study:
- To summarize PD-L1 expression data in common pediatric tumors.
- To provide an overview of PD-1 function in the immune system.
- To discuss PD-1-mediated tumor immune escape mechanisms in the context of childhood cancers.
Main Methods:
- Literature review and summary of existing PD-L1 expression data in pediatric cancers.
- Review of the immunological functions of the PD-1 pathway.
- Analysis of PD-1/PD-L1 roles in tumor immune evasion.
Main Results:
- PD-L1 expression varies across different types of childhood tumors.
- Understanding PD-1 pathway dynamics is essential for developing effective pediatric cancer immunotherapies.
- PD-1 mediated immune escape is a significant factor in tumor progression.
Conclusions:
- PD-L1 expression data in pediatric tumors is crucial for evaluating checkpoint blockade potential.
- Further research into PD-1/PD-L1 in pediatric cancers may lead to novel therapeutic strategies.
- The PD-1 pathway represents an important target for overcoming immune resistance in childhood malignancies.
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