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B7-H1/PD-1 blockade therapy in urological malignancies: current status and future prospects
Lun Yu1, Yonghua Wang, Shixiu Shao
1Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao - China.
Abstract:
The stimulatory and inhibitory coreceptors expressed by T lymphocytes are known to play critical roles in regulating cancer immunity. An array of inhibitory coreceptors involved in the inhibition of T-cell functions and the blockade of immune activation have been discovered in recent years, the most important of which are cytotoxic T-lymphocyte antigen-4 (CTLA-4), programmmed death-1 (PD-1), and B7 homolog 1 (B7-H1). Immunotherapies targeting T-cell coinhibitory molecules have proved to be effective in cancer treatment. Several kinds of monoclonal antibodies have been tested in preclinical studies, with better outcomes than conventional therapies in many malignancies. Common urological malignancies including renal cell carcinoma, bladder cancer and prostate cancer are supposed to be immunogenic cancer types and not so sensitive to conventional therapies as other malignancies. This review will focus on B7-H1/PD-1 blockade therapy in urological malignancies, summarizing the results of clinical trials as well as the challenges and prospects of this emerging immunotherapy.
Insights
Blockade therapy targeting B7-H1/PD-1 shows promise for urological cancers like renal cell carcinoma, bladder, and prostate cancer. This immunotherapy approach offers potential benefits over conventional treatments for these immunogenic malignancies.
Area of Science:
- Immunology
- Oncology
- Urology
Background:
- T-lymphocyte coreceptors regulate cancer immunity, with inhibitory molecules like CTLA-4, PD-1, and B7-H1 playing key roles.
- Targeting T-cell coinhibitory molecules with immunotherapies, particularly monoclonal antibodies, has shown efficacy in various cancers.
- Urological malignancies (renal cell carcinoma, bladder, prostate cancer) are often immunogenic and less responsive to traditional therapies.
Purpose of the Study:
- To review the efficacy of B7-H1/PD-1 blockade therapy in common urological malignancies.
- To summarize clinical trial outcomes for this emerging immunotherapy.
- To discuss the challenges and future prospects of B7-H1/PD-1 blockade in urological cancers.
Main Methods:
- Review of preclinical studies and clinical trials focused on B7-H1/PD-1 blockade therapy.
- Analysis of immunotherapy outcomes in renal cell carcinoma, bladder cancer, and prostate cancer.
- Synthesis of current data on the application of monoclonal antibodies targeting coinhibitory molecules.
Main Results:
- Monoclonal antibody therapies targeting coinhibitory molecules demonstrate superior outcomes compared to conventional treatments in preclinical models.
- Clinical trials indicate the potential of B7-H1/PD-1 blockade in treating urological malignancies.
- This immunotherapy approach is being explored as a novel treatment strategy for these cancer types.
Conclusions:
- B7-H1/PD-1 blockade therapy represents a promising avenue for treating urological cancers.
- Further clinical investigation is warranted to optimize its application and overcome existing challenges.
- This immunotherapy holds significant potential for improving patient outcomes in renal cell carcinoma, bladder, and prostate cancer.
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