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New immunotherapies targeting the PD-1 pathway.

Jordan M Chinai1, Murali Janakiram2, Fuxiang Chen3

  • 1Department of Microbiology and Immunology, Albert Einstein College of Medicine, New York, NY 10461, USA.

Trends in Pharmacological Sciences
|July 12, 2015
PubMed
Summary

The B7-CD28 pathway regulates T cell responses. Targeting programmed death-1 (PD-1) and programmed death ligand 1 (PD-L1) shows promise for treating cancers, infections, and autoimmune diseases.

Keywords:
PD-1PD-L1PD-L2cancerimmunotherapyviral infection

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Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • The B7 family ligands interact with CD28 family receptors to control T cell activation, inflammation, and autoimmunity.
  • Programmed death-1 (PD-1), a CD28 family receptor, inhibits T cells and contributes to dysfunction in chronic infections and cancer.
  • The expression and signaling of PD-1 and its ligand PD-L1 are complex and under active investigation.

Purpose of the Study:

  • To review the emerging understanding of PD-1 and PD-L1 mechanisms.
  • To highlight the therapeutic potential of targeting the PD-1/PD-L1 pathway.

Main Methods:

  • Literature review of preclinical and clinical studies.
  • Analysis of emerging data on PD-1 and PD-L1 targeting strategies.

Main Results:

  • Clinical trials targeting PD-1/PD-L1 have yielded durable responses in some cancer patients.
  • Preclinical data suggest that targeting PD-1/PD-L1 can enhance T cell responses and viral clearance in chronic infections.
  • The PD-1/PD-L1 pathway is a promising target for autoimmune and inflammatory disorders.

Conclusions:

  • Targeting the PD-1/PD-L1 pathway represents a significant therapeutic strategy across oncology, infectious diseases, and autoimmune disorders.
  • Further research into the complex mechanisms of PD-1/PD-L1 signaling will refine therapeutic applications.