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Published on: May 2, 2025
The future of immune checkpoint cancer therapy after PD-1 and CTLA-4
Andrew W Hahn1, David M Gill1, Sumanta K Pal2
1Department of Internal Medicine, University of Utah, Salt Lake City, UT, 84112 USA.
Abstract:
The adaptive immune system plays an important role in eradicating malignant cells. Co-stimulatory and co-inhibitory signals to T cells though immune checkpoint receptors are involved in tumorigenesis and metastasis. Exploitation of immune checkpoint inhibitors, PD-1 and CTLA-4, with monoclonal antibodies has created impressive clinical responses. Many other immune checkpoint co-inhibitors and co-stimulators exist, including the B7 superfamily and tumor necrosis factor receptors superfamily. Here, we will examine co-inhibitors and co-stimulators beyond PD-1 and CTLA-4 that are being investigated in active clinical trials. We will review the immunology and preclinical studies that support investigation of these targets. Finally, we will briefly discuss the potential for immunotherapy to be combined with other treatment modalities.
Insights
This study explores novel immune checkpoint targets beyond PD-1 and CTLA-4 for cancer immunotherapy. It reviews preclinical data and ongoing clinical trials for these emerging co-inhibitors and co-stimulators.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- The adaptive immune system is crucial for eliminating cancer cells.
- Immune checkpoints, like PD-1 and CTLA-4, regulate T cell responses and are implicated in cancer progression.
- Current immunotherapies targeting PD-1 and CTLA-4 have shown significant clinical success.
Purpose of the Study:
- To investigate immune co-inhibitors and co-stimulators beyond PD-1 and CTLA-4.
- To review the immunological basis and preclinical evidence supporting novel checkpoint targets.
- To discuss the potential of combining these novel immunotherapies with other treatment modalities.
Main Methods:
- Review of existing literature on immune checkpoints.
- Analysis of preclinical studies on novel co-inhibitors and co-stimulators.
- Examination of ongoing clinical trials for these targets.
Main Results:
- Identification of multiple immune checkpoint targets beyond PD-1 and CTLA-4.
- Summary of preclinical data supporting the therapeutic potential of these targets.
- Overview of active clinical investigations into these novel immunotherapies.
Conclusions:
- Emerging immune checkpoint modulators offer new avenues for cancer treatment.
- Further research and clinical trials are essential to realize the full potential of these novel targets.
- Combination strategies may enhance the efficacy of cancer immunotherapy.
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