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Updated: Jan 27, 2026

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Molecular Interactions of Antibody Drugs Targeting PD-1, PD-L1, and CTLA-4 in Immuno-Oncology
Hyun Tae Lee1, Sang Hyung Lee2, Yong-Seok Heo3
1Department of Chemistry, Konkuk University, 120 Neungdong-ro, Gwangjin-gu, Seoul 05029, Korea. hst2649@naver.com.
Abstract:
Cancer cells can evade immune surveillance through the molecular interactions of immune checkpoint proteins, including programmed death 1 (PD-1), PD-L1, and cytotoxic T lymphocyte-associated antigen 4 (CTLA-4). Since 2011, the FDA-approved antibody drugs ipilimumab (Yervoy®), nivolumab (Opdivo®), pembrolizumab (Keytruda®), cemiplimab (Libtayo®), atezolizumab (Tecentriq®), durvalumab (Imfinzi®), and avelumab (Bavencio®), which block the immune checkpoint proteins, have brought about a significant breakthrough in the treatment of a wide range of cancers, as they can induce durable therapeutic responses. In recent years, crystal structures of the antibodies against PD-1, PD-L1, and CTLA-4 have been reported. In this review, we describe the latest structural studies of these monoclonal antibodies and their interactions with the immune checkpoint proteins. A comprehensive analysis of the interactions of these immune checkpoint blockers can provide a better understanding of their therapeutic mechanisms of action. The accumulation of these structural studies would provide a basis that is essential for the rational design of next-generation therapies in immuno-oncology.
Insights
Immuno-oncology therapies targeting immune checkpoints like PD-1 and CTLA-4 have revolutionized cancer treatment. Structural studies of these antibody drugs offer insights into their mechanisms and guide the development of future cancer therapies.
Area of Science:
- Immunology
- Oncology
- Structural Biology
Background:
- Cancer cells evade immune surveillance via immune checkpoint proteins such as programmed death 1 (PD-1), PD-L1, and cytotoxic T lymphocyte-associated antigen 4 (CTLA-4).
- FDA-approved antibody drugs targeting these checkpoints have yielded significant breakthroughs in treating diverse cancers, inducing durable responses.
Purpose of the Study:
- To review recent structural studies of monoclonal antibodies targeting PD-1, PD-L1, and CTLA-4.
- To analyze the interactions between these antibodies and immune checkpoint proteins.
- To provide a foundation for designing next-generation immuno-oncology therapies.
Main Methods:
- Review of published crystal structures of antibodies against PD-1, PD-L1, and CTLA-4.
- Analysis of molecular interactions between therapeutic antibodies and their target immune checkpoint proteins.
Main Results:
- Recent crystal structures illuminate the binding interfaces of antibodies with PD-1, PD-L1, and CTLA-4.
- Understanding these interactions is crucial for elucidating therapeutic mechanisms of action.
Conclusions:
- Structural insights into immune checkpoint inhibitors enhance comprehension of their efficacy.
- Accumulated structural data are essential for the rational design of novel immuno-oncology treatments.
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