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The Diverse Function of PD-1/PD-L Pathway Beyond Cancer
Weiting Qin1, Lipeng Hu1, Xueli Zhang1
1State Key Laboratory of Oncogenes and Related Genes, Shanghai Cancer Institute, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Abstract:
The recent success of PD-1 and PD-L1 blockade in cancer therapy illustrates the important role of the PD-1/PD-L1 pathway in the regulation of antitumor immune responses. However, signaling regulated by the PD-1/PD-L pathway is also associated with substantial inflammatory effects that can resemble those in autoimmune responses, chronic infection, and sepsis, consistent with the role of this pathway in balancing protective immunity and immunopathology, as well as in homeostasis and tolerance. Targeting PD-1/PD-L1 to treat cancer has shown benefits in many patients, suggesting a promising opportunity to target this pathway in autoimmune and inflammatory disorders. Here, we systematically evaluate the diverse biological functions of the PD-1/PD-L pathway in immune-mediated diseases and the relevant mechanisms that control these immune reactions.
Insights
The programmed cell death protein 1 (PD-1) and PD-1 ligand (PD-L1) pathway regulates antitumor immunity. This pathway
Area of Science:
- Immunology
- Oncology
- Translational Medicine
Background:
- The PD-1/PD-L1 pathway is crucial for regulating immune responses and maintaining self-tolerance.
- Successful PD-1/PD-L1 blockade in cancer immunotherapy highlights its role in antitumor immunity.
- Dysregulation of this pathway is implicated in inflammatory conditions and autoimmune diseases.
Purpose of the Study:
- To systematically evaluate the diverse biological functions of the PD-1/PD-L pathway in immune-mediated diseases.
- To elucidate the mechanisms controlling immune reactions mediated by the PD-1/PD-L pathway.
- To explore the therapeutic potential of targeting PD-1/PD-L1 in autoimmune and inflammatory disorders.
Main Methods:
- Systematic review of existing literature on PD-1/PD-L1 pathway functions.
- Analysis of mechanisms underlying PD-1/PD-L1 mediated immune regulation.
- Evaluation of preclinical and clinical data on PD-1/PD-L1 targeting in immune-mediated diseases.
Main Results:
- The PD-1/PD-L1 pathway plays a dual role, balancing protective immunity and immunopathology.
- Signaling through PD-1/PD-L1 is associated with inflammatory effects mimicking autoimmune responses.
- Evidence suggests potential benefits of targeting PD-1/PD-L1 in non-cancerous immune-mediated diseases.
Conclusions:
- The PD-1/PD-L1 pathway's complex role extends beyond cancer, impacting various immune-mediated diseases.
- Understanding its regulatory mechanisms is key to developing novel therapies for autoimmune and inflammatory conditions.
- Targeting PD-1/PD-L1 represents a promising therapeutic strategy for a broader range of immune-related disorders.
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