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Updated: Nov 3, 2025

Development of a 68Gallium-Labeled D-Peptide PET Tracer for Imaging Programmed Death-Ligand 1 Expression
Published on: February 3, 2023
Programmed Death-Ligand 1 as a Regulator of Tumor Progression and Metastasis
Ioannis A Vathiotis1,2, Georgia Gomatou1, Dimitrios J Stravopodis3
1Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece.
Abstract:
Programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) immune checkpoint has long been implicated in modeling antitumor immunity; PD-1/PD-L1 axis inhibitors exert their antitumor effects by relieving PD-L1-mediated suppression on tumor-infiltrating T lymphocytes. However, recent studies have unveiled a distinct, tumor-intrinsic, potential role for PD-L1. In this review, we focus on tumor-intrinsic PD-L1 signaling and delve into preclinical evidence linking PD-L1 protein expression with features of epithelial-to-mesenchymal transition program, cancer stemness and known oncogenic pathways. We further summarize data from studies supporting the prognostic significance of PD-L1 in different tumor types. We show that PD-L1 may indeed have oncogenic potential and act as a regulator of tumor progression and metastasis.
Insights
Programmed death-ligand 1 (PD-L1) has a tumor-intrinsic role beyond immune suppression. PD-L1 expression correlates with cancer progression, stemness, and metastasis, suggesting oncogenic potential.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- The Programmed cell death protein 1 (PD-1)/Programmed death-ligand 1 (PD-L1) pathway is a key immune checkpoint.
- PD-1/PD-L1 inhibitors target tumor-infiltrating T lymphocytes to enhance antitumor immunity.
- Emerging evidence suggests a tumor-intrinsic function for PD-L1 independent of immune modulation.
Purpose of the Study:
- To review the literature on the tumor-intrinsic functions of PD-L1.
- To explore the association between PD-L1 expression and cancer hallmarks.
- To summarize the prognostic significance of PD-L1 in various cancers.
Main Methods:
- Literature review of preclinical studies.
- Analysis of data linking PD-L1 expression to epithelial-to-mesenchymal transition (EMT).
- Examination of PD-L1's role in cancer stemness and oncogenic pathways.
Main Results:
- PD-L1 protein expression is linked to features of the epithelial-to-mesenchymal transition program.
- PD-L1 is associated with cancer stemness and established oncogenic pathways.
- Studies indicate prognostic significance of PD-L1 across different tumor types.
Conclusions:
- PD-L1 possesses tumor-intrinsic oncogenic potential.
- PD-L1 may regulate tumor progression and metastasis.
- The role of PD-L1 extends beyond immune checkpoint inhibition.
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