A bibliometric analysis of resistance to PD-1/PD-L1 inhibitors

Lehan Miao1, Zhendong Jiang2

  • 1The Fifth Clinical College, Zhuhai Campus of Zunyi Medical University, Zhuhai, Guangdong, China.

Abstract

Insights

Research on resistance to Programmed cell death protein 1 (PD-1) or Programmed death-ligand 1 (PD-L1) inhibitors is rapidly growing. Future research should focus on the tumor microenvironment, biomarkers, and combination therapies to overcome resistance.

Area of Science:

  • Oncology
  • Immunotherapy
  • Bibliometrics

Background:

  • Programmed cell death protein 1 (PD-1) and Programmed death-ligand 1 (PD-L1) inhibitors have revolutionized cancer treatment by overcoming tumor immune escape.
  • Emerging drug resistance to these inhibitors limits their clinical efficacy.
  • A comprehensive bibliometric analysis of this research field is currently lacking.

Purpose of the Study:

  • To conduct a bibliometric analysis of research on resistance to PD-1/PD-L1 inhibitors.
  • To identify publication trends, leading institutions, influential journals, and key researchers in the field.
  • To uncover emerging research hotspots and future directions for addressing PD-1/PD-L1 inhibitor resistance.

Main Methods:

  • Systematic retrieval of documents from Web of Science Core Collection and Scopus databases (2006-2025).
  • Bibliometric analysis of 2,122 retrieved studies.
  • Secondary screening to classify studies based on experimental models.

Main Results:

  • A significant increase in research on PD-1/PD-L1 inhibitor resistance from 2006 to 2025.
  • China leads in publication volume; the United States shows greater international collaboration.
  • Key research hotspots include the tumor microenvironment, combination strategies, and biomarkers. Observational cohort studies form the primary research basis.

Conclusions:

  • The study provides an overview of the academic landscape and research hotspots in PD-1/PD-L1 inhibitor resistance.
  • Future research should explore the tumor microenvironment for novel resistance mechanisms and biomarkers for patient stratification.
  • Combination therapy strategies and increased randomized controlled trials (RCTs) are crucial for overcoming resistance and accelerating clinical translation.