Potential biomarker for checkpoint blockade immunotherapy and treatment strategy

被引:73
作者
Dong, Zhong-Yi [1 ,2 ,3 ]
Wu, Si-Pei [1 ,2 ]
Liao, Ri-Qiang [1 ,2 ]
Huang, Shu-Mei [1 ,2 ,3 ]
Wu, Yi-Long [1 ,2 ]
机构
[1] Guangdong Gen Hosp, Guangdong Lung Canc Inst, 106 Zhongshan Er Rd, Guangzhou 510080, Guangdong, Peoples R China
[2] Guangdong Acad Med Sci, 106 Zhongshan Er Rd, Guangzhou 510080, Guangdong, Peoples R China
[3] Southern Med Univ, Guangzhou, Guangdong, Peoples R China
关键词
PD-L1; TILs; Checkpoint blockade; Immunotherapy; Immune resistance; Treatment strategy; T-CELL INFILTRATION; DEATH-LIGAND; PD-L1; EXPRESSION; IMMUNE ESCAPE; TUMOR MICROENVIRONMENT; ANTI-PD-L1; ANTIBODY; B7-H1; PLUS IPILIMUMAB; UP-REGULATION; CANCER;
D O I
10.1007/s13277-016-4812-9
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Programmed cell death protein-1 (PD-1) and ligand (PD-L1) provide an important escape mechanism from immune attack, and blockade therapy of these proteins show promising clinical benefits in many types of cancer. PD-L1 can be induced by interferon-gamma (IFN-gamma), hypoxia, or toll-like receptor (TLR)-mediated pathways that confer adaptive immune resistance, or upregulated by oncogenic signals leading to constitutive expression and resulting in intrinsic immune resistance. The PD-1/PD-L1 checkpoint blockade, which targets regulatory pathways in T cells to overcome immune resistance, is correlated to PD-L1 expression pattern and the presence of tumor-infiltrating lymphocytes (TILs). Meanwhile, immunogenic mutation loads show significant response to checkpoint blockade, which is probably due to PD-1/L1 status and TIL content. Finally, the clinical strategies to design effective checkpoint-targeting immunotherapies are based on the classification of inducible/constitutive expression of PD-L1 and the presence of TILs.
引用
收藏
页码:4251 / 4261
页数:11
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