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Inhibitory receptors and ligands beyond PD-1, PD-L1 and CTLA-4: breakthroughs or backups

机译:超出PD-1,PD-L1和CTLA-4之外的抑制受体和配体:突破或备用

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摘要

Although immunotherapeutics targeting the inhibitory receptors (IRs) CTLA-4, PD-1 or PD-L1 have made substantial clinical progress in cancer, a considerable proportion of patients remain unresponsive to treatment. Targeting novel IR-ligand pathways in combination with current immunotherapies may improve clinical outcomes. New clinical immunotherapeutics target T cell-expressed IRs (LAG-3, TIM-3 and TIGIT) as well as inhibitory ligands in the B7 family (B7-H3, B7-H4 and B7-H5), although many of these targets have complex biologies and unclear mechanisms of action. With only modest clinical success in targeting these IRs, current immunotherapeutic design may not be optimal. This Review covers the biology of targeting novel IR-ligand pathways and the current clinical status of their immunotherapeutics, either as monotherapy or in combination with antibody to PD-1 or to its ligand PD-L1. Further understanding of the basic biology of these targets is imperative to the development of effective cancer immunotherapies.
机译:虽然靶向抑制受体(IRS)CTLA-4,PD-1或PD-L1的免疫治疗剂在癌症中进行了实质性临床进展,但相当大比例的患者对治疗仍未响应。靶向新型IR-LIGAND途径与电流免疫疗法的组合可以改善临床结果。新的临床免疫治疗靶T细胞表达的IRS(LAG-3,TIM-3和TIGIT)以及B7家族中的抑制配体(B7-H3,B7-H4和B7-H5),虽然这些靶中的许多靶标具有复杂的生物学和不明确的作用机制。只有适度的临床成功瞄准这些IRS,目前的免疫治疗设计可能不是最佳的。本综述涵盖了靶向新型IR-LigAnd途径的生物学和免疫治疗剂的当前临床状态,也可以作为单药治疗或与PD-1或其配体PD-L1的抗体组合。进一步了解这些目标的基本生物学对有效癌症免疫治疗的发展是必不可少的。

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