Progress of research on PD-1/PD-L1 in leukemia

Leukemia cells prevent immune system from clearing tumor cells by inducing the immunosuppression of the bone marrow (BM) microenvironment. In recent years, further understanding of the BM microenvironment and immune landscape of leukemia has resulted in the introduction of several immunotherapies, i...

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Main Authors: Huizhen Cao, Tianyu Wu, Xue Zhou, Shuyang Xie, Hongfang Sun, Yunxiao Sun, Youjie Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1265299/full
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author Huizhen Cao
Tianyu Wu
Xue Zhou
Shuyang Xie
Hongfang Sun
Yunxiao Sun
Youjie Li
author_facet Huizhen Cao
Tianyu Wu
Xue Zhou
Shuyang Xie
Hongfang Sun
Yunxiao Sun
Youjie Li
author_sort Huizhen Cao
collection DOAJ
description Leukemia cells prevent immune system from clearing tumor cells by inducing the immunosuppression of the bone marrow (BM) microenvironment. In recent years, further understanding of the BM microenvironment and immune landscape of leukemia has resulted in the introduction of several immunotherapies, including checkpoint inhibitors, T-cell engager, antibody drug conjugates, and cellular therapies in clinical trials. Among them, the programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) axis is a significant checkpoint for controlling immune responses, the PD-1 receptor on tumor-infiltrating T cells is bound by PD-L1 on leukemia cells. Consequently, the activation of tumor reactive T cells is inhibited and their apoptosis is promoted, preventing the rejection of the tumor by immune system and thus resulting in the occurrence of immune tolerance. The PD-1/PD-L1 axis serves as a significant mechanism by which tumor cells evade immune surveillance, and PD-1/PD-L1 checkpoint inhibitors have been approved for the treatment of lymphomas and varieties of solid tumors. However, the development of drugs targeting PD-1/PD-L1 in leukemia remains in the clinical-trial stage. In this review, we tally up the basic research and clinical trials on PD-1/PD-L1 inhibitors in leukemia, as well as discuss the relevant toxicity and impacts of PD-1/PD-L1 on other immunotherapies such as hematopoietic stem cell transplantation, bi-specific T-cell engager, chimeric antigen receptor T-cell immunotherapy.
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spelling doaj.art-3884756688fe4b989ed7493b3cb715f22023-09-27T04:53:46ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-09-011410.3389/fimmu.2023.12652991265299Progress of research on PD-1/PD-L1 in leukemiaHuizhen Cao0Tianyu Wu1Xue Zhou2Shuyang Xie3Hongfang Sun4Yunxiao Sun5Youjie Li6Department of Pediatrics, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, ChinaDepartment of Gastrointestinal Surgery, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, ChinaDepartment of Pediatrics, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, ChinaDepartment of Biochemistry and Molecular Biology, Binzhou Medical University, Yantai, ChinaDepartment of Biochemistry and Molecular Biology, Binzhou Medical University, Yantai, ChinaDepartment of Pediatrics, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, ChinaDepartment of Biochemistry and Molecular Biology, Binzhou Medical University, Yantai, ChinaLeukemia cells prevent immune system from clearing tumor cells by inducing the immunosuppression of the bone marrow (BM) microenvironment. In recent years, further understanding of the BM microenvironment and immune landscape of leukemia has resulted in the introduction of several immunotherapies, including checkpoint inhibitors, T-cell engager, antibody drug conjugates, and cellular therapies in clinical trials. Among them, the programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) axis is a significant checkpoint for controlling immune responses, the PD-1 receptor on tumor-infiltrating T cells is bound by PD-L1 on leukemia cells. Consequently, the activation of tumor reactive T cells is inhibited and their apoptosis is promoted, preventing the rejection of the tumor by immune system and thus resulting in the occurrence of immune tolerance. The PD-1/PD-L1 axis serves as a significant mechanism by which tumor cells evade immune surveillance, and PD-1/PD-L1 checkpoint inhibitors have been approved for the treatment of lymphomas and varieties of solid tumors. However, the development of drugs targeting PD-1/PD-L1 in leukemia remains in the clinical-trial stage. In this review, we tally up the basic research and clinical trials on PD-1/PD-L1 inhibitors in leukemia, as well as discuss the relevant toxicity and impacts of PD-1/PD-L1 on other immunotherapies such as hematopoietic stem cell transplantation, bi-specific T-cell engager, chimeric antigen receptor T-cell immunotherapy.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1265299/fullleukemiaprogrammed cell death protein 1programmed death-ligand 1immunotherapyPD-1/PD-L1 mAbs
spellingShingle Huizhen Cao
Tianyu Wu
Xue Zhou
Shuyang Xie
Hongfang Sun
Yunxiao Sun
Youjie Li
Progress of research on PD-1/PD-L1 in leukemia
Frontiers in Immunology
leukemia
programmed cell death protein 1
programmed death-ligand 1
immunotherapy
PD-1/PD-L1 mAbs
title Progress of research on PD-1/PD-L1 in leukemia
title_full Progress of research on PD-1/PD-L1 in leukemia
title_fullStr Progress of research on PD-1/PD-L1 in leukemia
title_full_unstemmed Progress of research on PD-1/PD-L1 in leukemia
title_short Progress of research on PD-1/PD-L1 in leukemia
title_sort progress of research on pd 1 pd l1 in leukemia
topic leukemia
programmed cell death protein 1
programmed death-ligand 1
immunotherapy
PD-1/PD-L1 mAbs
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1265299/full
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