2019
DOI: 10.1016/bs.acr.2019.03.003
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Co-stimulatory and co-inhibitory pathways in cancer immunotherapy

Abstract: Cancer remains the leading cause of death worldwide. Traditional treatments such as surgery, radiation, and chemotherapy have had limited efficacy, especially with late stage cancers. Cancer immunotherapy and targeted therapy have revolutionized how cancer is treated, especially in patients with late stage disease. In 2013 cancer immunotherapy was named the breakthrough of the year, partially due to the established efficacy of blockade of CTLA-4 and PD-1, both T cell coinhibitory molecules involved in tumor-in… Show more

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Cited by 74 publications
(45 citation statements)
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References 286 publications
(303 reference statements)
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“…The antigen-specific T cells are able to identify Major Histocompatibility Complex (MHC) conjugated tumor antigen and initiate the first activation signal pathway. Then, the costimulatory ligands on the APCs interact with the T cells' costimulatory receptors, driving the activation of effector cells, provoking a potent antitumor response ultimately [5,29,30]. Furthermore, the interaction of costimulatory ligands and receptors also contributes to the activation of Natural Killing (NK) cells and promotes cytokine production [4,11].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…The antigen-specific T cells are able to identify Major Histocompatibility Complex (MHC) conjugated tumor antigen and initiate the first activation signal pathway. Then, the costimulatory ligands on the APCs interact with the T cells' costimulatory receptors, driving the activation of effector cells, provoking a potent antitumor response ultimately [5,29,30]. Furthermore, the interaction of costimulatory ligands and receptors also contributes to the activation of Natural Killing (NK) cells and promotes cytokine production [4,11].…”
Section: Discussionmentioning
confidence: 99%
“…Costimulatory molecules play a crucial role in effector immune response, providing costimulatory signals for immune cell proliferation, differentiation, activation, and cytokine production [4,5]. Moreover, costimulatory pathways are essential in driving effective antitumor immunity [6].…”
Section: Introductionmentioning
confidence: 99%
“…They play vital role in regulating T-cell proliferation, survival, and cytotoxic functions [ 81 ]. Because of this, their use and activation is currently extensively researched for boosting cancer immunotherapies [ 82 ], including CAR-T therapies, specifically for 4-1BB and OX40 [ 82 , 83 ]. The inclusion of the signaling domain of 4-1BB in chimeric antigen receptor-T (CAR-T) cells can enhance T-cell persistence and cytotoxic functions, which correlate with reducing tumor burden when adoptively transferred to tumor-bearing mice [ 84 ].…”
Section: Key Mechanism Of T-cell Activation and Inhibition And Its Use In Immunotherapymentioning
confidence: 99%
“…Hence, there is an urgent need to overcome the CRC associated immunosuppression, which would enable the proportion of patients who benefit from PD-1/PD-L1 blockade to be expanded. Numerous preclinical studies have indicated that the combination of ICIs with other treatments such as chemotherapy, radiation therapy and targeted therapy could be a promising approach to overcome immunosuppression and improve therapeutic efficacy (O'Neill and Cao, 2019).…”
Section: Introductionmentioning
confidence: 99%