“…This mechanism helps prevent the organism from producing an excessive immune response and maintain the immune system’s homeostasis. ,− In most of the tumor cells, PD-L1 is overexpressed, leading to the inhibition of T-cell proliferation and their ability to kill tumor cells. This is achieved through the interaction between PD-L1 on tumor cells and PD-1 on the surface of T cells, allowing the tumor to evade immune surveillance. ,, Several monoclonal antibodies (mAbs) (e.g., nivolumab, pembrolizumab, avelumab, and atezolizumab) targeting PD-1/PD-L1 have been approved by the U.S. Food and Drug Administration (FDA) for treating different types of tumors. , However, these mAbs have certain inherent drawbacks that restrict their wider use in clinical settings. These limitations include high production costs, poor permeability in tissues and tumors, lack of oral bioavailability, and the occurrence of immune-related adverse events (irAEs). , In comparison, small-molecule compounds exhibit lower immunogenicity, higher stability, better organ or tumor penetration, and lower production costs.…”