2021
DOI: 10.1002/cam4.4190
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PD‐1/PD‐L1 inhibitors‐based treatment for advanced renal cell carcinoma: Mechanisms affecting efficacy and combination therapies

Abstract: This is an open access article under the terms of the Creat ive Commo ns Attri bution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Cited by 13 publications
(8 citation statements)
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References 143 publications
(184 reference statements)
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“…ccRCC is reported to be a malignancy with high immunogenicity, which has been proven infiltrated by a large amount of immunocytes, including macrophage, NK cells, and T cells (32,33). Especially, the disrupting activation of antigen presentation and the ruin of the immune system were impacted by the abnormal transformation of dendritic cells and the inactivation of T cells (34,35). Several studies illustrated that the abundance of tumor-infiltrating lymphocytes and CD8+ T cells is inversely correlated with the prognosis of ccRCC patients (36)(37)(38).…”
Section: Discussionmentioning
confidence: 99%
“…ccRCC is reported to be a malignancy with high immunogenicity, which has been proven infiltrated by a large amount of immunocytes, including macrophage, NK cells, and T cells (32,33). Especially, the disrupting activation of antigen presentation and the ruin of the immune system were impacted by the abnormal transformation of dendritic cells and the inactivation of T cells (34,35). Several studies illustrated that the abundance of tumor-infiltrating lymphocytes and CD8+ T cells is inversely correlated with the prognosis of ccRCC patients (36)(37)(38).…”
Section: Discussionmentioning
confidence: 99%
“…However, for a tumour to develop from a newly formed cancerous cell, it must evolve mechanisms to evade the normal host immune response. One such mechanism is the expression of the surface proteins PD-L1 or PD-L2 and CD80/CD86 on the cancer cells that bind and activate the checkpoint proteins PD-1 and CTLA-4, respectively, on T cells [ 50 , 51 ]. This recognition halts target cell killing by CTLs and can even induce their apoptosis or differentiation into immunosuppressive T regulatory cells [ 50 , 51 ].…”
Section: Stinging Cancer: a New Class Of Immunotherapymentioning
confidence: 99%
“…One such mechanism is the expression of the surface proteins PD-L1 or PD-L2 and CD80/CD86 on the cancer cells that bind and activate the checkpoint proteins PD-1 and CTLA-4, respectively, on T cells [ 50 , 51 ]. This recognition halts target cell killing by CTLs and can even induce their apoptosis or differentiation into immunosuppressive T regulatory cells [ 50 , 51 ]. The development of checkpoint inhibitors, monoclonal antibodies that bind to and block the interactions of PD-1 and CTLA-4 with their cognate ligands, inhibits this interaction stimulating tumour clearing in a subset of patients [ 52 ].…”
Section: Stinging Cancer: a New Class Of Immunotherapymentioning
confidence: 99%
“…RCC cases with PD-L1 positive tumors have shorter survival than patients with tumors without PD-L1 expression [23,24]. Intrinsic factors such as genetic and epigenetic alterations, external factors such as some tumor microenvironment cytokines (such as IFN-γ), metabolic factors such as glucose disorders, and treatment methods can lead to the upregulation of PD-L1 in RCC cases [25].…”
Section: Introductionmentioning
confidence: 99%