Non-canonical PD-1 signaling in cancer and its potential implications in clinic.

Non-canonical PD-1 signaling in cancer and its potential implications in clinic.
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癌症中的非经典 PD-1 信号传导及其在临床中的潜在影响

DOI:
10.1136/jitc-2020-001230
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发表时间:
2021-03
影响因子:
10.9
通讯作者:
Li Z
Li Z
中科院分区:
医学2区
文献类型:
--
作者:
Zha H;Jiang Y;Wang X;Shang J;Wang N;Yu L;Zhao W;Li Z;An J;Zhang X;Chen H;Zhu B;Li Z

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基于程序性细胞死亡1 (PD-1)的免疫疗法已经彻底改变了各种癌症的治疗。然而,只有一组患者受益于PD-1阻断治疗,许多患者死于过度进展的疾病。虽然CD8 T细胞和常规T细胞通常被认为是PD-1在癌症中的主要来源,但越来越多的证据表明,其他不同类型的细胞,包括B细胞、调节性T细胞、自然杀伤细胞、树突状细胞、肿瘤相关巨噬细胞和癌细胞也表达PD-1。因此,癌症患者对PD-1阻断治疗的反应是抗PD-1抗体作用于无数细胞类型的累积效应。虽然CD8 T细胞对PD-1阻断治疗的贡献已经得到证实,但最近的研究也表明非典型PD-1信号通路参与阻断治疗。本文讨论了非典型PD-1信号在不同细胞类型中的作用,并探讨了现有知识如何改善PD-1阻断免疫治疗,特别是在识别新的生物标志物和联合治疗策略方面。
Programmed cell death 1 (PD-1)-based immunotherapy has revolutionized the treatment of various cancers. However, only a certain group of patients benefit from PD-1 blockade therapy and many patients succumb to hyperprogressive disease. Although, CD8 T cells and conventional T cells are generally considered to be the primary source of PD-1 in cancer, accumulating evidence suggests that other distinct cell types, including B cells, regulatory T cells, natural killer cells, dendritic cells, tumor-associated macrophages and cancer cells, also express PD-1. Hence, the response of patients with cancer to PD-1 blockade therapy is a cumulative effect of anti-PD-1 antibodies acting on a myriad of cell types. Although, the contribution of CD8 T cells to PD-1 blockade therapy has been well-established, recent studies also suggest the involvement of non-canonical PD-1 signaling in blockade therapy. This review discusses the role of non-canonical PD-1 signaling in distinct cell types and explores how the available knowledge can improve PD-1 blockade immunotherapy, particularly in identifying novel biomarkers and combination treatment strategies.
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