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Title:
Challenges and potential of PD-1/PD-L1 checkpoint blockade immunotherapy for glioblastoma | Journal of Experimental & Clinical Cancer Research
Description:
PD-1/PD-L1 checkpoint blockades have achieved significant progress in several kinds of tumours. Pembrolizumab, which targets PD-1, has been approved as a first-line treatment for advanced non-small cell lung cancer (NSCLC) patients with positive PD-L1 expression. However, PD-1/PD-L1 checkpoint blockades have not achieved breakthroughs in treating glioblastoma because glioblastoma has a low immunogenic response and an immunosuppressive microenvironment caused by the precise crosstalk between cytokines and immune cells. A phase III clinical trial, Checkmate 143, reported that nivolumab, which targets PD-1, did not demonstrate survival benefits compared with bavacizumab in recurrent glioblastoma patients. Thus, the combination of a PD-1/PD-L1 checkpoint blockade with RT, TMZ, antibodies targeting other inhibitory or stimulatory molecules, targeted therapy, and vaccines may be an appealing solution aimed at achieving optimal clinical benefit. There are many ongoing clinical trials exploring the efficacy of various approaches based on PD-1/PD-L1 checkpoint blockades in primary or recurrent glioblastoma patients. Many challenges need to be overcome, including the identification of discrepancies between different genomic subtypes in their response to PD-1/PD-L1 checkpoint blockades, the selection of PD-1/PD-L1 checkpoint blockades for primary versus recurrent glioblastoma, and the identification of the optimal combination and sequence of combination therapy. In this review, we describe the immunosuppressive molecular characteristics of the tumour microenvironment (TME), candidate biomarkers of PD-1/PD-L1 checkpoint blockades, ongoing clinical trials and challenges of PD-1/PD-L1 checkpoint blockades in glioblastoma.
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Keywords {🔍}
pubmed, glioblastoma, article, google, scholar, cells, cas, checkpoint, cancer, cell, patients, central, pdpdl, blockades, combination, blockade, clinical, nivolumab, tumour, immune, efficacy, immunotherapy, expression, pdl, therapy, phase, res, immunosuppressive, clin, recurrent, antibody, tumours, treatment, response, ctla, checkmate, demonstrated, wang, ido, survival, found, study, factor, addition, immunol, microenvironment, tme, tim, tregs, primary,
Topics {✒️}
nivolumab 1 mg/kg + ipilimumab 3 mg/kg nivolumab 3 mg/kg + ipilimumab 1 mg/kg glucocorticoid-induced tnfr-related protein pd-1/pd-l1 signalling pathway granulocyte-macrophage colony-stumulating factor pd-1/pd-l1 checkpoint blockades inkt-cell-dependent airway hyperreactivity pd-1/pd-l1 checkpoint blockade receive nivolumab 3 mg/kg pd-1/pd-l1 pathway plays tumour-specific protein-encoding mutations b7-h1/pd-1 blockade therapy antibodies targeting pd-1/pd-l1 article download pdf pd-l1 checkpoint blockades positive pd-l1 expression pd-1/pd-l1 pathway [62] pd-1/pd-l1 pathway pd-1/pd-l1 blockade pd-1/ pd-l1 blockade pd-1/pd-ls pathway immune-related risk signature myeloid-derived suppressor cell van den boorn-konijnenberg cd4+cd25+ immunoreg- ulatory pd-1/pd-l1 interactions exonuclease proof-reading domain inhibit ifn-γ production measured pd-l1 expression pd-1/pd-l1 mechanism central nervous system drug toxicity-induced deaths idh-mutant type based pd-1+/tim3+ phenotype represents synthesized microenvironment-responsive nanoparticles post-trauma neuro-repair small-cell lung cancer observed pd-l1 expression tumour-inhibiting m1-tams cd4+cd25+ immunoregulatory cells restore anti-tumor immunity tumour infiltrating lymphocytes ox40/ox40l pathway enhanced inducing t-cell apoptosis tumour-cell-extrinsic factors [34] tumour mutational load anti-ox40 antibody offset tumor-infiltrating lymphocytes pd-1+/tim-3+ phenotype represents t-cell-poor microenvironment
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headline:Challenges and potential of PD-1/PD-L1 checkpoint blockade immunotherapy for glioblastoma
description:PD-1/PD-L1 checkpoint blockades have achieved significant progress in several kinds of tumours. Pembrolizumab, which targets PD-1, has been approved as a first-line treatment for advanced non-small cell lung cancer (NSCLC) patients with positive PD-L1 expression. However, PD-1/PD-L1 checkpoint blockades have not achieved breakthroughs in treating glioblastoma because glioblastoma has a low immunogenic response and an immunosuppressive microenvironment caused by the precise crosstalk between cytokines and immune cells. A phase III clinical trial, Checkmate 143, reported that nivolumab, which targets PD-1, did not demonstrate survival benefits compared with bavacizumab in recurrent glioblastoma patients. Thus, the combination of a PD-1/PD-L1 checkpoint blockade with RT, TMZ, antibodies targeting other inhibitory or stimulatory molecules, targeted therapy, and vaccines may be an appealing solution aimed at achieving optimal clinical benefit. There are many ongoing clinical trials exploring the efficacy of various approaches based on PD-1/PD-L1 checkpoint blockades in primary or recurrent glioblastoma patients. Many challenges need to be overcome, including the identification of discrepancies between different genomic subtypes in their response to PD-1/PD-L1 checkpoint blockades, the selection of PD-1/PD-L1 checkpoint blockades for primary versus recurrent glioblastoma, and the identification of the optimal combination and sequence of combination therapy. In this review, we describe the immunosuppressive molecular characteristics of the tumour microenvironment (TME), candidate biomarkers of PD-1/PD-L1 checkpoint blockades, ongoing clinical trials and challenges of PD-1/PD-L1 checkpoint blockades in glioblastoma.
datePublished:2019-02-18T00:00:00Z
dateModified:2019-02-18T00:00:00Z
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Glioblastoma multiforme
Nivolumab
Tumour infiltrating lymphocytes
Tumour mutation load
Temozolomide
Cancer Research
Immunology
Apoptosis
Oncology
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headline:Challenges and potential of PD-1/PD-L1 checkpoint blockade immunotherapy for glioblastoma
description:PD-1/PD-L1 checkpoint blockades have achieved significant progress in several kinds of tumours. Pembrolizumab, which targets PD-1, has been approved as a first-line treatment for advanced non-small cell lung cancer (NSCLC) patients with positive PD-L1 expression. However, PD-1/PD-L1 checkpoint blockades have not achieved breakthroughs in treating glioblastoma because glioblastoma has a low immunogenic response and an immunosuppressive microenvironment caused by the precise crosstalk between cytokines and immune cells. A phase III clinical trial, Checkmate 143, reported that nivolumab, which targets PD-1, did not demonstrate survival benefits compared with bavacizumab in recurrent glioblastoma patients. Thus, the combination of a PD-1/PD-L1 checkpoint blockade with RT, TMZ, antibodies targeting other inhibitory or stimulatory molecules, targeted therapy, and vaccines may be an appealing solution aimed at achieving optimal clinical benefit. There are many ongoing clinical trials exploring the efficacy of various approaches based on PD-1/PD-L1 checkpoint blockades in primary or recurrent glioblastoma patients. Many challenges need to be overcome, including the identification of discrepancies between different genomic subtypes in their response to PD-1/PD-L1 checkpoint blockades, the selection of PD-1/PD-L1 checkpoint blockades for primary versus recurrent glioblastoma, and the identification of the optimal combination and sequence of combination therapy. In this review, we describe the immunosuppressive molecular characteristics of the tumour microenvironment (TME), candidate biomarkers of PD-1/PD-L1 checkpoint blockades, ongoing clinical trials and challenges of PD-1/PD-L1 checkpoint blockades in glioblastoma.
datePublished:2019-02-18T00:00:00Z
dateModified:2019-02-18T00:00:00Z
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Glioblastoma multiforme
Nivolumab
Tumour infiltrating lymphocytes
Tumour mutation load
Temozolomide
Cancer Research
Immunology
Apoptosis
Oncology
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