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Exhausted T-Cells and Checkpoint blockade

therapy

Important interplay between

malignant cells and

microenvironment.

…eventually ineffective. Immune

escape or immune checkpoints

Blocking immune checkpoints may

promote endogenous antitumour

activity

PD1: Inhibitory receptor on activated

T-cells, B-cells, NK and myeloid cells.

Inhibition of T-cell activation when

engaged by ligands (PDL1/2)

PD1 expressed on T-cells when

exposed to tumour, and associated

with exhaustion. Blocking can restore

Ribas A. N Engl J Med 2012;366:2517-2519.