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Rationale for Targeting PD1/PD-L1 Pathway in Cancer

• PD1 expressed by Tregs, activated T cells (CD4 and CD8), activated B cells, NK cells

• PD-L1 is expressed by APCs and several cancers

T-reg

Shekhar S & Yang X. Cellular & Molecular Immunology 2012;9:380–5.

• Upon interaction with ligands,

PD-L1 and PD-L2, initiates an

inhibitory signaling network

that switches off activated T

cells

• Results in T cell exhaustion /

anergy - poor effector function

• Anti-PD1/PDL1 mAb led to

durable clinical responses in

NSCLC, RCC, Melanoma, HL

PD1 – programmed death 1; PDL – programmed death

ligand; NK – natural killer; APCs - antigen presenting cells