2017
DOI: 10.1038/nri.2017.112
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Immune checkpoint blockade in infectious diseases

Abstract: The up-regulation of immune checkpoint molecules, such as PD-1 and CTLA4 on immune cells occur during acute infections, such as malaria, as well as during chronic persistent viral infections, including HIV and hepatitis B virus (HBV). These pathways are important for preventing immune-driven pathology, but can also limit immune-mediated clearance of the infection. The recent success of immune checkpoint blockade in cancer therapy suggests that targeting these pathways could also be effective for preventing and… Show more

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Cited by 410 publications
(372 citation statements)
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“…Each of these circuits modulates memory T cell formation (Angelosanto and Wherry, 2010, Hale et al, 2013, Youngblood et al, 2013a, Youngblood et al, 2013b). Understanding the mechanisms by which OX40, alone or in combination with other co-stimulatory (Wikenheiser et al, 2016) or co-inhibitory (Wykes and Lewin, 2017) pathways, impacts memory CD4 T cell function may be key for developing strategies to enhance protection against chronic infections or cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Each of these circuits modulates memory T cell formation (Angelosanto and Wherry, 2010, Hale et al, 2013, Youngblood et al, 2013a, Youngblood et al, 2013b). Understanding the mechanisms by which OX40, alone or in combination with other co-stimulatory (Wikenheiser et al, 2016) or co-inhibitory (Wykes and Lewin, 2017) pathways, impacts memory CD4 T cell function may be key for developing strategies to enhance protection against chronic infections or cancer.…”
Section: Discussionmentioning
confidence: 99%
“…Administration of IC blockers in HIV-infected individuals on ART may not only reverse latent infection, but could also have the added benefit of enhanced immune clearance of latently infected cells [recently reviewed in [22] ]. Blocking interactions between PD-1 and PD-L1, as well as CTLA-4 and its ligands (CD80 and CD86), has been shown to increase HIV-specific CD4 + and CD8 + T-cell function both ex vivo [23] , and in vivo in SIV-infected macaques [24] .…”
Section: Discussionmentioning
confidence: 99%
“…Second, following the administration of anti-PD-L1, ligation of PD-1 is still possible through PD-L2. PD-L2 has multiple functions in addition to binding to PD-1 and, in some settings, can enhance rather than suppress T-cell function [27, 28] . Surprisingly, we were unable to find any publications on the relative expression of PD-L1 and PD-L2 in HIV-infected individuals on ART.…”
Section: Discussionmentioning
confidence: 99%
“…To promote the turnover of reactivated cells, immune based strategies including antibodies, T-cell vaccines and immunotherapeutics that enhance T-cell function, are being investigated to kill reactivated cells following latency reversal (reviewed elsewhere (Brockman et al, 2015; Marsden & Zack, 2015; Wykes & Lewin, 2017)). Alternatively, multiple lines of evidence reveal that HIV infection can impact both pro-apoptotic and anti-apoptotic pathways, potentially favouring cell death or cell survival respectively.…”
Section: Introductionmentioning
confidence: 99%