“…We consider that the development of a PD-L1 inhibitor with marked antioxidant properties can be beneficial. It has been shown that antioxidants can enhance the efficacy of immunotherapy via different mechanisms: (i) via a down-regulation of PD-L1 expression in cancer cells, as observed with the antioxidant natural products such as cardamonin, nobiletin, sesamin and hesperetin [ 40 , 41 , 42 , 43 ], (ii) via an upregulation of major histocompatibility complex and surface activation molecules in dendritic cells, as reported with the antioxidant polysaccharide fucoidan [ 44 ], (iii) via the stimulation of TET2 enzyme leading to an increased intratumoral infiltration of T cells and the expression of cytokines and chemokines, as found recently with the prototypical antioxidant ascorbic acid [ 45 ], or (iv) via other mechanisms implicating the HIF1α/STAT3 pathway for example [ 46 ]. Ascorbic acid (vitamin C) has been shown to empower cancer immunotherapy through its pro-oxidant potential, based on its capacity to modulate epigenetic factors and to regulate expression of different cytokines involved in the immune response [ 47 , 48 ].…”