2021
DOI: 10.3390/cancers13020164
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PD-L1/PD-1 Axis in Multiple Myeloma Microenvironment and a Possible Link with CD38-Mediated Immune-Suppression

Abstract: The emerging role of the PD-1/PD-L1 axis in MM immune-microenvironment has been highlighted by several studies. However, discordant data have been reported on PD-1/PD-L1 distribution within the bone marrow (BM) microenvironment of patients with monoclonal gammopathies. In addition, the efficacy of PD-1/PD-L1 blockade as a therapeutic strategy to reverse myeloma immune suppression and inhibit myeloma cell survival still remains unknown. Recent data suggest that, among the potential mechanisms behind the lack of… Show more

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Cited by 18 publications
(15 citation statements)
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“…PD-L1 can inhibit T cell proliferation and cytokine secretion, and negatively regulate lymphocyte activation 12 . PD-L1 can be expressed on the surface of tumor 13 . By binding to PD-1 on the surface of T cells, it induces apoptosis, incapacity and depletion of T cells, and then inhibits the activation, proliferation and anti-tumor function of tumor antigen-specific CD8+T cells to achieve tumor immune escape 14 .…”
Section: Discussionmentioning
confidence: 99%
“…PD-L1 can inhibit T cell proliferation and cytokine secretion, and negatively regulate lymphocyte activation 12 . PD-L1 can be expressed on the surface of tumor 13 . By binding to PD-1 on the surface of T cells, it induces apoptosis, incapacity and depletion of T cells, and then inhibits the activation, proliferation and anti-tumor function of tumor antigen-specific CD8+T cells to achieve tumor immune escape 14 .…”
Section: Discussionmentioning
confidence: 99%
“…The discovery of immune checkpoint pathways, their role in the evasion from immune surveillance, and the development of blocking antibodies represent one of the greatest achievements in cancer treatment, which was also recently rewarded by the Nobel Prize [136]. The majority of studies in MM have focused on the inhibitory PD-1/PD-L1 pathway (Figure 4), but many more pathways are crucial for the function of the immune system and may be therapeutically manipulated [20].…”
Section: Immune Checkpoints Inhibitorsmentioning
confidence: 99%
“…The ability of LLPCs and MM cells to unlock this complex metabolic program differentiates them from the SLPCs [ 53 ]. Anaplerosis of the TCA cycle with glutamine and the downstream production of oncometabolites such as hydroxyglutarate, as well as release of immunomodulating ones such as adenosine (ADO), have also been documented in MM [ 59 ]. Of course, as the disease progresses from the MGUS to MM, increased independence from the BM microenvironment and increased modulation of the niche is observed.…”
Section: Metabolism Of the Most Common B Cell Malignanciesmentioning
confidence: 99%