The Controversial Role of PD-1 and Its Ligands in Gynecological Malignancies.

PD-1 PD-L1 PD-L2 cervical cancer endometrial cancer immunotherapy ovarian cancer

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2019
Historique:
received: 11 07 2019
accepted: 30 09 2019
entrez: 5 11 2019
pubmed: 5 11 2019
medline: 5 11 2019
Statut: epublish

Résumé

The programmed death-1 (PD-1, CD279) receptor with its ligands, programmed death ligand 1 (PD-L1, CD274, B7-H1), and programmed death ligand 2 (PD-L2, CD273, B7-DC), are the key players of one of the immune checkpoint pathways inhibiting T-cell activation. PD-L1 and PD-L2 are expressed in different cancer cells and their microenvironment, including infiltrating immune cells. However, their prognostic value is still debated and their role in the tumor microenvironment has not been fully elucidated yet. Considering the importance that cancer immunotherapy with anti-PD-1 and anti-PD-L1 antibodies gained in several tumor types, in this review article we aim to discuss the role of the PD-1/PD-L1/PD-L2 axis in gynecological cancers. PD-1 ligands have been detected in ovarian, cervical, vulvar and uterine cancers, and correlation with prognosis seems dependent from their distribution. About PD-L2, very few reports are available so far in gynecological malignancies, and its role is still not completely understood. Clinical trials using anti-PD-1 or anti-PD-L1 antibodies, but not anti-PD-L2, are currently ongoing, in all types of gynecological cancers. They have shown good safety profiles in a certain cohort of patients, but response rates remain low and many aspects remain controversial. In this review, we propose possible solutions to enhance the clinical efficacy of PD-1 axis targeting therapies. Regarding PD-L2, it might be useful to better clarify its role in order to improve the efficiency of immunotherapy in female malignancies.

Identifiants

pubmed: 31681606
doi: 10.3389/fonc.2019.01073
pmc: PMC6803534
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1073

Informations de copyright

Copyright © 2019 Marinelli, Annibali, Aguzzi, Tuyaerts, Amant, Morelli, Santoni, Amantini, Maggi and Nabissi.

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Auteurs

Oliviero Marinelli (O)

School of Pharmacy, University of Camerino, Camerino, Italy.
School of Bioscience and Veterinary Medicine, University of Camerino, Camerino, Italy.

Daniela Annibali (D)

Gynecological Oncology, Oncology Department, LKI Leuven Cancer Institute KU Leuven-University of Leuven, Leuven, Belgium.

Cristina Aguzzi (C)

School of Pharmacy, University of Camerino, Camerino, Italy.

Sandra Tuyaerts (S)

Gynecological Oncology, Oncology Department, LKI Leuven Cancer Institute KU Leuven-University of Leuven, Leuven, Belgium.

Frédéric Amant (F)

Gynecological Oncology, Oncology Department, LKI Leuven Cancer Institute KU Leuven-University of Leuven, Leuven, Belgium.
Centre for Gynecologic Oncology Amsterdam (CGOA), Antoni Van Leeuwenhoek-Netherlands Cancer Institute (AvL-NKI), University Medical Center (UMC), Amsterdam, Netherlands.

Maria Beatrice Morelli (MB)

School of Pharmacy, University of Camerino, Camerino, Italy.
School of Bioscience and Veterinary Medicine, University of Camerino, Camerino, Italy.

Giorgio Santoni (G)

School of Pharmacy, University of Camerino, Camerino, Italy.

Consuelo Amantini (C)

School of Bioscience and Veterinary Medicine, University of Camerino, Camerino, Italy.

Federica Maggi (F)

Department of Molecular Medicine, Sapienza University, Rome, Italy.

Massimo Nabissi (M)

School of Pharmacy, University of Camerino, Camerino, Italy.

Classifications MeSH