Immune checkpoint inhibition in myeloid malignancies: Moving beyond the PD-1/PD-L1 and CTLA-4 pathways.

Abstract:

:Immune checkpoint inhibitors (ICI) have yielded mixed but largely underwhelming results in clinical trials in patients with acute myeloid leukemia and myelodysplastic syndromes to date. However, increasing understanding of the immunologic landscape, potential biomarkers for benefits, and mechanisms of resistance, as well as the use of rational combinations, and identification of novel targets leaves plenty of room for optimism. Herein, we review recent advances in the preclinical and clinical development of ICI therapy in patients with myeloid malignancies and explore some of the important challenges facing the field such as the absence of validated biomarkers, the development of synergistic and safe combination therapies, and efforts to determine the best setting of ICI along the disease course. We finally foresee the future of the field and propose solutions to some of the major beforementioned obstacles.

journal_name

Blood Rev

journal_title

Blood reviews

authors

Bewersdorf JP,Shallis RM,Zeidan AM

doi

10.1016/j.blre.2020.100709

subject

Has Abstract

pub_date

2020-05-23 00:00:00

pages

100709

eissn

0268-960X

issn

1532-1681

pii

S0268-960X(20)30059-X

pub_type

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