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PD-1/PD-L1 blockade

PD-1/PD-L1 blockade refers to therapeutic inhibition of the Programmed cell death 1 (PD-1) receptor and its ligand CD274 molecule, an immune checkpoint axis that normally restrains T-cell activation.

Where the papers sit

23 papers from the last 6 months study PD-1/PD-L1 blockade directly · updated from PubMed 12 Oct 2026

  • Cancer Immunotherapy Response

    Cancer immunotherapy is moving toward biomarker-guided combinations that improve response depth and overcome suppressive microenvironments. Peripheral T-cell subsets, blood-based kinase activity, and response depth are being developed for efficacy or progression-risk assessment. Tregs, FN1+ macrophages, lactate-HMGB1 signaling, and TAMs recur as mechanisms of resistance across tumor types. Axitinib with survivin vaccination, berberine, PD-1-targeted IL-15, and TAM-directed nanotherapy represent attempts to convert refractory disease into responsive disease.

    11 papers · 47.8%

  • Tumor Immune Checkpoint Biology

    Checkpoint blockade is being extended with local adjuvants, engineered delivery systems, and combination immune modulation. Bicarbonate potentiates PD-1 blockade in hepatocellular carcinoma, while copper complexes and exosome platforms target PD-L1 delivery or monitoring. Myeloma studies retain PD-1/PD-L1 biology as a central theme, alongside CTLA-4 and TNFRSF9 signaling. Regulatory T-cell dysfunction remains a caution, suggesting that stronger blockade may also create immunosuppressive escape states.

    5 papers · 21.7%

  • PD-1 in Immune Homeostasis

    PD-1/PD-L1 signaling is being studied as a regulator of immune balance beyond cancer, particularly in sepsis, heart homeostasis, and invasive fungal infection. Myeloid PD-1/PD-L1 activity may protect adult cardiac homeostasis, whereas excessive signaling contributes to late-stage immunosuppression. Artificial exosomes and moxibustion aim to restore sepsis immunity while altering neutrophil fate or blocking PD-1/PD-L1. Anti-PD-1 with IFN-γ is emerging as adjunctive infection therapy, but the therapeutic window between immune recovery and tissue injury remains open.

    4 papers · 17.4%

  • Mechanisms of PD-1 Resistance

    PD-1 resistance is being approached through alternative receptor binding, rational combinations, and disruption of tumor-cell immune-evasion programs. Engineered VHH domains and bispecific strategies seek to improve checkpoint targeting, while ERAP1, LILRB1, and KIR-related pathways provide additional resistance mechanisms or targets. β-catenin palmitoyl-switch activity links ferroptosis resistance with PD-L1-mediated immunosuppression. The direction is toward multi-node intervention rather than relying on pembrolizumab or nivolumab alone, especially in rare or refractory cancers.

    3 papers · 13%

PARADIGM SHIFT

PD-1/PD-L1 blockade is not uniformly immune-restorative and can remove protective checkpoint functions

The metastatic pancreatic cancer study found that PD-L1 blockade promoted immune evasion by selecting tumors with epigenetically silenced Tap1 and defective IFN-γ-inducible MHC-I, whereas the myeloid-specific PD-L1 study in adult heart homeostasis found that loss of PD-L1 signaling caused systemic and myocardial inflammation and cardiac dysfunction (PMIDs 42361199, 42223114). Together, these findings challenge the assumption that removing PD-1/PD-L1 signaling is categorically beneficial: blockade can promote immune escape in one tumor setting and disruption of tissue immune homeostasis in another, making the checkpoint's cellular and organ context a determinant of whether intervention helps or harms.

NEW DIRECTION

SAR'877 turns PD-1 targeting into a delivery route for cytokine stimulation

The PD-1-targeted IL-15 mutein SAR'877 study in infection and cancer used an anti-PD-1 antibody not only to block PD-1/PD-L1 and PD-1/PD-L2 interactions but also to deliver a detuned IL-15/IL-15Rα signal selectively to PD-1-positive T cells and NK cells 42060360Apr. This gives checkpoint blockade a role beyond releasing inhibition: PD-1 becomes a cellular address for concentrating cytokine activity in antigen-experienced lymphocytes while limiting systemic inflammation, changing the intervention from a standalone inhibitory-signal blocker into a targeted immunostimulatory delivery platform.

Papers

The 23 papers from the last 6 months that study PD-1/PD-L1 blockade directly, newest first, by theme and by study type. Study types come from PubMed publication types and MeSH headings.

By theme

Cancer Immunotherapy Response (11)
  1. Treg cells promote immunotherapy-induced immune evasion by restraining CD4 T cell control of MHC-I-deficient metastatic pancreatic cancer. Science immunology · 26 Jun 2026 PMID 42361199
  2. Sequential axitinib and survivin vaccination unlock curative PD-1 immunotherapy in renal carcinoma. Oncoimmunology · 25 Jun 2026 PMID 42343214
  3. Blood-based kinase activity profiling to predict response to immune checkpoint inhibitors in patients with advanced stage NSCLC: the prospective IOpener study. Journal for immunotherapy of cancer · 24 Jun 2026 PMID 42342406
  4. EFHD2 drives lactate-mediated DNA damage repair and immunosuppression via HMGB1 and HIF-1α to confer radioresistance in colorectal cancer. Cell death & disease · 23 Jun 2026 PMID 42336814
  5. Using peripheral blood indicators and T cells subsets to evaluate the efficacy of immunotherapy for advanced and recurrent cervical cancer. Human vaccines & immunotherapeutics · 23 Jun 2026 PMID 42334275
  6. Nano-Immunotherapy Targeting TAMs: Precisely Regulating TAMs to Reverse Immunosuppressive TME. International journal of nanomedicine · 23 Jun 2026 PMID 42333283
  7. Progression risk among responders to PD-1/PD-L1 blockade is primarily stratified by response depth: A nationwide cohort study of 2127 patients with melanoma, RCC, and NSCLC. European journal of cancer (Oxford, England : 1990) · 12 Jun 2026 PMID 42284973
  8. FN1+ macrophages fuel aggressive sarcomatoid differentiation and immunotherapy refractory outcome in clear cell renal cell carcinoma. Oncogene · 5 Jun 2026 PMID 42249083
  9. Nanocrystalline berberine is associated with improved antitumor activity of PD-1 blockade in ovarian cancer. Phytomedicine : international journal of phytotherapy and phytopharmacology · 7 May 2026 PMID 42096996
  10. PD-1-targeted IL-15 mutein activates CD8+ and CD4+ T cells in infection and cancer. JCI insight · 30 Apr 2026 PMID 42060360
  11. Next-Generation Therapies for Meningioma: Overcoming Barriers and Expanding Treatment Options. Cancer investigation · 22 Apr 2026 PMID 42017452
Tumor Immune Checkpoint Biology (5)
  1. Checkpoint inhibitors create rogue regulatory T cells. The Journal of clinical investigation · 1 Jul 2026 PMID 42383349
  2. Programmed cell death protein 1 (PD-1) / programmed cell death ligand 1 (PD-L1) in multiple myeloma. Journal of the Egyptian National Cancer Institute · 17 Jun 2026 PMID 42307688
  3. Intratumoral bicarbonate functions as an adjuvant to potentiate PD-1 blockade in hepatocellular carcinoma. Oncogene · 4 Jun 2026 PMID 42243329
  4. Multifunctional copper complex-mediated self-blocking plasmid delivery of PD-L1 for tumor chemoimmunotherapy. Colloids and surfaces. B, Biointerfaces · 3 Jun 2026 PMID 42235197
  5. An Exosome RNA In Situ Detection Platform Based on a Regulated CRISPR/Cas12a Activity System and Its Application in Tumor Progression Monitoring and Therapeutic Efficacy Evaluation. Analytical chemistry · 3 Jun 2026 PMID 42231680
PD-1 in Immune Homeostasis (4)
  1. Moxibustion combined with anti-PD-1 antibodies improves immunosuppression in septic mice potentially through the PD-1/PD-L1 pathway. Immunologic research · 17 Jun 2026 PMID 42307810
  2. Myeloid-derived immunosuppressive PD-1/PD-L1 signaling is essential to maintain adult heart homeostasis. American journal of physiology. Heart and circulatory physiology · 1 Jun 2026 PMID 42223114
  3. Emerging evidence for anti-PD-1 and IFN-γ as adjunctive immunotherapy in invasive mold infections. mBio · 22 May 2026 PMID 42171361
  4. Artificial exosomes synergistically reshape sepsis immune homeostasis by modulating neutrophil fate and blocking PD-1/PD-L1. Cell reports. Medicine · 15 May 2026 PMID 42140195
Mechanisms of PD-1 Resistance (3)
  1. Combos New and Old Counter PD-(L)1 Resistance, Treat Rare Cancers. Cancer discovery · 4 Jun 2026 PMID 42240229
  2. Druggable β-catenin palmitoyl-switch coordinates immune evasion via immunogenic ferroptosis resistance and PD-L1-mediated immunosuppression. Cell reports. Medicine · 28 May 2026 PMID 42208545
  3. Engineering a β-Sheet Enables Bispecific Binding in Single VHH Domains. ACS synthetic biology · 19 May 2026 PMID 42152502

By study type

Observational studies and case reports (4)
  1. Blood-based kinase activity profiling to predict response to immune checkpoint inhibitors in patients with advanced stage NSCLC: the prospective IOpener study. Journal for immunotherapy of cancer · 24 Jun 2026 PMID 42342406
  2. Using peripheral blood indicators and T cells subsets to evaluate the efficacy of immunotherapy for advanced and recurrent cervical cancer. Human vaccines & immunotherapeutics · 23 Jun 2026 PMID 42334275
  3. Programmed cell death protein 1 (PD-1) / programmed cell death ligand 1 (PD-L1) in multiple myeloma. Journal of the Egyptian National Cancer Institute · 17 Jun 2026 PMID 42307688
  4. Progression risk among responders to PD-1/PD-L1 blockade is primarily stratified by response depth: A nationwide cohort study of 2127 patients with melanoma, RCC, and NSCLC. European journal of cancer (Oxford, England : 1990) · 12 Jun 2026 PMID 42284973
Human data, design not indexed (3)
  1. Combos New and Old Counter PD-(L)1 Resistance, Treat Rare Cancers. Cancer discovery · 4 Jun 2026 PMID 42240229
  2. Emerging evidence for anti-PD-1 and IFN-γ as adjunctive immunotherapy in invasive mold infections. mBio · 22 May 2026 PMID 42171361
  3. Engineering a β-Sheet Enables Bispecific Binding in Single VHH Domains. ACS synthetic biology · 19 May 2026 PMID 42152502
Preclinical: animal, cell and lab studies (14)
  1. Checkpoint inhibitors create rogue regulatory T cells. The Journal of clinical investigation · 1 Jul 2026 PMID 42383349
  2. Treg cells promote immunotherapy-induced immune evasion by restraining CD4 T cell control of MHC-I-deficient metastatic pancreatic cancer. Science immunology · 26 Jun 2026 PMID 42361199
  3. Sequential axitinib and survivin vaccination unlock curative PD-1 immunotherapy in renal carcinoma. Oncoimmunology · 25 Jun 2026 PMID 42343214
  4. Nano-Immunotherapy Targeting TAMs: Precisely Regulating TAMs to Reverse Immunosuppressive TME. International journal of nanomedicine · 23 Jun 2026 PMID 42333283
  5. Moxibustion combined with anti-PD-1 antibodies improves immunosuppression in septic mice potentially through the PD-1/PD-L1 pathway. Immunologic research · 17 Jun 2026 PMID 42307810
  6. FN1+ macrophages fuel aggressive sarcomatoid differentiation and immunotherapy refractory outcome in clear cell renal cell carcinoma. Oncogene · 5 Jun 2026 PMID 42249083
  7. Intratumoral bicarbonate functions as an adjuvant to potentiate PD-1 blockade in hepatocellular carcinoma. Oncogene · 4 Jun 2026 PMID 42243329
  8. Multifunctional copper complex-mediated self-blocking plasmid delivery of PD-L1 for tumor chemoimmunotherapy. Colloids and surfaces. B, Biointerfaces · 3 Jun 2026 PMID 42235197
  9. An Exosome RNA In Situ Detection Platform Based on a Regulated CRISPR/Cas12a Activity System and Its Application in Tumor Progression Monitoring and Therapeutic Efficacy Evaluation. Analytical chemistry · 3 Jun 2026 PMID 42231680
  10. Myeloid-derived immunosuppressive PD-1/PD-L1 signaling is essential to maintain adult heart homeostasis. American journal of physiology. Heart and circulatory physiology · 1 Jun 2026 PMID 42223114
  11. Druggable β-catenin palmitoyl-switch coordinates immune evasion via immunogenic ferroptosis resistance and PD-L1-mediated immunosuppression. Cell reports. Medicine · 28 May 2026 PMID 42208545
  12. Artificial exosomes synergistically reshape sepsis immune homeostasis by modulating neutrophil fate and blocking PD-1/PD-L1. Cell reports. Medicine · 15 May 2026 PMID 42140195
  13. Nanocrystalline berberine is associated with improved antitumor activity of PD-1 blockade in ovarian cancer. Phytomedicine : international journal of phytotherapy and phytopharmacology · 7 May 2026 PMID 42096996
  14. PD-1-targeted IL-15 mutein activates CD8+ and CD4+ T cells in infection and cancer. JCI insight · 30 Apr 2026 PMID 42060360
Unclassified: not yet indexed with MeSH (2)
  1. EFHD2 drives lactate-mediated DNA damage repair and immunosuppression via HMGB1 and HIF-1α to confer radioresistance in colorectal cancer. Cell death & disease · 23 Jun 2026 PMID 42336814
  2. Next-Generation Therapies for Meningioma: Overcoming Barriers and Expanding Treatment Options. Cancer investigation · 22 Apr 2026 PMID 42017452