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.
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. In physiology, this pathway helps maintain peripheral immune tolerance and limits excessive inflammation. In cancer and some inflammatory settings, however, PD-1/PD-L1 signaling can be co-opted to suppress cytotoxic T-cell function, promote T-cell dysfunction, and support immune escape.
As a biomedical target, PD-1/PD-L1 blockade is most widely associated with immunotherapy, but recent studies also examine its role in non-oncologic immune dysregulation, including sepsis. Across these contexts, blockade of the pathway is investigated as a way to restore immune homeostasis, enhance anti-tumor immunity, and counteract immunosuppression. Related mechanisms in the recent literature include PD-L1-mediated suppression of cytotoxic CD8+ T cells, PD-1-associated T-cell dysfunction in multiple myeloma, and checkpoint modulation alongside pathways such as signal transducer and activator of transcription 3 (STAT3) and β-catenin.
Where the papers sit
23 papers from the last 6 months study PD-1/PD-L1 blockade directly · updated from PubMed 12 Oct 2026
Study type 0 clinical trials · 4 observational · 3 human data · 14 preclinical · 2 unclassified
Themes 4 themes · 1 paradigm shift · 1 new direction
-
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%
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.
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)
- 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
- Sequential axitinib and survivin vaccination unlock curative PD-1 immunotherapy in renal carcinoma. Oncoimmunology · 25 Jun 2026 PMID 42343214
- 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
- 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
- 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
- Nano-Immunotherapy Targeting TAMs: Precisely Regulating TAMs to Reverse Immunosuppressive TME. International journal of nanomedicine · 23 Jun 2026 PMID 42333283
- 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
- FN1+ macrophages fuel aggressive sarcomatoid differentiation and immunotherapy refractory outcome in clear cell renal cell carcinoma. Oncogene · 5 Jun 2026 PMID 42249083
- 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
- PD-1-targeted IL-15 mutein activates CD8+ and CD4+ T cells in infection and cancer. JCI insight · 30 Apr 2026 PMID 42060360
- Next-Generation Therapies for Meningioma: Overcoming Barriers and Expanding Treatment Options. Cancer investigation · 22 Apr 2026 PMID 42017452
Tumor Immune Checkpoint Biology (5)
- Checkpoint inhibitors create rogue regulatory T cells. The Journal of clinical investigation · 1 Jul 2026 PMID 42383349
- 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
- Intratumoral bicarbonate functions as an adjuvant to potentiate PD-1 blockade in hepatocellular carcinoma. Oncogene · 4 Jun 2026 PMID 42243329
- Multifunctional copper complex-mediated self-blocking plasmid delivery of PD-L1 for tumor chemoimmunotherapy. Colloids and surfaces. B, Biointerfaces · 3 Jun 2026 PMID 42235197
- 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)
- 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
- 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
- Emerging evidence for anti-PD-1 and IFN-γ as adjunctive immunotherapy in invasive mold infections. mBio · 22 May 2026 PMID 42171361
- 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)
- Combos New and Old Counter PD-(L)1 Resistance, Treat Rare Cancers. Cancer discovery · 4 Jun 2026 PMID 42240229
- 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
- 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)
- 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
- 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
- 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
- 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)
- Combos New and Old Counter PD-(L)1 Resistance, Treat Rare Cancers. Cancer discovery · 4 Jun 2026 PMID 42240229
- Emerging evidence for anti-PD-1 and IFN-γ as adjunctive immunotherapy in invasive mold infections. mBio · 22 May 2026 PMID 42171361
- 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)
- Checkpoint inhibitors create rogue regulatory T cells. The Journal of clinical investigation · 1 Jul 2026 PMID 42383349
- 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
- Sequential axitinib and survivin vaccination unlock curative PD-1 immunotherapy in renal carcinoma. Oncoimmunology · 25 Jun 2026 PMID 42343214
- Nano-Immunotherapy Targeting TAMs: Precisely Regulating TAMs to Reverse Immunosuppressive TME. International journal of nanomedicine · 23 Jun 2026 PMID 42333283
- 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
- FN1+ macrophages fuel aggressive sarcomatoid differentiation and immunotherapy refractory outcome in clear cell renal cell carcinoma. Oncogene · 5 Jun 2026 PMID 42249083
- Intratumoral bicarbonate functions as an adjuvant to potentiate PD-1 blockade in hepatocellular carcinoma. Oncogene · 4 Jun 2026 PMID 42243329
- Multifunctional copper complex-mediated self-blocking plasmid delivery of PD-L1 for tumor chemoimmunotherapy. Colloids and surfaces. B, Biointerfaces · 3 Jun 2026 PMID 42235197
- 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
- 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
- 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
- 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
- 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
- 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)
- 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
- Next-Generation Therapies for Meningioma: Overcoming Barriers and Expanding Treatment Options. Cancer investigation · 22 Apr 2026 PMID 42017452
Written from 23 PubMed abstracts, each one listed by PMID above. Published: 2026-06-18. Last written: 2026-08-26 by GPT. Drafted by language models from published abstracts; not medical advice.