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. 2023 Jul 15;129(8):1212–1224. doi: 10.1038/s41416-023-02361-4

Table 1.

Summary of central mechanisms of T-cell desertification and exclusion driving resistance to ICT.

Process Mechanisms Impacted ICT Reference
T-cell desertification β2M downregulation CD1d/SPI1 epigenetic control Anti-PD-1/PD-L1 [56, 58].
Msr1/Clever-1 upregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [29, 31]
CIITA downregulation Anti-PD-1/PD-L1 [15]
HLA-DM deficiency Potential resistance to ICT [16]
Tumour-derived suppressive cytokines Anti‐CTLA-4, anti-PD-1/PD-L1 [27, 32, 3538]
TGF-β upregulation Anti-PD-1/PD-L1 [37, 38]
IDO1 upregulation Anti-PD-1/PD-L1 [39, 40]
Tumour-induced STAT3 overexpression Anti-PD-1/PD-L1 [40]
WNT/β-catenin upregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [42, 43, 46, 47, 61]
COX-2 upregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [44]
MIF/CD74 and /CXC axis activation Anti‐CTLA-4, anti-PD-1/PD-L1 [27, 61, 120]
BAP1 deficiency Anti‐CTLA-4, anti-PD-1/PD-L1 [61]
T-cell exclusion WNT/β-catenin upregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [42, 43, 46, 47]
MHC molecules downregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [5153, 55]
β2M downregulation Anti‐CTLA-4, anti-PD-1/PD-L1 [56, 57]
CAFs upregulation Anti-PD-1, anti-PD-1/PD-L1 [10, 19, 59]