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. 2016 Sep 7;22(33):7440–7452. doi: 10.3748/wjg.v22.i33.7440

Table 1.

Rationales of each combination therapy

Treatments Rationales Concerns
Checkpoint inhibitor plus cytotoxic agents Enhance cellular immunity Efficacy may be influenced by timing when cytotoxic agents add
Augment dendritic cell maturation Severe myelosupression may interrupt immune checkpoint therapy
Reduce MDSC and Tregs
Decreases CAF
Combination with checkpoint inhibitors Activate tumor immunity by different mannar ir AE will increase
Provide synergy efficacy even in immune resistant tumor
Checkpoint inhibitor plus T cells stimulate agents Activate tumor immunity by different mannar Severe AE including cytokine storm may occur
Deactive Tregs
Checkpoint inhibitor plus cancer vaccine Increase the presentation of taas
Enhance PD-L1 expression
Radiotherapy Enhance cross priming of ctls Optimal schedule and dose are not established
Enhanse abscopal effect

MDSC: Myeloid-driven suppressor cell; CAF: Cancer-associated fibroblast; Tregs: Regulatory T cells.