Interactions between T cells, antigen presenting cells (APCs), and
tumor cells that inhibit appropriate activation of T cell cytotoxic immune
responses may be modulated via passive immunotherapy. For example, anti-PD-1
antibodies can bind to the PD-1 receptor that is expressed by T cells and
disrupt PD-1’s interaction with its ligand PD-L1, which is highly
expressed on tumor cells and APCs in the tumor microenvironment. Alternatively,
anti-PD-L1 antibodies can neutralize the PD-L1 ligand’s ability to bind
to PD-1. Anti-CTLA-4 antibodies may be used to block the interaction between the
CTLA-4 receptor on Treg cells and the B7 ligand on tumor cells and APCs; this
would subsequently allow B7 interaction with the CD28 receptor on T cells, which
provides a stimulatory signal for T cell activation. Adapted from: 53–55. Abbreviations: PD-1 – programmed
cell death protein-1; PD-L1 – programmed cell death protein ligand-1;
CTLA-4 – cytotoxic T-lymphocyte-associated protein 4; Treg –
regulatory T cells; CD28 – classification determinant 28.