Institute of Cardiovascular Disease, Key Laboratory for Arteriosclerology of Hunan Province, Hunan International Scientific and Technological Cooperation Base of Arteriosclerotic Disease, Hengyang Medical College, University of South China, Hengyang, Hunan 421001, China.
YueYang Maternal-Child Medicine Health Hospital Hunan Province Innovative Training Base for Medical Postgraduates, University of China South China and Yueyang Women & Children's Medical Center, Yueyang, Hunan 414000, China.
Clin Chim Acta. 2021 Aug;519:70-75. doi: 10.1016/j.cca.2021.04.010. Epub 2021 Apr 17.
Immunotherapy has become one of the most attraction cancer therapy strategies. The PD-1/PD-L1 pathway plays key roles in immune responses and autoimmunity by regulating T cell activity. Overactivation of this pathway dampens T cell and immune function, which allows tumor cells immune escape. Antibody or inhibitors of PD-1/PD-L1 immune targets have been implicated in clinic anti-cancer therapy and gain great clinic outcoming for their high efficiency. However, recent studies showed that the PD-1/PD-L1 immunotherapy in some tumor patients was found to accelerate T cell-driven inflammatory and the progression of atherosclerotic lesions. This article reviews the research progression of PD-1/PD-L1 in tumors and atherosclerosis, and the possible mechanisms of anti-PD-1/PD-L1 immunotherapy increasing the risk of atherosclerotic lesions.
免疫疗法已成为最具吸引力的癌症治疗策略之一。PD-1/PD-L1 通路通过调节 T 细胞活性在免疫反应和自身免疫中发挥关键作用。该通路的过度激活会抑制 T 细胞和免疫功能,从而使肿瘤细胞逃避免疫。PD-1/PD-L1 免疫靶点的抗体或抑制剂已被用于临床抗癌治疗,并因其高效性而获得了巨大的临床疗效。然而,最近的研究表明,在一些肿瘤患者中,PD-1/PD-L1 免疫疗法被发现会加速 T 细胞驱动的炎症和动脉粥样硬化病变的进展。本文综述了 PD-1/PD-L1 在肿瘤和动脉粥样硬化中的研究进展,以及抗 PD-1/PD-L1 免疫疗法增加动脉粥样硬化病变风险的可能机制。