Frontiers in Immunology (May 2023)

The role of PD-1 signaling in health and immune-related diseases

  • Ru-Yue Chen,
  • Yun Zhu,
  • Yun-Yan Shen,
  • Qin-Ying Xu,
  • Han-Yun Tang,
  • Ning-Xun Cui,
  • Lu Jiang,
  • Xiao-Mei Dai,
  • Wei-Qing Chen,
  • Qiang Lin,
  • Xiao-Zhong Li

DOI
https://doi.org/10.3389/fimmu.2023.1163633
Journal volume & issue
Vol. 14

Abstract

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Programmed cell death 1 receptor (PD-1) and its ligands constitute an inhibitory pathway to mediate the mechanism of immune tolerance and provide immune homeostasis. Significantly, the binding partners of PD-1 and its associated ligands are diverse, which facilitates immunosuppression in cooperation with other immune checkpoint proteins. Accumulating evidence has demonstrated the important immunosuppressive role of the PD-1 axis in the tumor microenvironment and in autoimmune diseases. In addition, PD-1 blockades have been approved to treat various cancers, including solid tumors and hematological malignancies. Here, we provide a comprehensive review of the PD-1 pathway, focusing on the structure and expression of PD-1, programmed cell death 1 ligand 1 (PD-L1), and programmed cell death 1 ligand 2 (PD-L2); the diverse biological functions of PD-1 signaling in health and immune-related diseases (including tumor immunity, autoimmunity, infectious immunity, transplantation immunity, allergy and immune privilege); and immune-related adverse events related to PD-1 and PD-L1 inhibitors.

Keywords