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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2021, Vol. 10 ›› Issue (02): 205-210. doi: 10.3877/cma.j.issn.2095-3224.2021.02.015

Special Issue:

• Review • Previous Articles     Next Articles

Research status of resistance to PD-1/PD-L1 blockade colorectal cancer immunotherapy

Tongtong Zhang1, Wei Chen2, Suyang Yu1, Shipeng Zhao1,()   

  1. 1. Department of Gastrointestinal Surgery, the Third Hospital Affiliated to Hebei Medical University; Shijiazhuang 050051, China
    2. Department of Traumatology, the Third Hospital Affiliated to Hebei Medical University, Orthopaedic Research Institute of Hebei Province, Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang 050051, China
  • Received:2020-11-03 Online:2021-04-25 Published:2021-05-07
  • Contact: Shipeng Zhao

Abstract:

PD-1/PD-L1 blocking therapy is a new strategy for cancer treatment. In the past decade, PD-1/PD-L1 blocking therapy has been applied in a wide range of malignant tumors and achieved certain success. However, for colorectal cancer, only patients with deficiency mismatch repair (dMMR) and microsatellite instability high (MSI-H) have a positive response to PD-1/PD-L1 blocking therapy. Primary or acquired drug resistance may eventually lead to disease progression. Therefore, the resistance of PD-1/PD-L1 blocking therapy is still a major challenge hindering its further application. In order to overcome the resistance of blocking therapy, a large number of studies based on drug resistance mechanism have been carried out. In this review, we summarize the current status of PD-1/PD-L1 blocking therapy and explore the mechanism of drug resistance. The methods to reverse the drug resistance were prospected, hoping to improve the efficacy of PD-1/PD-L1 blocking therapy.

Key words: Colorectal neoplasms, Programmed death-ligand 1, Immunosupression therapy, Cancer immunotherapy resistance

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