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January 16, 2026Medicine Bulletin8 citationsOpen Access

Beyond PD‐1/PD‐L1: New Immune Checkpoints and Therapeutic Combinations in Cancer Immunotherapy

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YLYangyang LiZKZizhen KangYDYanyun Du

Key Points

  • The research focuses on identifying novel immune checkpoint targets and exploring effective therapy combinations to improve cancer treatment outcomes.
  • Reviewed recent findings on various immune checkpoint targets across different immune cell types.
  • Analyzed interactions within the tumor microenvironment (TME).
  • Evaluated the efficacy of combining immune checkpoint inhibitors (ICIs) with other immunotherapies.
  • Highlighted challenges with current ICI therapies, including low response rates and resistance.
  • Identified potential therapeutic combinations that could enhance treatment success rates.
  • Emphasized the need for carefully designed combination strategies for clinical trials.

Abstract

ABSTRACT Recently, immune checkpoint inhibitors (ICIs), particularly PD‐1/PD‐L1 and CTLA‐4 inhibitors, have revolutionized cancer treatment, significantly improving survival rates for various malignancies. However, ICI therapies targeting single checkpoints on T cells still face numerous challenges, such as low response rates and post‐treatment resistance. Tumor cells can evade immune surveillance within the tumor microenvironment (TME) by modulating immune checkpoints on other immune cells. Consequently, there is an urgent need to develop novel therapeutic targets for different immune cell types. Simultaneously, combining ICIs with emerging immunotherapies—such as bispecific antibodies, antibody‐drug conjugates (ADCs), CAR‐T therapies, and cancer vaccines—has emerged as a key strategy to overcome the limitations of ICI monotherapy. This review systematically summarizes recent findings on immune checkpoint targets across various immune cells and their interaction mechanisms within the TME. We explored the potential mechanisms and clinical efficacy of combining ICIs with other immunotherapies. Meanwhile, we also emphasize the importance of rationally designing combination strategies to increase clinical trial success rates. Overall, this review provides essential guidance for the development of more precise and effective cancer immunotherapy strategies.

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Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6969d4c3940543b977709a51https://doi.org/10.1002/mdb2.70018
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