1.
Multiple DNA mutations occur in the tumour cell
2.
Mutations create neoantigens which are recognised for targeted killing by immune system
3.
Immunotherapy activates the immune cells to target the neoantigens and kill the tumour cell
Targeting the PD-1/PD-L1 connections with inhibitors has emerged as a powerful immunotherapy against these cancer types. Inhibiting the PD-1/PD-L1 pathway with therapeutic antibodies results in restoration of immune responses and activation of
t-cells directed to kill the tumour cell.
This therapy has been shown to induce a strong clinical response in many tumour types, for example 20-40% in melanoma and 33-50% in advanced non small cell lung cancer (NSCLC).