Dostarlimab an Inhibitor of PD-1/PD-L1: A New Paradigm for the Treatment of Cancer

Medicina (Kaunas). 2022 Nov 1;58(11):1572. doi: 10.3390/medicina58111572.

Abstract

Immunomodulation checkpoints usually adopted by healthy cells by tumors might cause an imbalance between host surveillance and tumor progression. Several tumors are incredibly resistant to standard treatment. The dynamic and long-lasting tumor regressions caused by antibodies targeting the PD-1/PD-L1 checkpoint have suggested a rebalancing of the host-tumor relationship. Checkpoint antibody inhibitors, like anti-PD-1/PD-L1, are unique inhibitors that reduce tumor growth by modulating the interaction between immune cells and tumor cells. These checkpoint inhibitors are swiftly emerging as a highly promising strategy for treating cancer because they produce impressive antitumor responses while having a limited number of adverse effects. Over the past several years, numerous checkpoint antibody inhibitors pointing to PD-1, PDL-1, and CTLA-4 have been available on the market. Despite its enormous success and usefulness, the anti-PD treatment response is restricted to certain kinds of cancer. This restriction can be attributed to the inadequate and diverse PD-1 expression in the tumor (MET) micro-environment. Dostarlimab (TSR-042), a drug that interferes with the PD-1/PD-L1 pathway, eliminates a crucial inhibitory response of an immune system and, as a result, has the potential to cause severe or deadly immune-mediated adverse effects. As cancer immunotherapy, dostarlimab enhances the antitumor immune response of the body.

Keywords: PD-1; PD-L1; TSR-042; anti-PD-1 antibody; cancer; dostarlimab; immune checkpoint; solid tumors.

Publication types

  • Review

MeSH terms

  • B7-H1 Antigen*
  • Humans
  • Immunotherapy
  • Neoplasms* / etiology
  • Programmed Cell Death 1 Receptor
  • Tumor Microenvironment

Substances

  • B7-H1 Antigen
  • dostarlimab
  • Programmed Cell Death 1 Receptor

Grants and funding

This work was funded by Deanship of Scientific Research (DSR), Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia, under research grant No. 2019/03/11309.