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immuneACCESS, 2021

DOI: 10.21417/ag2021pnas

National Academy of Sciences, Proceedings of the National Academy of Sciences, 43(118), 2021

DOI: 10.1073/pnas.2102849118

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Differential effects of PD-1 and CTLA-4 blockade on the melanoma-reactive CD8 T cell response

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Significance Despite the success of checkpoint-targeting therapies, many melanoma patients do not respond or acquire resistance after initial responsiveness. A better understanding about the mechanism by which these therapies enhance immune-mediated tumor control is key to providing the rationale for better treatment strategies. In this study, we show that PD-1 blockade does not modulate the breadth or the magnitude of the circulating tumor-reactive CD8 T cell response. In contrast and in concordance with our previous study, CTLA-4 blockade leads to a broadening of the circulating melanoma-reactive CD8 T cell response. Together, these findings show differential mechanisms of action of CTLA-4 and PD-1 blockade and support the synergy of the combination treatment seen in the clinic.