IMMUNE REGULATORY FUNCTION OF INTERFERON-GAMMA IN ACUTE LEUKEMIA

Abstract

Programmed death ligand-1 (PDL-1) is an immune regulatory component that is expressed on normal cells, tumor cells, and non-tumor immune cells. The expression of these checkpoint components on the cell surface helps prevent the immune system's overactivity. PDL-1 is associated with immune evasion in many solid tumors and lymphomas, while its clinical signicance is under exploration in leukemias. Structural and regulatory aspects are recently presented in reports that dene the role of signaling components in regulating PDL-1. Immune interactions of soluble cytokines such as IFN-γ & TNF-α with PDL1 show relevance in liquid malignancies. Recent reports have shown that interaction occurs between IFN- γ and PDL 1, but the exact mechanism is not dened. PDL1 expression around 20-25% across the malignancies has put this immune checkpoint in clinical trials, and many solid malignancies have shown better clinical outcomes and survival rates. Still, resistance remains a signicant hurdle. Immune resistance is the primary reason for the minimal impact of PDL-1 blockade therapy in various cancers. IFN-γ induced PDL1 immunotherapy could be effective in leukemias to overcome the resistance and provide effective immune responses and overall better clinical outcomes.