PMID- 37820473 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231021 IS - 1936-5233 (Print) IS - 1936-5233 (Electronic) IS - 1936-5233 (Linking) VI - 38 DP - 2023 Dec TI - Charting new frontiers: Co-inhibitory immune checkpoint proteins in therapeutics, biomarkers, and drug delivery systems in cancer care. PG - 101794 LID - S1936-5233(23)00180-8 [pii] LID - 10.1016/j.tranon.2023.101794 [doi] LID - 101794 AB - Cancer remains a major health concern globally. Immune checkpoint inhibitors (ICIs) target co-inhibitory immune checkpoint molecules and have received approval for treating malignancies like melanoma and non-small cell lung cancer. While CTLA-4 and PD-1/PD-L1 are extensively researched, additional targets such as LAG-3, TIGIT, TIM-3, and VISTA have also demonstrated effective in cancer therapy. Combination treatments, which pair ICIs with interventions such as radiation or chemotherapy, amplify therapeutic outcomes. However, ICIs can lead to diverse side effects, and their varies across patients and cancers. Hence, identifying predictive biomarkers to guide therapy is essential. Notably, expression levels of molecules like PD-1, CTLA-4, and LAG-3 have been linked to tumor progression and ICI therapy responsiveness. Recent advancements in drug delivery systems (DDSs) further enhance ICI therapy efficacy. This review explores predominant DDSs for ICI delivery, such as hydrogel, microparticle, and nanoparticle, which offer improved therapeutic effects and reduced toxicity. In summary, we discuss the future of immune therapy focusing on co-inhibitory checkpoint molecules, pinpoint challenges, and suggest avenues for developing efficient, safer DDSs for ICI transport. CI - Copyright (c) 2023. Published by Elsevier Inc. FAU - Xiao, Yao AU - Xiao Y AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. FAU - Li, Zi-Zhan AU - Li ZZ AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. FAU - Zhong, Nian-Nian AU - Zhong NN AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. FAU - Cao, Lei-Ming AU - Cao LM AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. FAU - Liu, Bing AU - Liu B AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China; Department of Oral & Maxillofacial - Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. FAU - Bu, Lin-Lin AU - Bu LL AD - State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China; Department of Oral & Maxillofacial - Head Neck Oncology, School & Hospital of Stomatology, Wuhan University, Wuhan, 430079, China. Electronic address: lin-lin.bu@whu.edu.cn. LA - eng PT - Journal Article DEP - 20231009 PL - United States TA - Transl Oncol JT - Translational oncology JID - 101472619 PMC - PMC10582482 OTO - NOTNLM OT - Biomarker OT - Co-inhibitory immune checkpoint OT - Drug delivery system OT - Immune checkpoint inhibitor OT - Immunotherapy COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/12 00:43 MHDA- 2023/10/12 00:44 PMCR- 2023/10/09 CRDT- 2023/10/11 18:05 PHST- 2023/06/23 00:00 [received] PHST- 2023/09/17 00:00 [revised] PHST- 2023/09/29 00:00 [accepted] PHST- 2023/10/12 00:44 [medline] PHST- 2023/10/12 00:43 [pubmed] PHST- 2023/10/11 18:05 [entrez] PHST- 2023/10/09 00:00 [pmc-release] AID - S1936-5233(23)00180-8 [pii] AID - 101794 [pii] AID - 10.1016/j.tranon.2023.101794 [doi] PST - ppublish SO - Transl Oncol. 2023 Dec;38:101794. doi: 10.1016/j.tranon.2023.101794. Epub 2023 Oct 9.