,Analysis of VISTA expression and function in renal cell carcinoma highlights VISTA as a potential t

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Dear Editor,Tumors evade immune surveillances,in part via negative regulatory pathways (also called checkpoints) that also regulate immune tolerance to autoimmunity (Thommen et al.,2018).Checkpoint inhibitor therapy,i.e.,anti-CTLA-4 and anti-PD-1,has been approved to be an effective therapeutic approach in a variety of cancers (Mariathasan et al.,2018).However,only a subset of cancer patients shows durable responses (Callahan et al.,2016),urging for a broader investigation beyond PD-1 and CTLA-4.Renal cell carcinoma (RCC),the most common kidney cancer,wasoften considered as an immunogenic tumor based on highlevels of T cell infiltration (Finke et al.,1992).However,the infiltrating T cells in RCC were reported to be characterized by a low amount of expanded T cell clonotypes (Sittig et al.,2013).Unexpectedly,the objective response rates to antiPD-1 antibody were 18%-31% in PD-L1+ RCC patients vs.9%-18% in PD-L1-patients (Motzer et al.,2015;McDermott et al.,2016).Thus,there is an urgent need for investigation on immune evasion mechanisms in RCC,especially PD-1-independent ones.
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