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Recognition of tumor by T cell through

MHC/antigen/TCR interaction mediates IFN-γ release

and PD-L1/2 up-regulation on tumor

Priming and activation of T cells through

MHC/antigen/TCR and CD28/B7 interactions

with antigen-presenting cells

Nivolumab

MHC

PD-L1 PD-1

PD-1

T-cell

receptor

T-cell

receptor

PD-L1

PD-L2

CD28

T cell

NFκB

Other

PI3K

Tumor

cell

IFNγR

Shp-2

Shp-2

Antigen

Antigen

MHC

B7

PD-1

PD-1

Nivolumab blocks the PD-1 receptor

PD-L2

IFNγ

Adapted from Pardoll DM et al.

Nat Rev Cancer

2012.

1

Dendritic

cell