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H

epner

A

et

al

.

816

R

ev

A

ssoc

M

ed

B

ras

2017; 63(9):814-823

FIGURE 3

 12-month overall survival rates across different studies.

FIGURE 2

 CTLA-4 and PD-1/PD-L1 in the immune synapse.

MHC: major histocompatibility complex; TCR: T cell receptor; CD: cluster of differentiation; B7.1 and B7.2 proteins; CTLA4: cytotoxic T lymphocyte associated antigen 4; PD1: programmed cell

death protein 1; PD-L1: programmed death-ligand 1; PD-L2: programmed death-ligand 2.

B71 or B72

PD-L1 or PD-L2

CD3

B71 or B72

CD28

PD-1

CTLA4

MHC

TCR

CD4 or CD8

MHC

TCR

Tumor

T Cell

APC

Priming phase

Effector phase

CD3

PD-1

Peptide

Antigen

Peptide

Antigen

Anti-CTLA4

Anti-PD-1

PD-L1 or PD-L2

CD4 or CD8

80%

70%

60%

50%

40%

30%

20%

10%

0%

Survival probability

Dacarbazine

Vemurafenib

Dabrafenib

Ipilimumab

Nivolumab

Pembrolizumab

Vemurafenib + cobimetinib

Dabrafenib + trametinib

Ipilimumab + nivolumab

Treatment