March 2026 Br J Cardiol 2026;33:40 doi:10.5837/bjc.2026.011 Online First
Yu-Hsuen Yang,* Shayan Datta,* Oluwabukola Thomas-Orogan, Susan Ellery, Anna Olsson-Brown
Introduction Immune checkpoint inhibitors (ICIs) have transformed cancer treatment, significantly improving survival across many tumour types. For instance, the 10-year results of the CheckMate-067 trial in metastatic melanoma reported a 43% overall survival (OS) rate, compared with under 5% before ICIs.1 ICIs function by inhibiting regulatory proteins expressed by immune cells, reducing self-tolerance and enhancing the immune system’s ability to recognise tumour cells. Most commercially available ICIs target the cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1)
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