Esophageal cancer is one of the malignant tumors that poses a threat to human health, with both high incidence and malignancy. Currently, surgery following neoadjuvant chemoradiotherapy is the standard treatment for locally advanced esophageal cancer; however, the long-term prognosis remains unsatisfactory. In recent years, inhibitors of programmed death protein-1 (PD-1) and its ligand (programmed death ligand-1, PD-L1) have achieved breakthrough progress in other solid tumors, and research on esophageal cancer is gradually being conducted. With the demonstration of good efficacy of PD-1/PD-L1 inhibitors in the first-line and second-line treatment of advanced unresectable esophageal cancer, their incorporation into neoadjuvant treatment regimens has become a hot topic. Therefore, this article reviews the mechanism of action of PD-1/PD-L1 inhibitors and their application in the neoadjuvant treatment of esophageal cancer.
Citation: CHEN Liji, MA Hongmei, ZHANG Shifa, ZHONG Kaize, YANG Dongbao, SUN Jiuhe, LIU Hongfeng, SONG Ru, ZHANG Jishan, CAI Haibo. Research progress on PD-1/PD-L1 inhibitors in neoadjuvant therapy for esophageal cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(5): 714-721. doi: 10.7507/1007-4848.202409008 Copy
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