Immunotherapy is a newly emerging and effective approach to treating cancer. However, there are many challenges associated with using checkpoint inhibitors in this treatment strategy. The component of the tumor microenvironment plays a crucial role in antitumor immune response, regulating tumor immune surveillance and immunological evasion. Natural products/phytochemicals can modulate the tumor microenvironment and function as immunomodulatory agents. In clinical settings, there is a strong need to develop synergistic combination regimens using natural products that can effectively enhance the therapeutic benefits of immune checkpoint inhibitors relative to their effectiveness as single therapies. The review discusses immunotherapy, its side effects, and a summary of evidence suggesting the use of natural products to modulate immune checkpoint pathways.
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Department of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical UniversityDepartment of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical University
Songtao Dong
Xiangnan Guo
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Department of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical UniversityDepartment of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical University
Xiangnan Guo
Fei Han
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School of Pharmacy, Shenyang Pharmaceutical UniversityDepartment of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical University
Fei Han
Zhonggui He
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Department of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical UniversityDepartment of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical University
Zhonggui He
Yongjun Wang
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Department of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical UniversityDepartment of Pharmaceutics, Wuya College of Innovation, Shenyang Pharmaceutical University
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RAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab EmiratesRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Wali, Adil Farooq
Majid, Sabhiya
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GMC, Dept Biochem, Srinagar 190010, Jammu & Kashmir, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Majid, Sabhiya
Rasool, Shabhat
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GMC, Dept Biochem, Srinagar 190010, Jammu & Kashmir, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Rasool, Shabhat
Shehada, Samar Bassam
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RAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab EmiratesRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Shehada, Samar Bassam
Abdulkareem, Shahad Khalid
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RAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab EmiratesRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Abdulkareem, Shahad Khalid
Firdous, Aimen
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KUFOS, Dept Proc Technol, Panangad 682506, Kerala, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Firdous, Aimen
Beigh, Saba
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CNRS, Inst Biol Mol & Cellulaire, Immunopathol & Chim Therapeut, Strasbourg, FranceRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Beigh, Saba
Shakeel, Sheeba
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Univ Kashmir, Fac Appl Sci, Dept Pharmaceut Sci, Srinagar 110006, Jammu & Kashmir, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Shakeel, Sheeba
Mushtaq, Saima
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SKUAST Kashmir, Fac Vet Sci & Anim Husb, Shuhama 190006, J&K, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Mushtaq, Saima
Akbar, Imra
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Jamia Hamdard, Sch Pharmaceut Educ & Res, New Delhi 110062, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Akbar, Imra
Madhkali, Hassan
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Prince Sattan Bin Abdulaziz Univ, Coll Pharm, Dept Pharmacol, Al Kharj, Saudi ArabiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
Madhkali, Hassan
Rehman, Muneeb U.
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GMC, Dept Biochem, Srinagar 190010, Jammu & Kashmir, IndiaRAK Med & Hlth Sci Univ, RAK Coll Pharmaceut Sci, Ras Al Khaymah 11172, U Arab Emirates
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Shanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Shanghai Univ Tradit Chinese Med, Inst Interdisciplinary Integrat Med Res, Shanghai 201203, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Huang, Qi
Pan, Xier
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Shanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Shanghai Univ Tradit Chinese Med, Inst Interdisciplinary Integrat Med Res, Shanghai 201203, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Pan, Xier
Zhu, Wenhao
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Fudan Univ, Huashan Hosp, Dept Anaesthesiol, Shanghai 200040, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Zhu, Wenhao
Zhao, Wen
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Fudan Univ, Huashan Hosp, Dept Anaesthesiol, Shanghai 200040, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Zhao, Wen
Xu, Hongzhi
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Fudan Univ, Huashan Hosp, Shanghai Med Coll, Dept Neurosurg, Shanghai 200040, Peoples R China
Natl Ctr Neurol Disorders, Shanghai 200040, Peoples R China
Shanghai Key Lab Brain Funct & Restorat & Neural R, Shanghai 200040, Peoples R China
Fudan Univ, Neurosurg Inst, Shanghai 200040, Peoples R China
Shanghai Clin Med Ctr Neurosurg, Shanghai 200040, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Xu, Hongzhi
Hu, Kaili
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Shanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China
Shanghai Univ Tradit Chinese Med, Inst Interdisciplinary Integrat Med Res, Shanghai 201203, Peoples R ChinaShanghai Univ Tradit Chinese Med, Sch Pharm, Shanghai 201203, Peoples R China