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‹ Wed · 8 Apr 2026
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The Interplay of PD-L1, Kynurenine Pathway, and Vitamin D Shapes an Immunosuppressive Microenvironment in Acute Myeloid Leukemia

Three factors converging in AML patients—immune checkpoint signaling, tryptophan metabolism, and vitamin D—reveal how cancers evade immunity.

This study of 127 AML patients reveals an immunosuppressive network where PD-L1 expression, tryptophan metabolism via the kynurenine pathway, and vitamin D deficiency converge to promote immune evasion. Low vitamin D was associated with 2.7-fold higher odds of activated Tregs.

What the study was

Study design
Prospective observational
Population
Newly diagnosed AML patients
Sample size
127
Category
Genomics/Precision Medicine
Maturity
Exploratory
Journal
Asian Pacific Journal of Cancer Prevention

Why it surfaced

Adds to understanding of AML immune microenvironment; potential therapeutic implications for combination immunotherapy.

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