Evidence map›Paper›PMID 41919257›Full record

ReviewFrontiers in oncology2026

Recent advances in immunotherapy for bladder cancer: mechanisms, clinical applications, and future perspectives.

Rui Liu, Junlong Wang

Abstract readReview
In one paragraph

Review in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Rui LiuDepartment of Emergency Medicine, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
Junlong WangDepartment of Urology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The past decade has witnessed a paradigm shift in the treatment of bladder cancer, propelled by significant advances in immunotherapy. Immune checkpoint inhibitors (ICIs) targeting PD-1/PD-L1 and CTLA-4, adoptive cellular therapies including chimeric antigen receptor T-cell (CAR-T) therapy, oncolytic viruses, and novel immunomodulatory agents have transformed the therapeutic landscape for both non-muscle-invasive bladder cancer (NMIBC) and advanced urothelial carcinoma (UC). This review provides a comprehensive analysis of recent advances in bladder cancer immunotherapy, with a focus on underlying molecular and cellular mechanisms, key clinical trial evidence, and emerging resistance pathways. We highlight the rapidly expanding therapeutic roles of ICIs, alongside innovative modalities such as CAR-T cell therapy directed against tumor-associated antigens-including NECTIN4, PSMA, and FRα. Emerging immunotherapeutic targets and therapeutic modalities are comprehensively reviewed. We critically evaluate key clinical trials and systematically assess combination strategies-including ICIs combined with chemotherapy, radiotherapy, targeted therapy, or antibody-drug conjugates (ADCs). Key determinants of the tumor microenvironment (TME)-such as immunosuppressive cell populations, regulatory cytokines, and metabolic barriers-are examined in the context of their roles in mediating therapeutic resistance. Biomarkers predictive of treatment response-including PD-L1 expression and tumor mutational burden-are summarized, integrating recent clinical and translational evidence. We conclude by outlining future research directions focused on overcoming therapeutic resistance, refining predictive and prognostic biomarkers, and developing next-generation immunotherapies to improve clinical outcomes for patients.

Indexed as

antibody–drug conjugatesbiomarkersbladder cancerCAR-T cell therapyimmune checkpoint inhibitorsimmunotherapytumor microenvironment

Identifiers

PMID41919257
PMCPMC13033545

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.