TGF-β and VEGF cooperatively control the immunotolerant tumor environment and the efficacy of cancer immunotherapies

被引:113
作者
Courau, Tristan [1 ,2 ]
Nehar-Belaid, Djamel [1 ,2 ]
Florez, Laura [1 ,2 ]
Levacher, Beatrice [1 ,2 ]
Vazquez, Thomas [1 ,2 ]
Brimaud, Faustine [1 ,2 ,3 ]
Bellier, Bertrand [1 ,2 ]
Klatzmann, David [1 ,2 ,3 ]
机构
[1] Sorbonne Univ, UPMC Univ Paris, Paris, France
[2] INSERM UMR S 959, Paris, France
[3] Grp Hosp Pitie Salpetriere, AP HP, Dept Biotherapies, Clin Invest Ctr Biotherapy & Inflamat Immunopatho, F-75013 Paris, France
基金
欧洲研究理事会;
关键词
REGULATORY T-CELLS; ENDOTHELIAL GROWTH-FACTOR; DENDRITIC CELLS; IMMUNE CELLS; ANTITUMOR; BLOCKADE; EXPRESSION; MATURATION; MICROENVIRONMENT; COMBINATION;
D O I
10.1172/jci.insight.85974
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Tregs imprint an early immunotolerant tumor environment that prevents effective antitumor immune responses. Using transcriptomics of tumor tissues, we identified early upregulation of VEGF and TGF-beta pathways compatible with tolerance imprinting. Silencing of VEGF or TGF-beta in tumor cells induced early and pleiotropic modulation of immune-related transcriptome signatures in tumor tissues. These were surprisingly similar for both silenced tumors and related to common downstream effects on Tregs. Silencing of VEGF or TGF-beta resulted in dramatically delayed tumor growth, associated with decreased Tregs and myeloid-derived suppressor cells and increased effector T cell activation in tumor infiltrates. Strikingly, co-silencing of TGF-beta and VEGF led to a substantial spontaneous tumor eradication rate and the combination of their respective inhibitory drugs was synergistic. VEGF and/or TGF-beta silencing also restored tumor sensitivity to tumor-specific cell therapies and markedly improved the efficacy of anti-PD-1/anti-CTLA-4 treatment. Thus, TGF-beta and VEGF cooperatively control the tolerant environment of tumors and are targets for improved cancer immunotherapies.
引用
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页数:16
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