Immune Inhibitory Molecules LAG-3 and PD-1 Synergistically Regulate T-cell Function to Promote Tumoral Immune Escape

被引:1334
作者
Woo, Seng-Ryong [1 ]
Turnis, Meghan E. [1 ]
Goldberg, Monica V. [3 ,4 ,5 ]
Bankoti, Jaishree [1 ]
Selby, Mark [10 ]
Nirschl, Christopher J. [3 ,4 ,5 ]
Bettini, Matthew L. [1 ]
Gravano, David M. [1 ]
Vogel, Peter
Liu, Chih Long [11 ]
Tangsombatvisit, Stephanie [11 ]
Grosso, Joseph F. [3 ,4 ,5 ]
Netto, George [7 ,8 ,9 ]
Smeltzer, Matthew P. [2 ]
Chaux, Alcides [8 ]
Utz, Paul J. [11 ]
Workman, Creg J. [1 ]
Pardoll, Drew M. [6 ]
Korman, Alan J. [10 ]
Drake, Charles G. [3 ,4 ,5 ]
Vignali, Dario A. A. [1 ]
机构
[1] St Jude Childrens Res Hosp, Dept Immunol, Memphis, TN 38105 USA
[2] St Jude Childrens Res Hosp, Dept Biostat, Memphis, TN 38105 USA
[3] Johns Hopkins Sidney Kimmel Comprehens Canc Ctr, Dept Oncol, Baltimore, MD USA
[4] Johns Hopkins Sidney Kimmel Comprehens Canc Ctr, Dept Immunol, Baltimore, MD USA
[5] Johns Hopkins Sidney Kimmel Comprehens Canc Ctr, Dept Urol, Baltimore, MD USA
[6] Johns Hopkins Sidney Kimmel Comprehens Canc Ctr, Immunol & Hematopoiesis Div, Baltimore, MD USA
[7] Johns Hopkins Univ, Dept Oncol, Baltimore, MD USA
[8] Johns Hopkins Univ, Dept Pathol, Baltimore, MD USA
[9] Johns Hopkins Univ, Dept Urol, Baltimore, MD USA
[10] Bristol Myers Squibb, Biol Discovery Calif, Milpitas, CA USA
[11] Stanford Univ, Dept Med, Sch Med, Div Rheumatol & Immunol, Stanford, CA 94305 USA
关键词
CUTTING EDGE; MICE; TOLERANCE; ACTIVATION; INDUCTION; CANCER; IMMUNOTHERAPY; DEFICIENT; RECEPTORS; THERAPY;
D O I
10.1158/0008-5472.CAN-11-1620
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Inhibitory receptors on immune cells are pivotal regulators of immune escape in cancer. Among these inhibitory receptors, CTLA-4 (targeted clinically by ipilimumab) serves as a dominant off-switch while other receptors such as PD-1 and LAG-3 seem to serve more subtle rheostat functions. However, the extent of synergy and cooperative interactions between inhibitory pathways in cancer remain largely unexplored. Here, we reveal extensive coexpression of PD-1 and LAG-3 on tumor-infiltrating CD4(+) and CD8(+) T cells in three distinct transplantable tumors. Dual anti-LAG-3/anti-PD-1 antibody treatment cured most mice of established tumors that were largely resistant to single antibody treatment. Despite minimal immunopathologic sequelae in PD-1 and LAG-3 single knockout mice, dual knockout mice abrogated self-tolerance with resultant autoimmune infiltrates in multiple organs, leading to eventual lethality. However, Lag3(-/-)Pdcd1(-/-) mice showed markedly increased survival from and clearance of multiple transplantable tumors. Together, these results define a strong synergy between the PD-1 and LAG-3 inhibitory pathways in tolerance to both self and tumor antigens. In addition, they argue strongly that dual blockade of these molecules represents a promising combinatorial strategy for cancer. Cancer Res; 72(4); 917-27. (C) 2011 AACR.
引用
收藏
页码:917 / 927
页数:11
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