LXR/ApoE Activation Restricts Innate Immune Suppression in Cancer

被引:384
作者
Tavazoie, Masoud F. [1 ,3 ]
Pollack, Ilana [1 ]
Tanqueco, Raissa [1 ]
Ostendorf, Benjamin N. [1 ]
Reis, Bernardo S. [2 ]
Gonsalves, Foster C. [3 ]
Kurth, Isabel [3 ]
Andreu-Agullo, Celia [3 ]
Derbyshire, Mark L. [1 ]
Posada, Jessica [1 ]
Takeda, Shugaku [3 ]
Tafreshian, Kimia N. [1 ]
Rowinsky, Eric [3 ]
Szarek, Michael [3 ,8 ]
Waltzman, Roger J. [3 ]
Mcmillan, Elizabeth A. [1 ]
Zhao, Connie [1 ]
Mita, Monica [4 ]
Mita, Alain [4 ]
Chmielowski, Bartosz [5 ]
Postow, Michael A. [6 ,7 ]
Ribas, Antoni [5 ]
Mucida, Daniel [2 ]
Tavazoie, Sohail F. [1 ]
机构
[1] Rockefeller Univ, Lab Syst Canc Biol, 1230 York Ave, New York, NY 10021 USA
[2] Rockefeller Univ, Lab Mucosal Immunol, 1230 York Ave, New York, NY 10021 USA
[3] Rgenix, New York, NY 10065 USA
[4] Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA
[5] Univ Calif Los Angeles, Dept Med, Los Angeles, CA 90024 USA
[6] Mem Sloan Kettering Canc Ctr, Dept Med, 1275 York Ave, New York, NY 10021 USA
[7] Weill Cornell Med Coll, New York, NY USA
[8] Downstate Med Ctr, Sch Publ Hlth, Brooklyn, NY USA
关键词
LIVER X RECEPTORS; T-CELLS; MYELOID CELLS; METASTATIC MELANOMA; REGULATORY T; PD-1; LXR; CHOLESTEROL; MECHANISMS; CTLA-4;
D O I
10.1016/j.cell.2017.12.026
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Therapeutic harnessing of adaptive immunity via checkpoint inhibition has transformed the treatment of many cancers. Despite unprecedented long-term responses, most patients do not respond to these therapies. Immunotherapy non-responders often harbor high levels of circulating myeloid-derived suppressor cells (MDSCs)-an immunosuppressive innate cell population. Through genetic and pharmacological approaches, we uncovered a pathway governing MDSC abundance in multiple cancer types. Therapeutic liver-X nuclear receptor (LXR) agonism reduced MDSC abundance in murine models and in patients treated in a first-in-human dose escalation phase 1 trial. MDSC depletion was associated with activation of cytotoxic T lymphocyte (CTL) responses in mice and patients. The LXR transcriptional target ApoE mediated these effects in mice, where LXR/ApoE activation therapy elicited robust anti-tumor responses and also enhanced T cell activation during various immune-based therapies. We implicate the LXR/ApoE axis in the regulation of innate immune suppression and as a target for enhancing the efficacy of cancer immunotherapy in patients.
引用
收藏
页码:825 / +
页数:34
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