Non-conventional Inhibitory CD4+Foxp3-PD-1hi T Cells as a Biomarker of Immune Checkpoint Blockade Activity

被引:119
作者
Zappasodi, Roberta [1 ,2 ,3 ]
Budhu, Sadna [1 ,2 ]
Hellmann, Matthew D. [3 ,4 ,5 ]
Postow, Michael A. [4 ,5 ]
Senbabaoglu, Yasin [1 ,2 ]
Manne, Sasikanth [6 ,7 ]
Gasmi, Billel [1 ,2 ]
Liu, Cailian [1 ,2 ]
Zhong, Hong [1 ,2 ]
Li, Yanyun [1 ,2 ]
Huang, Alexander C. [3 ,6 ,7 ]
Hirschhorn-Cymerman, Daniel [1 ,2 ]
Panageas, Katherine S. [8 ]
Wherry, E. John [3 ,6 ,7 ]
Merghoub, Taha [1 ,2 ,3 ,4 ]
Wolchok, Jedd D. [1 ,2 ,3 ,4 ,5 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Ludwig Collaborat, New York, NY 10065 USA
[2] Mem Sloan Kettering Canc Ctr, Swim Amer Lab, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Parker Inst Canc Immunotherapy, New York, NY 10065 USA
[4] Mem Sloan Kettering Canc Ctr, Dept Med, New York, NY 10065 USA
[5] Weill Cornell Med, New York, NY 10065 USA
[6] Univ Penn, Perelman Sch Med, Dept Microbiol, Philadelphia, PA 19104 USA
[7] Univ Penn, Perelman Sch Med, Inst Immunol, Philadelphia, PA 19104 USA
[8] Mem Sloan Kettering Canc Ctr, Epidemiol & Biostat, New York, NY 10065 USA
关键词
NIVOLUMAB PLUS IPILIMUMAB; GERMINAL CENTER FORMATION; FOLLICULAR HELPER-CELLS; MELANOMA MOUSE MODEL; B-CELLS; UNTREATED MELANOMA; LUNG-CANCER; OPEN-LABEL; IN-VIVO; CTLA-4;
D O I
10.1016/j.ccell.2018.05.009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A significant proportion of cancer patients do not respond to immune checkpoint blockade. To better understand the molecular mechanisms underlying these treatments, we explored the role of CD4(+)Foxp3(-) T cells expressing PD-1 (4PD1(hi)) and observed that 4PD1(hi) hi accumulate intratumorally as a function of tumor burden. Interestingly, CTLA-4 blockade promotes intratumoral and peripheral 4PD1(hi) increases in a dose-dependent manner, while combination with PD-1 blockade mitigates this effect and improves anti-tumor activity. We found that lack of effective 4PD1(hi) reduction after anti-PD-1 correlates with poor prognosis. Mechanistically, we provide evidence that mouse and human circulating and intra-tumor 4PD1(hi) inhibit T cell functions in a PD-1/PD-L1 dependent fashion and resemble follicular helper T cell (T-FH)-like cells. Accordingly, anti-CTLA-4 activity is improved in TFH deficient mice.
引用
收藏
页码:1017 / +
页数:23
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