Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-PR10
E. Evans, H. Bussler, C. Mallow, C. Reilly, Sebold Torno, Maria Scrivens, Alan P. Howell, Leslie Balch, J. Leonard, T. Fisher, C. Allen, Paúl E. Clavijo, Gregory Lesiniski, Christina Wu, S. Hu-Lieskovan, A. Ribas, Emily G Greengard, Ernest S. Smith, M. Zauderer
Purpose: Tumor growth inhibition by anti-semaphorin 4D (SEMA4D, CD100) blocking antibody is enhanced when combined with various immunotherapies in preclinical animal models. Immune checkpoint combinations with pepinemab (VX15/2503), a humanized anti-SEMA4D antibody, are currently being evaluated in several clinical trials. Methods: Expanded mechanistic studies in syngeneic preclinical models investigated the effect of SEMA4D blockade on immune contexture within the tumor microenvironment, as a single agent and in combination with various immunotherapy agents. Antitumor activity and immune response was characterized by immunohistochemistry, flow cytometry, functional assays, and cytokine, chemokine and gene expression analysis. Pepinemab (VX15/2503) is currently being evaluated as single agent or in combination with other immunotherapies in four clinical trials: (i) a phase 1b/2a combination trial of pepinemab with avelumab in NSCLC (CLASSICAL-Lung) (NCT03268057); (ii) a phase 1 combination trial of pepinemab with nivolumab or ipilimumab in melanoma patients who have progressed on any anti-PD-1/PD-L1 (NCT03373188); (iii) a neoadjuvant integrated biomarker trial in patients with metastatic colorectal and pancreatic cancers treated with pepinemab in combination with nivolumab or ipilimumab (NCT03373188); and (iv) a phase 1/2 trial of pepinemab in children with solid tumors and children and young adults with osteosarcoma (NCT03320330). Results: SEMA4D exerts multifaceted effects within the tumor microenvironment by creating a barrier at the tumor-stroma margin to restrict immune cell infiltration and promoting immunosuppressive activity of myeloid-derived cells. Blocking antibody to SEMA4D directly enhanced M1/M2 ratio and both reduced expression of chemokines that recruit MDSC and the ability of MDSC to suppress T-cell proliferation. Antibody blockade reduced the function of immunosuppressive myeloid and regulatory T-cells in the TME while simultaneously restoring the ability of dendritic cells and cytotoxic T-cells to migrate into the tumor in several syngeneic tumor models. Importantly, anti-SEMA4D MAb enhanced the activity of co-administered immunotherapies in murine colon, head and neck (HNSCC), and melanoma models. For example, anti-SEMA4D plus anti-CTLA-4 resulted in 100% survival and 90% complete tumor rejection (CR) (p Citation Format: Elizabeth E. Evans, Holm Bussler, Crystal Mallow, Christine Reilly, Sebold Torno, Maria Scrivens, Alan Howell, Leslie Balch, John E. Leonard, Terrence L. Fisher, Clint Allen, Paul Clavijo, Gregory Lesiniski, Christina Wu, Siwen Hu-Lieskovan, Antoni Ribas, Emily Greengard, Ernest S. Smith, Maurice Zauderer. Reprogramming myeloid cells in TME with pepinemab, first-in-class semaphorin 4D MAb, enhances combination immunotherapy [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphi
目的:在临床前动物模型中,抗信号蛋白4D (SEMA4D, CD100)阻断抗体联合多种免疫疗法可增强肿瘤生长抑制。免疫检查点联合pepinemab (VX15/2503),一种人源抗sema4d抗体,目前正在几个临床试验中进行评估。方法:在同基因临床前模型中扩展机制研究SEMA4D阻断剂作为单一药物和与各种免疫治疗药物联合使用对肿瘤微环境内免疫环境的影响。通过免疫组织化学、流式细胞术、功能分析、细胞因子、趋化因子和基因表达分析来表征抗肿瘤活性和免疫应答。Pepinemab (VX15/2503)目前正在四项临床试验中作为单药或与其他免疫疗法联合进行评估:(i)在NSCLC (classic - lung) (NCT03268057)中,Pepinemab与avelumab的1b/2a期联合试验;(ii)在任何抗pd -1/PD-L1治疗进展的黑色素瘤患者中,pepinemab与nivolumab或ipilimumab的一期联合试验(NCT03373188);(iii)在pepinemab联合nivolumab或ipilimumab治疗的转移性结直肠癌和胰腺癌患者中进行的新辅助综合生物标志物试验(NCT03373188);(iv) pepinemab在患有实体瘤的儿童和患有骨肉瘤的儿童和年轻人中的1/2期试验(NCT03320330)。结果:SEMA4D通过在肿瘤-基质边缘形成屏障,限制免疫细胞浸润,促进髓源性细胞的免疫抑制活性,在肿瘤微环境中发挥多方面的作用。SEMA4D阻断抗体直接提高M1/M2比值,同时降低募集MDSC趋化因子的表达和MDSC抑制t细胞增殖的能力。在几种同基因肿瘤模型中,抗体阻断降低了TME中免疫抑制性骨髓细胞和调节性t细胞的功能,同时恢复了树突状细胞和细胞毒性t细胞迁移到肿瘤中的能力。重要的是,anti-SEMA4D MAb增强了小鼠结肠、头颈部(HNSCC)和黑色素瘤模型中共给药免疫疗法的活性。例如,抗sema4d +抗ctla -4可获得100%的存活率和90%的肿瘤完全排斥(CR) (p引用格式:Elizabeth E. Evans, Holm Bussler, Crystal Mallow, Christine Reilly, Sebold Torno, Maria Scrivens, Alan Howell, Leslie Balch, John E. Leonard, Terrence L. Fisher, Clint Allen, Paul Clavijo, Gregory Lesiniski, Christina Wu, Siwen ho - lieskovan, Antoni Ribas, Emily greenard, Ernest S. Smith, Maurice Zauderer)。用pepinemab(一流的信号素4D单抗)重编程TME中的骨髓细胞,增强联合免疫治疗[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr PR10。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A082
Livnat Jerby, P. Shah, Michael S. Cuoco, Christopher Rodman, Mei-ju Su, Johannes Melms, Rachel Leeson, Abhay Kanodia, Shaolin Mei, Jia-Ren Lin, Shu Wang, Bokang Rabasha, David Liu, Gao Zhang, Claire Margolais, Orr Ashenberg, P. Ott, E. Buchbinder, R. Haq, Stephen F. Hodi, G. Boland, R. Sullivan, Dennie T. Frederick, B. Miao, Tabea Moll, K. Flaherty, M. Herlyn, R. Jenkins, Rohit Thummalapalli, Monika S. Kowalczyk, I. Canadas, B. Schilling, Adam N. Cartwright, Adrienne M. Luoma, Shruti Malu, P. Hwu, C. Bernatchez, M. Forget, D. Barbie, A. Shalek, I. Tirosh, P. Sorger, K. Wucherpfennig, E. Allen, D. Schadendorf, B. Johnson, Asaf Rotem, Orit Rosenblatt-Rozen, L. Garraway, Charles H. Yoon, B. Izar, A. Regev
Immune checkpoint inhibitors (ICI) produce durable responses in some melanoma patients, but many patients derive no clinical benefit. The molecular underpinnings of ICI resistance involve intricate cell-cell interactions that are yet elusive. To systematically map the interactions between malignant and immune cells in the tumor ecosystem, we applied single-cell RNA sequencing to 31 human melanoma tumors, profiling thousands of malignant, immune, and stromal cells. We identified a transcriptional program in malignanT-cells that is strongly associated with T-cell exclusion and immunotherapy resistance. Using highly multiplexed in situ imaging we first demonstrated that this program characterizes malignanT-cells in “cold” niches. Next, we showed that the program predicts clinical responses to ICI according to multiple independent validation cohorts, including a new cohort that we obtained from 112 melanoma patients treated with anti-PD-1 therapy. We then identified CDK4/6 as master regulators of this resistance program, and found that CDK4/6 inhibitors repress the program and shift melanoma cells into a senescence-associated secretory phenotype. Lastly, we showed that CDK4/6-inhibition leads to a substantial reduction in melanoma tumor outgrowth in a B16 mouse model when given in combination with immunotherapy. Taken together, our study provides a high-resolution landscape of ICI-resistant cell states, identifies clinically predictive signatures, and forms a basis for the development of novel therapeutic strategies that could overcome immunotherapy resistance. Citation Format: Livnat Jerby, Parin Shah, Michael S. Cuoco, Christopher Rodman, Mei-Ju Su, Johannes M. Melms, Rachel Leeson, Abhay Kanodia, Shaolin Mei, Jia-Ren Lin, Shu Wang, Bokang Rabasha, David Liu, Gao Zhang, Claire Margolais, Orr Ashenberg, Patrick A. Ott, Elizabeth I. Buchbinder, Riz Haq, Stephen Hodi, Genevieve M. Boland, Ryan J. Sullivan, Dennie Frederick, Benchun Miao, Tabea Moll, Keith Flaherty, Meenhard Herlyn, Russell S. Jenkins, Rohit Thummalapalli, Monika S. Kowalczyk, Israel Canadas, Bastian Schilling, Adam N.R Cartwright, Adrienne M. Luoma, Shruti Malu, Patrick Hwu, Chantale Bernatchez, Marie-Andree Forget, David A. Barbie, Alex K. Shalek, Itay Tirosh, Peter K. Sorger, Kai W. Wucherpfennig, Eliezer M. Van Allen, Dirk Schadendorf, Bruce E. Johnson, Asaf Rotem, Orit Rosenblatt-Rozen, Levi A. Garraway, Charles H. Yoon, Benjamin Izar, Aviv Regev. Single-cell RNA-sequencing of metastatic melanoma identifies a cancer cell-intrinsic program associated with immune checkpoint inhibitor resistance [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A082.
免疫检查点抑制剂(ICI)在一些黑色素瘤患者中产生持久的反应,但许多患者没有获得临床益处。ICI抗性的分子基础涉及复杂的细胞-细胞相互作用,但仍难以捉摸。为了系统地绘制肿瘤生态系统中恶性细胞和免疫细胞之间的相互作用,我们对31个人类黑色素瘤肿瘤应用单细胞RNA测序,分析了数千个恶性、免疫和基质细胞。我们在恶性抗细胞中发现了一个转录程序,它与t细胞排斥和免疫治疗耐药性密切相关。使用高复用原位成像,我们首先证明了该程序表征了“冷”壁龛中的恶性抗细胞。接下来,我们展示了该程序根据多个独立验证队列预测对ICI的临床反应,包括我们从112名接受抗pd -1治疗的黑色素瘤患者中获得的新队列。然后,我们确定CDK4/6是该耐药程序的主要调节因子,并发现CDK4/6抑制剂抑制该程序并将黑色素瘤细胞转变为衰老相关的分泌表型。最后,我们发现在B16小鼠模型中,cdk4 /6抑制与免疫治疗联合使用可显著减少黑色素瘤的生长。总之,我们的研究提供了ici耐药细胞状态的高分辨率景观,确定了临床预测特征,并为开发可以克服免疫治疗耐药的新治疗策略奠定了基础。引文格式:Livnat Jerby, Parin Shah, Michael S. Cuoco, Christopher Rodman, Su Mei- ju, Johannes M. Melms, Rachel Leeson, Abhay Kanodia, me少林,林家仁,王舒,Bokang Rabasha, David Liu, Zhang Gao, Claire Margolais, Orr Ashenberg, Patrick A. Ott, Elizabeth I. Buchbinder, Riz Haq, Stephen Hodi, Genevieve M. Boland, Ryan J. Sullivan, Dennie Frederick, Benchun Miao, Tabea Moll, Keith Flaherty, Meenhard Herlyn, Russell S. Jenkins, Rohit Thummalapalli, Monika S. Kowalczyk, Israel加拿大,Bastian Schilling, Adam N.R Cartwright, Adrienne M. Luoma, Shruti Malu, Patrick Hwu, Chantale Bernatchez, Marie-Andree Forget, David A. Barbie, Alex K. Shalek, Itay Tirosh, Peter K. Sorger, Kai W. Wucherpfennig, Eliezer M. Van Allen, Dirk Schadendorf, Bruce E. Johnson, Asaf Rotem, Orit rosenblat - rozen, Levi A. Garraway, Charles H. Yoon, Benjamin Izar, Aviv Regev。转移性黑色素瘤的单细胞rna测序鉴定出与免疫检查点抑制剂耐药性相关的癌细胞内在程序[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr A082。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A110
Sjoerd T. T. Schetters, Y. Kooyk
Suppression of the immune system by solid malignancies has proven to be a driving force of tumor development and an effective target for therapeutic intervention. The suppression of cytolytic T-cells by inhibitory receptors like PD1 can be blocked by antagonistic antibodies, reinvigorating suppressed antitumor responses. Nonetheless, only a minority of patients show clinical benefit. It is becoming clear the efficacy of checkpoint blockade relies on many factors, including pretreatment conditions, collaboration between innate and adaptive immune cells and immune-architecture of the tumor microenvironment (TME). To investigate this, we studied the immune profiles of the PD1-unresponsive murine B16 melanoma and PD1-responsive MC38 colorectal carcinoma models, systemically and in the TME before and during treatment. By using high-dimensional flow cytometry and unsupervised clustering analyses based on immune checkpoints, we show comparable early establishment of heterogeneity of tumor-infiltrating CD8+ and CD4+ T-cells. However, PD1-responsive MC38 tumor shows correlations in abundance between specific CD8+ T-cell, NK cells and myeloid subsets before checkpoint blockade treatment, while the PD1-unresponsive B16 tumors do not show lymphoid-myeloid codependences. Interestingly, the abundance of monocyte-derived dendritic cells did not increase upon anti-PD1 treatment but instead showed abundance correlation with PD1 CD4+ and CD8+ T-cells, suggesting a putative interaction. The unresponsive B16 tumors showed increased correlation of cDC1 and cDC2 with Foxp3+ regulatory T-cells. We have visualized these putative interactions within the myeloid and lymphoid population in the changing immune-architecture of the TME, using multiplex fluorescence and confocal microscopy. We show heterogeneity and interactive hotspots during immune checkpoint blockade and postulate that successful anti-PD1 treatment requires the location-dependent cooperation of specific myeloid and lymphoid subsets in the TME. Citation Format: Sjoerd Schetters, Yvette Van Kooyk. Efficacy of anti-PD1 immune checkpoint blockade involves the cooperative interaction of myeloid and lymphoid subpopulations in the tumor microenvironment [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A110.
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A096
Allison O'Connell, Shangzi Wang, L. Weiner
Fibroblast activation protein (FAP) is a type II transmembrane serine protease that functions as both a dipeptidyl peptidase and an endopeptidase. FAP is minimally expressed in normal pancreas but overexpressed in 90% of pancreatic ductal adenocarcinoma (PDAC) specimens. A meta-analysis of PDAC studies demonstrated elevated tumor FAP expression is associated with worse clinical outcomes. While immunotherapy offers remarkable results for certain cancer types, it has been largely ineffective in PDAC. This lack of efficacy may be attributed to the dense stromal fibrosis, comprised largely of pancreatic stellate cells (PSCs), that is characteristic of PDAC lesions. Here we demonstrate that human NK cell line (NK92) is activated by and kill PSCs. Upon direct contact with PSCs, NK92 cells upregulate FAP. FAP expression by NK92 cells is associated with an inactivation phenotype. Talabostat, a non-specific inhibitor of FAP, enhances NK92 killing of PSCs in vitro and enhances PDAC tumor clearance in vivo. This suggests that FAP may be a novel NK cell immune checkpoint that can be pharmacologically modulated to enhance NK cell antitumor activity. Citation Format: Allison O9Connell, Shangzi Wang, Louis M. Weiner. The potential role of fibroblast activation protein as a natural killer cell immune checkpoint [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A096.
成纤维细胞活化蛋白(FAP)是一种II型跨膜丝氨酸蛋白酶,具有二肽基肽酶和内肽酶的功能。FAP在正常胰腺中表达极低,但在90%的胰腺导管腺癌(PDAC)标本中过表达。PDAC研究的荟萃分析表明,肿瘤FAP表达升高与较差的临床结果相关。虽然免疫疗法对某些类型的癌症提供了显著的效果,但它在PDAC中基本上无效。这种疗效的缺乏可能归因于密集的间质纤维化,主要由胰腺星状细胞(PSCs)组成,这是PDAC病变的特征。在这里,我们证明了人类NK细胞系(NK92)被PSCs激活并杀死。直接接触PSCs后,NK92细胞上调FAP。NK92细胞的FAP表达与失活表型相关。Talabostat是一种非特异性FAP抑制剂,在体外增强NK92对PSCs的杀伤作用,在体内增强PDAC的肿瘤清除率。这表明FAP可能是一种新的NK细胞免疫检查点,可以通过药理调节来增强NK细胞的抗肿瘤活性。引用格式:Allison O9Connell, Wang Shangzi, Louis M. Weiner。成纤维细胞活化蛋白作为自然杀伤细胞免疫检查点的潜在作用[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr A096。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A048
C. Slaney, A. Oliver, M. Kershaw
Immunotherapies that harness the immune system against cancer are an attractive proposition for cancer treatment. While there have been some promising successes, only a small fraction of patients obtain clinical benefit. It has become clear that the immunosuppressive tumor microenvironment (TME) is a major obstacle for immunotherapies, because the TME suppresses immune responses, leading to reduced efficacy. We previously demonstrated that the site of tumor growth is a major determinant in sculpting the organ-specific TME, and thus predisposes treatment efficacy (1). In this project, we hypothesize that the TME of visceral tumors is more immunosuppressive than those of the tumors growing elsewhere. We investigated in murine models the difference in the TME in breast cancer growing orthotopically and the same breast cancer growing in the common metastatic sites, such as the lungs. Our findings showed that the breast cancer growing in the lungs was resistant to immunotherapies such as anti-PD1 and anti-CTLA-4, whereas the breast cancer growing orthotopically could be completely eradicated even when the cancer burden was greater. Through an institutional prospective community-based rapid autopsy program (CASCADE), we obtained genetically matched metastases and surrounding tissues from several sites in the same breast cancer patients and investigated the TME from these tumors using novel technologies such as RNAseq and multiplex immunohistochemistry. Strikingly, the TMEs from the same organs in different patients have similar immune gene expression profiles and in contrast, TMEs from the same patient differ greatly in different organs. Together, our research demonstrates an organ-specific difference between TMEs that leads to different responses to therapies. We anticipate that further study of how cancer cells sculpt the TME at different sites will greatly enhance our understanding of the TME and provide promising targets to enhance current immunotherapies, especially for patients who do not respond to existing therapies. Reference: 1. Devaud C., et al. Molecular Therapy 2014;22:18-27. Citation Format: Clare Y. Slaney, Amanda J. Oliver, Michael H. Kershaw. Targeting the tumor microenvironment to enhance immunotherapy against cancer [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A048.
利用免疫系统对抗癌症的免疫疗法是癌症治疗的一个有吸引力的提议。虽然取得了一些有希望的成功,但只有一小部分患者获得了临床益处。免疫抑制性肿瘤微环境(TME)是免疫治疗的主要障碍,因为TME抑制免疫应答,导致疗效降低。我们之前已经证明,肿瘤生长部位是塑造器官特异性TME的主要决定因素,从而影响治疗效果(1)。在本项目中,我们假设内脏肿瘤的TME比生长在其他地方的肿瘤更具有免疫抑制作用。我们在小鼠模型中研究了原位生长的乳腺癌和在常见转移部位(如肺)生长的相同乳腺癌的TME的差异。我们的研究结果表明,生长在肺部的乳腺癌对抗pd1和抗ctla -4等免疫疗法具有耐药性,而原位生长的乳腺癌即使在癌症负担更大的情况下也可以被完全根除。通过机构前瞻性社区快速尸检项目(CASCADE),我们从同一乳腺癌患者的几个部位获得遗传匹配的转移灶和周围组织,并使用RNAseq和多重免疫组织化学等新技术研究这些肿瘤的TME。引人注目的是,来自同一器官的不同患者的TMEs具有相似的免疫基因表达谱,相反,来自同一患者的不同器官的TMEs差异很大。总之,我们的研究表明,TMEs之间存在器官特异性差异,导致对治疗的不同反应。我们预计,进一步研究癌细胞如何在不同部位雕刻TME将大大提高我们对TME的理解,并提供有希望的靶点来增强当前的免疫疗法,特别是对那些对现有疗法没有反应的患者。参考:1。Devaud C.等。分子治疗2014;22:18-27。引用格式:Clare Y. Slaney, Amanda J. Oliver, Michael H. Kershaw。靶向肿瘤微环境增强肿瘤免疫治疗[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr A048。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A103
E. Quintana, Kasia Mordec, R. Nichols, D. Wildes, C. Schulze, D. Myers, Mallika Singh, E. Koltun, A. Gill, S. Kelsey, M. Goldsmith, Jan Smith
The protein-tyrosine phosphatase SHP2, encoded by PTPN11, is a known oncogenic driver in a subset of cancers and a central signaling node in the RTK-RAS-MAPK pathway. Genetic and pharmacologic evidence supports a role for SHP2 in driving the proliferation of cancer cells dependent upon a range of activated RTKs, certain RAS and BRAF mutations, and NF1 loss of function mutations. In contrast, a role for SHP2 in antitumor immunity is not well established. SHP2 binds to phosphorylated ITIM and ITAM domains on regulatory receptors in immune cells and multiple reports have demonstrated a SHP2/PD-1 physical interaction. Recently it has been proposed that SHP2 transduces the PD-1 inhibitory checkpoint signal by direct de-phosphorylation of CD28. In this study we show that a peptide comprising two tyrosine phosphorylated 9-mers sequences from the PD-1 ITAM (connected by a PEG8 linker) can activate purified SHP2 enzyme. We also demonstrate that, like checkpoint inhibitors, allosteric inhibition of SHP2 activates NFAT-mediated gene expression in a reporter gene PD-1/PD-L1 bioassay. Based on these findings, we evaluated the impact of SHP2 inhibition on murine host immune cells and the tumor immune microenvironment in vivo using RMC-4550, a novel small-molecule allosteric inhibitor of SHP2. Oral daily administration of RMC-4550 significantly inhibited tumor growth in three syngeneic tumor models sensitive to checkpoint blockade. The inhibitory activity was comparable, and in some cases superior, to checkpoint inhibition. RMC-4550 did not inhibit growth in any of these cancer cell lines in vitro, suggesting that activity was not due to a tumor cell intrinsic antiproliferative effect. Rather, antitumor activity in vivo reflected modulation of murine host immune cell function. First, RMC-4550 did not inhibit tumor growth in immunocompromised Rag-2-deficient mice. Second, efficacy was significantly attenuated when CD8+T-cells were depleted in immunocompetent mice, suggesting that CD8+T-cells were important for tumor growth inhibition. Third, Shp2 inhibition had additive activity in combination with anti-CTLA4 or anti-PD-L1 treatment, resulting in complete tumor regression in some mice. Rechallenge studies also demonstrated the presence of immunologic memory induced by combination therapy. The additive activity with checkpoint blockade suggests an additional mechanism of action beyond inhibition of the checkpoint signal. Fourth, analysis of the immune landscape in the tumor microenvironment indeed revealed modulation of both adaptive and innate immune mechanisms. Similar to checkpoint blockade, RMC-4550 increased the frequency of CD8+T-cell infiltrates in tumors with a corresponding decrease in their PD-1 expression. In addition, Shp2 inhibition significantly shifted polarized macrophage populations by markedly increasing M1 and decreasing M2, effects not seen with anti-CTLA4 or anti-PD-L1. Collectively, these results suggest that SHP2 inhibition is not identical
由PTPN11编码的蛋白酪氨酸磷酸酶SHP2是一种已知的癌症亚群的致癌驱动因子,也是RTK-RAS-MAPK通路的中心信号节点。遗传和药理学证据支持SHP2在驱动依赖于一系列激活的rtk、某些RAS和BRAF突变以及NF1功能丧失突变的癌细胞增殖中的作用。相比之下,SHP2在抗肿瘤免疫中的作用尚未得到很好的证实。SHP2结合免疫细胞中调控受体上磷酸化的ITIM和ITAM结构域,多个报告证实了SHP2/PD-1的物理相互作用。最近有人提出SHP2通过CD28的直接去磷酸化来转导PD-1抑制检查点信号。在这项研究中,我们发现一种由PD-1 ITAM中两个酪氨酸磷酸化的9-mers序列组成的肽(通过PEG8连接物连接)可以激活纯化的SHP2酶。我们还证明,与检查点抑制剂一样,SHP2的变构抑制可以激活报告基因PD-1/PD-L1中nfat介导的基因表达。基于这些发现,我们利用新型SHP2小分子变构抑制剂rmmc -4550,评估了SHP2抑制对小鼠宿主免疫细胞和体内肿瘤免疫微环境的影响。每日口服rmmc -4550可显著抑制三种对检查点阻断敏感的同基因肿瘤模型的肿瘤生长。抑制活性与检查点抑制相当,在某些情况下优于检查点抑制。rmmc -4550在体外没有抑制任何这些癌细胞系的生长,表明活性不是由于肿瘤细胞固有的抗增殖作用。相反,体内抗肿瘤活性反映了小鼠宿主免疫细胞功能的调节。首先,rmmc -4550不能抑制免疫功能低下的rag -2缺陷小鼠的肿瘤生长。其次,当CD8+ t细胞在免疫功能正常的小鼠中被耗尽时,其疗效显著减弱,这表明CD8+ t细胞对肿瘤生长抑制很重要。第三,Shp2抑制与抗ctla4或抗pd - l1治疗联合具有加性活性,导致部分小鼠肿瘤完全消退。再挑战研究也证明了联合治疗引起的免疫记忆的存在。检查点阻断的附加活性表明,除了抑制检查点信号外,还有另一种作用机制。第四,对肿瘤微环境中的免疫景观的分析确实揭示了适应性和先天免疫机制的调节。与检查点阻断类似,RMC-4550增加了肿瘤中CD8+ t细胞浸润的频率,相应降低了PD-1的表达。此外,Shp2抑制通过显著增加M1和降低M2来显著改变极化巨噬细胞群,这是抗ctla4或抗pd - l1所没有的效果。总的来说,这些结果表明SHP2抑制与检查点阻断不同,代表了一种新的研究策略,可以同时利用两种抗肿瘤机制:直接抑制癌细胞生长和调节肿瘤微环境。含有对SHP2敏感的致癌驱动突变和对检查点抑制剂具有临床敏感性的肿瘤可能特别感兴趣。引文格式:Elsa Quintana, Kasia Mordec, Robert J. Nichols, David Wildes, Chris J. Schulze, Darienne R. Myers, Mallika Singh, Elena Koltun, Adrian Gill, Stephen Kelsey, Mark A Goldsmith, Jan A.M.史密斯。SHP2的变构抑制通过调节先天和适应性机制诱导pd -1敏感肿瘤的抗肿瘤免疫[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志,2019;7(2增刊):摘要nr A103。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A094
K. Nakajima, Y. Ino, T. Iwasaki, N. Hiraoka
The hurdles in realizing immunotherapy success for cure stem from the fact that cancer patients are either refractory to immune response and/or develop resistance. We previously proposed that these phenomena are due, in part, to the deployment of tumor-associated antigens, or employment of tumor-associated endothelium acting as a gatekeeper for immune cell infiltration into the cancer tissue (Nakajima et al, Cancer Res 2017;77:5441-4). Here, an extensive study unveiled functional/molecular differences of endothelium derived from pancreatic cancer and normal pancreas. They were isolated from fresh surgical specimen by magnet-based selection. The primary culture of tumor-associated endothelial cells was confirmed by double positive expressions of endothelial markers, CD31 and ERG1. They showed the short vessel formations and the narrow area of capillary network, indicating the low potential of angiogenesis. Further, peripheral blood–derived lymphocytes were less adhering to the tumor-associated endothelial cells. To find the molecular differences, microarray analysis was performed, and identified 2748 molecules distinct from endothelial cells of noncancerous tissues (p Citation Format: Kosei Nakajima, Yashunori Ino, Toshimitsu Iwasaki, Nobuyoshi Hiraoka. Characterization of pancreatic cancer endothelial cells: Approach to enhance immune cell infiltration for immunotherapy [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A094.
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A106
M. Salem, M. Attia, S. Abdou, Abdel-Aziz A Zidan, Mona F Zidan
Background: Acute lymphocytic leukemia (ALL) is biologically and clinically considered as a heterogeneous neoplasm of lymphoid progenitor cells in the bone marrow (BM). 15- 20 % of children with ALL who achieve an initial remission, will show relapse. One potential mechanism behind this relapse could be the emergence of cancer stem cells (CSCs), which are considered the driving force of tumorigenesis due to their ability of self-renewal as well as the emergence of immune regulatory cells including myeloid-derived suppressor cells (MDSCs) and regulatory T-cells (Treg). Aim: The main aim of this study was to analyze the numbers of CSCs and correlate these numbers with the numbers of blasT-cells, MDSCs and Treg cells in children with B-ALL before and after induction of chemotherapy. Materials and Methods: CSCs were defined as CD45dimCD19+CD10+CD34+CD38-, MDSCs were defined as Lin-HLA-DR-CD33+CD11b+ and Treg cells were defined as CD4+CD25+CD127-. The frequencies of these cells were analyzed in the peripheral blood of B-ALL patients before (n= 10) and after (n= 10) induction of chemotherapy using flow cytometry. Results: Significant increases in the numbers of CSCs were shown in B-ALL patients after induction of chemotherapy as compared to newly diagnosed patients (7.6± 8.3 vs. 2.7± 2.4, P Citation Format: Mohamed Labib Salem, Mohamed Attia, Said Abdou, Abdel-Aziz A. Zidan, Mona F. Zidan. Higher numbers of cancer stem cells in the peripheral blood of children with B-ALL after chemotherapy [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A106.
背景:急性淋巴细胞白血病(Acute lymphocytic leukemia, ALL)在生物学和临床上被认为是一种骨髓淋巴样祖细胞(BM)的异质性肿瘤。15- 20%的ALL患儿在最初得到缓解后会复发。这种复发背后的一个潜在机制可能是癌症干细胞(CSCs)的出现,由于其自我更新的能力以及包括髓源性抑制细胞(MDSCs)和调节性t细胞(Treg)在内的免疫调节细胞的出现,CSCs被认为是肿瘤发生的驱动力。目的:本研究的主要目的是分析B-ALL患儿在诱导化疗前后CSCs的数量及其与blasT-cells、MDSCs和Treg细胞数量的关系。材料与方法:CSCs定义为CD45dimCD19+CD10+CD34+CD38-, MDSCs定义为Lin-HLA-DR-CD33+CD11b+, Treg细胞定义为CD4+CD25+CD127-。用流式细胞术分析B-ALL患者化疗前(n= 10)和诱导化疗后(n= 10)外周血中这些细胞的频率。结果:与新诊断的患者相比,B-ALL患者诱导化疗后的CSCs数量显著增加(7.6±8.3比2.7±2.4),P引用格式:Mohamed Labib Salem, Mohamed Attia, Said Abdou, Abdel-Aziz A. Zidan, Mona F. Zidan。化疗后B-ALL患儿外周血中肿瘤干细胞数量增加[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志,2019;7(2增刊):摘要nr A106。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A090
Rachel N. Martini, Brittany D. Jenkins, C. Yates, L. Newman, M. Davis
The regulation of immune cell infiltration into the tumor microenvironment can influence disease prognosis. The specific populations that are present can inform potential treatment options. This work investigates immune cell regulation in the breast cancer tumor microenvironment, specifically how an atypical chemokine receptor, known as the Duffy Antigen Receptor for Chemokines (DARC/ACKR1) can influence levels of leukocyte populations in the breast tumor environment. DARC is a nonsignaling receptor able to bind both the CC and CXC classes of chemokines, and mainly functions to modulate levels of chemokines in circulation, and aid in chemokine transport in tissues. In this regard, DARC expression may determine the profile of immune response.To investigate DARC expression and its effects on tumor-associated leukocyte (TAL) populations, we obtained RNA-seq data from The Cancer Genome Atlas (TCGA) Breast Cancer cohort. We proceeded through our analysis with those samples denoted as primary tumor samples (n=400). To estimate the relative abundance of TAL populations, we used the CIBERSORT online platform, which estimates fractions of 22 different TAL populations based on gene expression data. After completing the CIBERSORT analysis, we proceeded with only those samples that had a significant CIBERSORT output (n=167). In our analysis, we found that the total abundance of all TALs was significantly higher in tumors that have high DARC expression (p Citation Format: Rachel Martini, Brittany D. Jenkins, Clayton Yates, Lisa Newman, Melissa Davis. The Duffy Antigen Receptor for Chemokines (DARC) influences levels of tumor-associated leukocytes in the breast tumor microenvironment [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A090.
免疫细胞对肿瘤微环境浸润的调控影响疾病预后。现有的特定人群可以为潜在的治疗方案提供信息。这项工作研究了乳腺癌肿瘤微环境中的免疫细胞调节,特别是一种非典型趋化因子受体,即达菲趋化因子抗原受体(DARC/ACKR1)如何影响乳腺癌肿瘤环境中白细胞群的水平。DARC是一种非信号受体,能够结合CC和CXC类趋化因子,主要作用是调节循环中趋化因子的水平,并帮助趋化因子在组织中的运输。在这方面,DARC的表达可能决定了免疫反应的概况。为了研究DARC表达及其对肿瘤相关白细胞(TAL)群体的影响,我们从癌症基因组图谱(TCGA)乳腺癌队列中获得了RNA-seq数据。我们继续对原发肿瘤样本(n=400)进行分析。为了估计TAL种群的相对丰度,我们使用了CIBERSORT在线平台,该平台基于基因表达数据估计了22个不同TAL种群的部分。在完成CIBERSORT分析之后,我们只处理那些具有显著CIBERSORT输出的样本(n=167)。在我们的分析中,我们发现在具有高DARC表达的肿瘤中,所有tal的总丰度明显更高(p引文格式:Rachel Martini, Brittany D. Jenkins, Clayton Yates, Lisa Newman, Melissa Davis)。达菲抗原趋化因子受体(DARC)影响乳腺肿瘤微环境中肿瘤相关白细胞的水平[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr A090。
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Pub Date : 2019-02-01DOI: 10.1158/2326-6074.CRICIMTEATIAACR18-A078
Claudia Z. Han, S. Duttke, Zhengyu Ouyang, S. Preissl, J. Schlachetzki, Alexander Nott, Conor Fitzpatrick, Carolyn O’Connor, N. Coufal, Mihir Gupta, D. Gonda, M. Levy, Ben-Haim Sharona, Barba David, J. Ciacci, A. Khalessi, Clark C. Chen, Bing Ren, C. Glass
The immune cell composition of the tumor microenvironment can be a decisive factor for tumor pathogenesis. Gliomas are tumors that develop from the glial cells of the brain and spinal cord and make up to 30% of all brain tumors. In gliomas, microglia and infiltrating macrophages can comprise up to 30 to 50% of total tumor-associated cells. Increased CD68 staining, a marker of microglia/macrophages, in adult gliomas is positively associated with histologic tumor grade. Despite the accumulated evidence substantiating a critical role for microglia and infiltrating macrophages in gliomagenesis, little is known is about the molecular mechanisms driving microglial contribution to tumor growth and whether microglia/macrophages are therapeutic targets in both low- and high-grade gliomas. Despite microglia sharing common properties with other tissue-resident macrophages, they express hundreds of genes at higher levels compared to other tissue-resident macrophages, many of which are influenced by the brain micro-environment. Additionally, engraftment of bone-marrow derived cells into the central nervous system fails to produce microglia identical to yolk sac-derived microglia at the transcriptional level. Hence, in any inflammatory context, including cancer, an interesting question arises: how does each population contribute to the pathogenesis and/or resolution of inflammation? To elucidate the role(s) of microglia/macrophages in gliomas, we isolated the myeloid fraction from primary pediatric and adult low-grade and high-grade gliomas using flow cytometry. By integrating bulk and single-cell transcriptome analysis, we find significant inter- and intratumoral heterogeneity within the myeloid population. Additionally, we find evidence for tumor environment-dependent gene change. In combination with ongoing comparative analysis of the corresponding epigenetic landscapes of the myeloid populations, we seek to decipher how the tumor microenvironment reprograms the transcription factor network in microglia/macrophages to generate tumor-promoting cells. Citation Format: Claudia Z. Han, Sascha H. Duttke, Zhengyu Ouyang, Sebastian Preissl, Johannes C.M. Schlachetzki, Alexander Nott, Conor Fitzpatrick, Carolyn O9Connor, Nicole G. Coufal, Mihir Gupta, David D. Gonda, Michael L. Levy, Ben-Haim Sharona, Barba David, Joseph D. Ciacci, Alexander A. Khalessi, Clark C. Chen, Bing Ren, Christopher K. Glass. Dissecting the myeloid lineage in human gliomas [abstract]. In: Proceedings of the Fourth CRI-CIMT-EATI-AACR International Cancer Immunotherapy Conference: Translating Science into Survival; Sept 30-Oct 3, 2018; New York, NY. Philadelphia (PA): AACR; Cancer Immunol Res 2019;7(2 Suppl):Abstract nr A078.
肿瘤微环境的免疫细胞组成可能是肿瘤发病的决定性因素。神经胶质瘤是由大脑和脊髓的神经胶质细胞发展而来的肿瘤,占所有脑肿瘤的30%。在胶质瘤中,小胶质细胞和浸润性巨噬细胞可占肿瘤相关细胞总数的30%至50%。成人胶质瘤中CD68染色(小胶质细胞/巨噬细胞的标志物)的增加与组织学肿瘤分级呈正相关。尽管越来越多的证据表明小胶质细胞和浸润性巨噬细胞在胶质瘤形成中起着关键作用,但关于驱动小胶质细胞促进肿瘤生长的分子机制以及小胶质细胞/巨噬细胞是否是低级别和高级别胶质瘤的治疗靶点,我们知之甚少。尽管小胶质细胞与其他组织驻留巨噬细胞具有共同的特性,但与其他组织驻留巨噬细胞相比,它们表达的数百个基因水平更高,其中许多基因受脑微环境的影响。此外,骨髓源性细胞移植到中枢神经系统后,在转录水平上不能产生与卵黄囊源性小胶质细胞相同的小胶质细胞。因此,在任何炎症背景下,包括癌症,一个有趣的问题出现了:每个人群如何促进炎症的发病和/或解决?为了阐明小胶质细胞/巨噬细胞在胶质瘤中的作用,我们使用流式细胞术分离了原发性小儿和成人低级别和高级别胶质瘤的髓系部分。通过整合整体和单细胞转录组分析,我们发现髓系人群中存在显著的肿瘤间和肿瘤内异质性。此外,我们还发现了肿瘤环境相关基因变化的证据。结合正在进行的髓系群体相应表观遗传景观的比较分析,我们试图破译肿瘤微环境如何重编程小胶质细胞/巨噬细胞中的转录因子网络以产生促肿瘤细胞。引文格式:Claudia Z. Han, Sascha H. Duttke,欧阳正宇,Sebastian Preissl, Johannes C.M. Schlachetzki, Alexander Nott, Conor Fitzpatrick, Carolyn O9Connor, Nicole G. Coufal, Mihir Gupta, David D. Gonda, Michael L. Levy, Ben-Haim Sharona, Barba David, Joseph D. Ciacci, Alexander A. Khalessi, Clark C. Chen, Bing Ren, Christopher K. Glass。人胶质瘤的髓系谱系解剖[摘要]。第四届CRI-CIMT-EATI-AACR国际癌症免疫治疗会议:将科学转化为生存;2018年9月30日至10月3日;纽约,纽约。费城(PA): AACR;癌症免疫学杂志2019;7(2增刊):摘要nr A078。
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