Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A26
Hazem E. Ghoneim, Yiping Fan, A. Moustaki, Hossam A. Abdelsamed, P. Dash, P. Dogra, R. Carter, Walid Awad, G. Neale, P. Thomas, Ben Youngblood
Immune checkpoint blockade (ICB)-mediated rejuvenation of exhausted T cells has emerged as a promising approach for treating various cancers and chronic infections. However, T cells that become fully exhausted during prolonged antigen exposure remain refractory to ICB-mediated rejuvenation. Given that many of the impaired effector properties of terminally exhausted CD8 T cells appear to be heritably maintained even in the absence of antigen, we investigated the role of de novo DNA methylation programming as a cell-intrinsic mechanism for establishing the ICB-nonresponsive state of T-cell exhaustion. We report that blocking de novo DNA methylation in activated CD8 T cells allows them to retain their effector functions despite chronic stimulation during a persistent viral infection. Whole-genome bisulfite sequencing of antigen-specific murine CD8 T cells at the effector and exhaustion stages of an immune response identified progressively acquired heritable de novo methylation programs that restrict T cell expansion and clonal diversity during PD-1 blockade treatment. Moreover, these exhaustion-associated DNA methylation programs were acquired in tumor-infiltrating PD-1hi CD8 T cells. Therapeutic approaches to reverse these programs can enhance ICB-mediated T cell rejuvenation and ultimately facilitate the control of chronic viral infections and tumor growth. These data establish de novo DNA methylation programming as a regulator of T cell exhaustion and barrier of ICB therapy. Citation Format: Hazem E. Ghoneim, Yiping Fan, Ardiana Moustaki, Hossam Abdelsamed, Pradyot Dash, Pranay Dogra, Robert Carter, Walid Awad, Geoff Neale, Paul G. Thomas, Ben Youngblood. De novo epigenetic programming restrains PD-1 blockade-mediated T cell rejuvenation [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A26.
免疫检查点阻断(ICB)介导的衰竭T细胞再生已成为治疗各种癌症和慢性感染的有希望的方法。然而,在长时间抗原暴露过程中完全耗尽的T细胞对icb介导的返老还童仍然难以耐受。考虑到即使在没有抗原的情况下,最终耗尽的CD8 T细胞的许多受损效应特性似乎也可以遗传地维持,我们研究了从头DNA甲基化编程作为建立icb无应答状态的T细胞耗尽的细胞内在机制的作用。我们报道,阻断激活的CD8 T细胞的从头DNA甲基化可以使它们在持续病毒感染期间的慢性刺激下保持其效应功能。在免疫反应的效应和衰竭阶段,抗原特异性小鼠CD8 T细胞的全基因组亚硫酸盐测序鉴定了在PD-1阻断治疗期间逐渐获得的遗传性从头甲基化程序,该程序限制了T细胞的扩增和克隆多样性。此外,这些耗竭相关的DNA甲基化程序在肿瘤浸润的PD-1hi CD8 T细胞中获得。逆转这些程序的治疗方法可以增强icb介导的T细胞再生,并最终促进慢性病毒感染和肿瘤生长的控制。这些数据证实了DNA甲基化编程作为T细胞耗竭和ICB治疗屏障的调节因子。引文格式:Hazem E. Ghoneim, Yiping Fan, Ardiana Moustaki, Hossam Abdelsamed, Pradyot Dash, Pranay Dogra, Robert Carter, Walid Awad, Geoff Neale, Paul G. Thomas, Ben Youngblood。新生表观遗传编程抑制PD-1阻断介导的T细胞返老还童[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫,2018;6(9增刊):摘要nr A26。
{"title":"Abstract A26: De novo epigenetic programming restrains PD-1 blockade-mediated T cell rejuvenation","authors":"Hazem E. Ghoneim, Yiping Fan, A. Moustaki, Hossam A. Abdelsamed, P. Dash, P. Dogra, R. Carter, Walid Awad, G. Neale, P. Thomas, Ben Youngblood","doi":"10.1158/2326-6074.TUMIMM17-A26","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A26","url":null,"abstract":"Immune checkpoint blockade (ICB)-mediated rejuvenation of exhausted T cells has emerged as a promising approach for treating various cancers and chronic infections. However, T cells that become fully exhausted during prolonged antigen exposure remain refractory to ICB-mediated rejuvenation. Given that many of the impaired effector properties of terminally exhausted CD8 T cells appear to be heritably maintained even in the absence of antigen, we investigated the role of de novo DNA methylation programming as a cell-intrinsic mechanism for establishing the ICB-nonresponsive state of T-cell exhaustion. We report that blocking de novo DNA methylation in activated CD8 T cells allows them to retain their effector functions despite chronic stimulation during a persistent viral infection. Whole-genome bisulfite sequencing of antigen-specific murine CD8 T cells at the effector and exhaustion stages of an immune response identified progressively acquired heritable de novo methylation programs that restrict T cell expansion and clonal diversity during PD-1 blockade treatment. Moreover, these exhaustion-associated DNA methylation programs were acquired in tumor-infiltrating PD-1hi CD8 T cells. Therapeutic approaches to reverse these programs can enhance ICB-mediated T cell rejuvenation and ultimately facilitate the control of chronic viral infections and tumor growth. These data establish de novo DNA methylation programming as a regulator of T cell exhaustion and barrier of ICB therapy. Citation Format: Hazem E. Ghoneim, Yiping Fan, Ardiana Moustaki, Hossam Abdelsamed, Pradyot Dash, Pranay Dogra, Robert Carter, Walid Awad, Geoff Neale, Paul G. Thomas, Ben Youngblood. De novo epigenetic programming restrains PD-1 blockade-mediated T cell rejuvenation [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A26.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79981439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A39
G. Hostetter, Liu Minmin, Marie Mustert, Bree D. Berghuis, L. Turner, Peter A. Jones, S. Baylin, S. Jewell, L. Sempere
Background: Immune checkpoint blockade remarkably provides durable clinical response in solid tumors and immunohistochemistry (IHC) measures are current companion diagnostics. Currently four (4) IHC companion diagnostics of Programed Death Ligand (PD-L1) are components of FDA approved clinical trials. The marked clinical responses seen in checkpoint inhibition outpace basic science advances. Our previous reports of interferon mediated viral response against dsRNA intermediates, namely in colon and bladder cancer, have examined the role of global demethylation (5-AZA) and combination therapies. Materials and Methods: Cell lines HCT116 (colon) and T24 (bladder) were treated with single and combination therapy o f 5-AZA and Vitamin C were formalin fixed and processed for IHC staining for Ki67, MHL1 and markers of viral response: dsRNA markers (K1, J2), interferon activation (RIG I, MDA5, IFIT1, IFI27, IRF7, IRF9, and pSTAT1. Immune related markers included CD4, CD8, CD68, CD163 and PD-L1 (clone SP263). TMA sections were stained by automated immunostainers to include a subset of patient-matched whole sections. IHC staining documented for protein abundance (intensity 0-3) and cellular localization (nuclear, cytoplasmic, membranous) Results: Colon cell line experiments confirmed viral response activation with correlative staining of dsRNA antibodies with viral response markers RIG1, MDA5, IFIT1, IFI27, IRF7 and pSTAT1 with robust staining in formalin fixed paraffin embedded (FFPE) tissues with the exception of IFI27 and RIG1. Immune and macrophage markers CD8, CD4, CD68, and CD163 showed variable correlation with viral response markers and PD-L1 staining heterogeneous and most prevalent in non-small cell lung cancer (34%). Of 3 MMR deficient colon cancers, 2 stained positive for PD-L1. MDA5 staining was present in tumor and stroma but stronger peri-tumoral suggesting relation to tumor infiltrating lymphocytes. TMA cores and corresponding whole sections with co-expressed PD-L1 and MDA5 showed marked diminished CD8 staining as verified by nuclear quantitative algorithm. Summary: Here we evaluate the viral response phenotype via global demethylation in solid tumors with emphasis on colon and bladder cancer. lung and breast cancer. IHC methods in cell lines and FFPE clinical tissues provide a robust strategy to link viral and immune response in clinical tissue samples and provides glimpses of viral and immune pathways that might better elucidate tumor biology and thereby predict tumor response to drug regimens that include checkpoint inhibitors. Citation Format: Galen Hostetter, Liu Minmin, Marie Mustert, Bree Berghuis, Lisa Turner, Peter Jones, Steve Baylin, Scott Jewell, Lorenzo Sempere. Viral response markers in immune-competent solid tumors by immunohistochemistry [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstrac
背景:免疫检查点阻断在实体瘤中显著提供持久的临床反应,免疫组织化学(IHC)措施是当前的伴随诊断。目前,程序性死亡配体(PD-L1)的四种免疫组化伴随诊断是FDA批准的临床试验的组成部分。在检查点抑制中看到的显著临床反应超过了基础科学的进步。我们之前关于干扰素介导的针对dsRNA中间体的病毒反应的报道,即在结肠癌和膀胱癌中,已经研究了全局去甲基化(5-AZA)和联合治疗的作用。材料和方法:用5-AZA和维生素C单独或联合治疗HCT116(结肠)和T24(膀胱)细胞系,经福尔马林固定,免疫组化染色检测Ki67、MHL1和病毒反应标志物:dsRNA标记物(K1、J2),干扰素激活物(RIG I、MDA5、IFIT1、ifif27、IRF7、IRF9和pSTAT1。免疫相关标志物包括CD4、CD8、CD68、CD163和PD-L1(克隆SP263)。TMA切片由自动免疫染色机染色,包括患者匹配的整个切片的子集。免疫组化染色记录了蛋白丰度(强度0-3)和细胞定位(核、细胞质、膜)结果:结肠细胞系实验证实,dsRNA抗体与病毒反应标记物RIG1、MDA5、IFIT1、IFI27、IRF7和pSTAT1相关染色,在福尔马林固定石蜡包埋(FFPE)组织中,除IFI27和RIG1外,rsrna抗体染色稳健。免疫和巨噬细胞标志物CD8、CD4、CD68和CD163与病毒反应标志物和PD-L1染色呈异质性且在非小细胞肺癌中最普遍(34%)。在3例MMR缺陷结肠癌中,2例PD-L1染色阳性。肿瘤和间质中均有MDA5染色,但肿瘤周围较强,提示与肿瘤浸润淋巴细胞有关。核定量算法证实,共表达PD-L1和MDA5的TMA核心和相应的整个切片CD8染色明显减少。摘要:在这里,我们通过整体去甲基化评估实体肿瘤中的病毒反应表型,重点是结肠癌和膀胱癌。肺癌和乳腺癌。细胞系和FFPE临床组织中的免疫组化方法提供了一种将临床组织样本中的病毒和免疫反应联系起来的强大策略,并提供了病毒和免疫途径的一瞥,可能更好地阐明肿瘤生物学,从而预测肿瘤对包括检查点抑制剂在内的药物方案的反应。引文格式:Galen Hostetter,刘敏敏,Marie Mustert, Bree Berghuis, Lisa Turner, Peter Jones, Steve Baylin, Scott Jewell, Lorenzo Sempere。免疫组化技术在免疫活性实体瘤中的病毒反应标志物研究[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫,2018;6(9增刊):摘要nr A39。
{"title":"Abstract A39: Viral response markers in immune-competent solid tumors by immunohistochemistry","authors":"G. Hostetter, Liu Minmin, Marie Mustert, Bree D. Berghuis, L. Turner, Peter A. Jones, S. Baylin, S. Jewell, L. Sempere","doi":"10.1158/2326-6074.TUMIMM17-A39","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A39","url":null,"abstract":"Background: Immune checkpoint blockade remarkably provides durable clinical response in solid tumors and immunohistochemistry (IHC) measures are current companion diagnostics. Currently four (4) IHC companion diagnostics of Programed Death Ligand (PD-L1) are components of FDA approved clinical trials. The marked clinical responses seen in checkpoint inhibition outpace basic science advances. Our previous reports of interferon mediated viral response against dsRNA intermediates, namely in colon and bladder cancer, have examined the role of global demethylation (5-AZA) and combination therapies. Materials and Methods: Cell lines HCT116 (colon) and T24 (bladder) were treated with single and combination therapy o f 5-AZA and Vitamin C were formalin fixed and processed for IHC staining for Ki67, MHL1 and markers of viral response: dsRNA markers (K1, J2), interferon activation (RIG I, MDA5, IFIT1, IFI27, IRF7, IRF9, and pSTAT1. Immune related markers included CD4, CD8, CD68, CD163 and PD-L1 (clone SP263). TMA sections were stained by automated immunostainers to include a subset of patient-matched whole sections. IHC staining documented for protein abundance (intensity 0-3) and cellular localization (nuclear, cytoplasmic, membranous) Results: Colon cell line experiments confirmed viral response activation with correlative staining of dsRNA antibodies with viral response markers RIG1, MDA5, IFIT1, IFI27, IRF7 and pSTAT1 with robust staining in formalin fixed paraffin embedded (FFPE) tissues with the exception of IFI27 and RIG1. Immune and macrophage markers CD8, CD4, CD68, and CD163 showed variable correlation with viral response markers and PD-L1 staining heterogeneous and most prevalent in non-small cell lung cancer (34%). Of 3 MMR deficient colon cancers, 2 stained positive for PD-L1. MDA5 staining was present in tumor and stroma but stronger peri-tumoral suggesting relation to tumor infiltrating lymphocytes. TMA cores and corresponding whole sections with co-expressed PD-L1 and MDA5 showed marked diminished CD8 staining as verified by nuclear quantitative algorithm. Summary: Here we evaluate the viral response phenotype via global demethylation in solid tumors with emphasis on colon and bladder cancer. lung and breast cancer. IHC methods in cell lines and FFPE clinical tissues provide a robust strategy to link viral and immune response in clinical tissue samples and provides glimpses of viral and immune pathways that might better elucidate tumor biology and thereby predict tumor response to drug regimens that include checkpoint inhibitors. Citation Format: Galen Hostetter, Liu Minmin, Marie Mustert, Bree Berghuis, Lisa Turner, Peter Jones, Steve Baylin, Scott Jewell, Lorenzo Sempere. Viral response markers in immune-competent solid tumors by immunohistochemistry [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstrac","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80213393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A35
Gyulnara G. Kasumova, Alvin Shi, J. Cintolo-Gonzalez, I. Chein, Dennie T. Frederick, Roman Alpatov, W. Michaud, D. Plana, D. Panka, R. Corcoran, K. Flaherty, R. Sullivan, Manolis Kellis, G. Boland
Background: Modulation of the PD-1/PD-L1 axis in melanoma is of critical importance in both the setting of targeted therapy treatment, as well as in newer trials combining targeted therapy with checkpoint blocking antibodies. BRAF inhibition has been shown to increase PD-L1 expression in melanoma tumors. Exosomes are circulating microvesicles that contain a subtranscriptome and/or subproteome of their cell of origin, including tumor cells and immune cells. We evaluated melanoma exosomal PD-L1 protein expression and the effect of BRAF inhibitor (BRAFi) treatment on exosomal PD-L1 protein levels. Methods: Melanoma cell lines (BRAFi sensitive [A375] and resistant [RPMI7951; induced resistant A375]) and patient plasma were used for analysis. Exosomal vesicles were isolated using centrifugation. Functional proteomics by reverse phase protein array (RPPA) were performed in cell lines and exosomes. RPPA PD-L1 results were quantified in cells and exosomes treated with control (DMSO) and BRAFi (PLX-4720). Exosomal PD-L1 expression from serial patient plasma with metastatic melanoma were assessed using ELISA prior to and after initiation of anti-PD-1 therapy. Results: Functional proteomic analysis revealed PD-L1 expression on both BRAFi sensitive and resistant cell lines. Cell line derived exosomes demonstrated enrichment of PD-L1 expression compared to their cell of origin, with significantly higher levels of expression in resistant lines and upon treatment with BRAFi therapy. Exosomes derived from patients with melanoma also revealed pre-treatment and on-treatment PD-L1 expression. Furthermore, consistent with cell line data, in a representative patient treated with BRAFi therapy prior to anti-PD-1 therapy, exosomal PD-L1 protein expression increased dramatically upon treatment with BRAFi and preceded a complete response to anti-PD-1 therapy. All other patients were treated only with checkpoint blockade and the majority demonstrated correlation of PD-L1 protein expression with tumor burden. Conclusions: These results confirm that exosomes from cell lines and patient samples express PD-L1 that can be serially monitored, and that treatment with BRAF inhibition results in increased PD-L1 levels, which in vitro are persistently elevated in BRAFi resistant cells. We also noted that exosomal PD-L1 protein expression levels tend to correlate with tumor burden in patient samples. Measuring PD-L1 expression may serve as a potential biomarker of tumor burden and as an inducible response to BRAFi therapy that predicts synergism with checkpoint anti-PD-1 therapy. Citation Format: Gyulnara G. Kasumova, Alvin Shi, Jessica A. Cintolo-Gonzalez, Isabel Chein, Dennie T. Frederick, Roman Alpatov, William A. Michaud, Deborah Plana, David J. Panka, Ryan B. Corcoran, Keith T. Flaherty, Ryan J. Sullivan, Manolis Kellis, Genevieve M. Boland. BRAF inhibition increases exosomal PD-L1 protein expression in melanoma [abstract]. In: Proceedings of the AACR Special Conference on Tumo
背景:黑色素瘤中PD-1/PD-L1轴的调节在靶向治疗的设置中以及在靶向治疗与检查点阻断抗体结合的新试验中都至关重要。BRAF抑制已被证明可增加黑色素瘤中PD-L1的表达。外泌体是一种循环的微泡,含有其起源细胞的亚转录组和/或亚蛋白质组,包括肿瘤细胞和免疫细胞。我们评估了黑色素瘤外泌体PD-L1蛋白表达以及BRAF抑制剂(BRAFi)治疗对外泌体PD-L1蛋白水平的影响。方法:黑色素瘤细胞系(BRAFi敏感[A375]和耐药[RPMI7951];诱导耐药A375])和患者血浆进行分析。离心分离外泌体囊泡。利用逆相蛋白阵列(RPPA)技术对细胞系和外泌体进行功能蛋白质组学研究。RPPA PD-L1结果在对照(DMSO)和BRAFi (PLX-4720)处理的细胞和外泌体中被量化。在开始抗pd -1治疗之前和之后,使用ELISA评估转移性黑色素瘤患者血浆外泌体PD-L1表达。结果:功能蛋白质组学分析显示,PD-L1在BRAFi敏感和耐药细胞系中均有表达。细胞系衍生的外泌体显示PD-L1表达比其来源细胞丰富,在耐药细胞系和经BRAFi治疗后表达水平显著提高。来自黑色素瘤患者的外泌体也显示了治疗前和治疗后PD-L1的表达。此外,与细胞系数据一致,在抗pd -1治疗前接受BRAFi治疗的代表性患者中,外泌体PD-L1蛋白表达在接受BRAFi治疗后急剧增加,并且在抗pd -1治疗完全缓解之前。所有其他患者仅接受检查点阻断治疗,大多数患者显示PD-L1蛋白表达与肿瘤负荷相关。结论:这些结果证实,来自细胞系和患者样本的外泌体表达的PD-L1可以连续监测,并且BRAF抑制治疗导致PD-L1水平升高,在体外BRAFi耐药细胞中PD-L1水平持续升高。我们还注意到外泌体PD-L1蛋白表达水平倾向于与患者样本中的肿瘤负荷相关。测量PD-L1的表达可以作为肿瘤负荷的潜在生物标志物,并作为对BRAFi治疗的诱导反应,预测与检查点抗pd -1治疗的协同作用。引文格式:Gyulnara G. Kasumova, Alvin Shi, Jessica A. Cintolo-Gonzalez, Isabel Chein, Dennie T. Frederick, Roman Alpatov, William A. Michaud, Deborah Plana, David J. Panka, Ryan B. Corcoran, Keith T. Flaherty, Ryan J. Sullivan, Manolis Kellis, Genevieve M. Boland。BRAF抑制增加黑色素瘤外泌体PD-L1蛋白表达[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫,2018;6(9增刊):摘要nr A35。
{"title":"Abstract A35: BRAF inhibition increases exosomal PD-L1 protein expression in melanoma","authors":"Gyulnara G. Kasumova, Alvin Shi, J. Cintolo-Gonzalez, I. Chein, Dennie T. Frederick, Roman Alpatov, W. Michaud, D. Plana, D. Panka, R. Corcoran, K. Flaherty, R. Sullivan, Manolis Kellis, G. Boland","doi":"10.1158/2326-6074.TUMIMM17-A35","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A35","url":null,"abstract":"Background: Modulation of the PD-1/PD-L1 axis in melanoma is of critical importance in both the setting of targeted therapy treatment, as well as in newer trials combining targeted therapy with checkpoint blocking antibodies. BRAF inhibition has been shown to increase PD-L1 expression in melanoma tumors. Exosomes are circulating microvesicles that contain a subtranscriptome and/or subproteome of their cell of origin, including tumor cells and immune cells. We evaluated melanoma exosomal PD-L1 protein expression and the effect of BRAF inhibitor (BRAFi) treatment on exosomal PD-L1 protein levels. Methods: Melanoma cell lines (BRAFi sensitive [A375] and resistant [RPMI7951; induced resistant A375]) and patient plasma were used for analysis. Exosomal vesicles were isolated using centrifugation. Functional proteomics by reverse phase protein array (RPPA) were performed in cell lines and exosomes. RPPA PD-L1 results were quantified in cells and exosomes treated with control (DMSO) and BRAFi (PLX-4720). Exosomal PD-L1 expression from serial patient plasma with metastatic melanoma were assessed using ELISA prior to and after initiation of anti-PD-1 therapy. Results: Functional proteomic analysis revealed PD-L1 expression on both BRAFi sensitive and resistant cell lines. Cell line derived exosomes demonstrated enrichment of PD-L1 expression compared to their cell of origin, with significantly higher levels of expression in resistant lines and upon treatment with BRAFi therapy. Exosomes derived from patients with melanoma also revealed pre-treatment and on-treatment PD-L1 expression. Furthermore, consistent with cell line data, in a representative patient treated with BRAFi therapy prior to anti-PD-1 therapy, exosomal PD-L1 protein expression increased dramatically upon treatment with BRAFi and preceded a complete response to anti-PD-1 therapy. All other patients were treated only with checkpoint blockade and the majority demonstrated correlation of PD-L1 protein expression with tumor burden. Conclusions: These results confirm that exosomes from cell lines and patient samples express PD-L1 that can be serially monitored, and that treatment with BRAF inhibition results in increased PD-L1 levels, which in vitro are persistently elevated in BRAFi resistant cells. We also noted that exosomal PD-L1 protein expression levels tend to correlate with tumor burden in patient samples. Measuring PD-L1 expression may serve as a potential biomarker of tumor burden and as an inducible response to BRAFi therapy that predicts synergism with checkpoint anti-PD-1 therapy. Citation Format: Gyulnara G. Kasumova, Alvin Shi, Jessica A. Cintolo-Gonzalez, Isabel Chein, Dennie T. Frederick, Roman Alpatov, William A. Michaud, Deborah Plana, David J. Panka, Ryan B. Corcoran, Keith T. Flaherty, Ryan J. Sullivan, Manolis Kellis, Genevieve M. Boland. BRAF inhibition increases exosomal PD-L1 protein expression in melanoma [abstract]. In: Proceedings of the AACR Special Conference on Tumo","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89983904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A37
Y. Yokoyama, E. Lew, C. Walsh, Jack Y. Lee, Joanne Oh, E. Tindall, R. Nevarez, Amy Diliberto, Heather A. Ely, Ruth Seelige, A. Albert, J. Bui, Gary Li
Background: The TAM family of receptor tyrosine kinases (RTKs), TYRO3, AXL, and MER, have emerged as attractive targets for cancer therapy. In cancer cells, overexpression of TAM RTKs is associated with resistance and a mesenchymal phenotype. In immune cells, TAM RTKs play a key homeostatic role as negative regulators of immune responses, contributing to the evasion of cancer cells from immune surveillance. RXDX-106 is a potent and selective TAM family inhibitor in preclinical development. Previously, in several syngeneic tumor models, we have demonstrated that RXDX-106 alone inhibited tumor growth, whereas such benefit was reduced when the tumors grew in immunocompromised athymic nude mice. In addition, RXDX-106 induced favorable polarization of the tumor infiltrating immune cells towards an anti-cancer phenotype. Here we sought (1) to evaluate the efficacy of RXDX-106 as a single agent and in combination with immune checkpoint inhibitors; (2) to identify the immuno-modulatory mechanisms of action; (3) to explore the reciprocal regulation of TAM expression on cancer and immune cells in the tumor microenvironment; and (4) to decipher how pharmacological inhibition of TAM signaling pathways on both tumor and immune cells would be beneficial, given their complex regulation and intimate relationship in the tumor microenvironment. Methods and Results: In the present study, we demonstrated that tumor growth inhibition in an MC38 model was associated with a significant increase in tumor associated M1 macrophages, an increase in CD169hi antigen presenting macrophages, and upregulation of PD-L1. In addition, we observed a higher ratio of CD8+/CD4+ T cells and increased expression of CD69 and PD-1 on CD8+ T cells, all indicative of activation of cytotoxic T cells. Finally, we observed an increase in Granzyme B and IFNγ with a concomitant decrease in VEGF in tumor cell lysates, evidence supporting T cell activation and M1 polarization of macrophages. Furthermore, in a CT26 syngeneic model, we demonstrated that RXDX-106 inhibited tumor growth as a single agent, and the effect was further potentiated by combination therapy with immune checkpoint inhibitors, as evidenced by upregulation of anti-tumor gene expression patterns, upregulation of anti-tumor cytokines in the tumor cell lysates, and an increase in T cell function. Finally, in an AXL-driven tumor model, we demonstrated that AXL expressing tumors induced a pro-tumorigenic immune environment, and treatment with RXDX-106 resulted in complete tumor regression and re-polarization of macrophages towards an M1, anti-tumor phenotype. Conclusion: RXDX-106 has the potential to restore and enhance immune function in macrophages and T cells, resulting in repolarization of the immune response towards an anti-tumor microenvironment. The unique mechanism of activating both innate and adaptive immunity, plus regulating cross-talk between immune cells and tumor cells by RXDX-106 supports clinical development of RXDX-
{"title":"Abstract A37: Immuno-oncological efficacy of RXDX-106, a novel TAM (TYRO3, AXL, MER) family small-molecule kinase inhibitor","authors":"Y. Yokoyama, E. Lew, C. Walsh, Jack Y. Lee, Joanne Oh, E. Tindall, R. Nevarez, Amy Diliberto, Heather A. Ely, Ruth Seelige, A. Albert, J. Bui, Gary Li","doi":"10.1158/2326-6074.TUMIMM17-A37","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A37","url":null,"abstract":"Background: The TAM family of receptor tyrosine kinases (RTKs), TYRO3, AXL, and MER, have emerged as attractive targets for cancer therapy. In cancer cells, overexpression of TAM RTKs is associated with resistance and a mesenchymal phenotype. In immune cells, TAM RTKs play a key homeostatic role as negative regulators of immune responses, contributing to the evasion of cancer cells from immune surveillance. RXDX-106 is a potent and selective TAM family inhibitor in preclinical development. Previously, in several syngeneic tumor models, we have demonstrated that RXDX-106 alone inhibited tumor growth, whereas such benefit was reduced when the tumors grew in immunocompromised athymic nude mice. In addition, RXDX-106 induced favorable polarization of the tumor infiltrating immune cells towards an anti-cancer phenotype. Here we sought (1) to evaluate the efficacy of RXDX-106 as a single agent and in combination with immune checkpoint inhibitors; (2) to identify the immuno-modulatory mechanisms of action; (3) to explore the reciprocal regulation of TAM expression on cancer and immune cells in the tumor microenvironment; and (4) to decipher how pharmacological inhibition of TAM signaling pathways on both tumor and immune cells would be beneficial, given their complex regulation and intimate relationship in the tumor microenvironment. Methods and Results: In the present study, we demonstrated that tumor growth inhibition in an MC38 model was associated with a significant increase in tumor associated M1 macrophages, an increase in CD169hi antigen presenting macrophages, and upregulation of PD-L1. In addition, we observed a higher ratio of CD8+/CD4+ T cells and increased expression of CD69 and PD-1 on CD8+ T cells, all indicative of activation of cytotoxic T cells. Finally, we observed an increase in Granzyme B and IFNγ with a concomitant decrease in VEGF in tumor cell lysates, evidence supporting T cell activation and M1 polarization of macrophages. Furthermore, in a CT26 syngeneic model, we demonstrated that RXDX-106 inhibited tumor growth as a single agent, and the effect was further potentiated by combination therapy with immune checkpoint inhibitors, as evidenced by upregulation of anti-tumor gene expression patterns, upregulation of anti-tumor cytokines in the tumor cell lysates, and an increase in T cell function. Finally, in an AXL-driven tumor model, we demonstrated that AXL expressing tumors induced a pro-tumorigenic immune environment, and treatment with RXDX-106 resulted in complete tumor regression and re-polarization of macrophages towards an M1, anti-tumor phenotype. Conclusion: RXDX-106 has the potential to restore and enhance immune function in macrophages and T cells, resulting in repolarization of the immune response towards an anti-tumor microenvironment. The unique mechanism of activating both innate and adaptive immunity, plus regulating cross-talk between immune cells and tumor cells by RXDX-106 supports clinical development of RXDX-","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91388119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A09
K. Hastings, S. Gettinger, Choi Jungmin, A. Truini, I. Datar, R. Sowell, A. Wurtz, W. Dong, G. Cai, M. Melnick, J. Schlessinger, S. Goldberg, A. Chiang, I. Melero, J. Agorreta, L. Montuenga, R. Lifton, S. Ferrone, P. Kavathas, D. Rimm, S. Kaech, K. Schalper, R. Herbst, K. Politi
Immune checkpoint inhibitors (ICIs) including programmed death 1 (PD-1) and programmed death ligand 1 (PD-L1) antagonist antibodies for lung tumors mark a new era of cancer therapeutics harnessing a patient’s immune system to induce durable antitumor responses. Despite their impressive activity in some patients, challenges remain as most tumors exhibit primary or acquired resistance (AR) to ICIs, and the biologic mechanisms for resistance are poorly understood. Using a collection of 14 ICI-resistant lung cancer samples, we investigated whether alterations in genes encoding components of the HLA Class I antigen processing and presentation machinery or interferon signaling pathways play a role in AR to PD-1 or PD-L1 antagonistic antibodies. Although we did not detect any recurrent mutations or copy number changes in our AR cohort, we noted one case of an acquired homozygous loss of B2M that resulted in lack of HLA class I expression on the cell surface in both the patient’s tumor sample and the corresponding patient-derived xenograft (PDX). Downregulation of B2M was also found in two additional PDXs established from ICI-resistant tumors. To test if B2m expression confers sensitivity to ICIs in vivo, we used a CRISPR-mediated approach to knockout B2m in an ICI-sensitive, murine lung cancer cell line and transplanted the cells into syngeneic, immunocompetent mice. We found that the B2m knockout tumors were resistant to ICI therapy in contrast to the wild type tumors. Furthermore, RNA-seq analysis of a subset of the samples in the acquired resistance to ICI cohort revealed an inflammatory tumor microenvironment with significant upregulation of the inhibitory receptors LAG-3 and PD-1 in tumor-infiltrating T cells at ICI resistance. Overall, these findings provide a novel system for the evaluation and screening of candidate genes for their ability to mediate AR to ICIs in vivo. Moreover, they also provide evidence for the disruption of HLA Class I antigen processing and presentation as a mechanism for escape from ICIs in lung cancer and provide information on the immune microenvironment in ICI-resistant tumors. Citation Format: Katherine Hastings, Scott Gettinger, Choi Jungmin, Anna Truini, Ila Datar, Ryan Sowell, Anna Wurtz, Weilai Dong, Guoping Cai, Mary Ann Melnick, Joseph Schlessinger, Sarah Goldberg, Anne Chiang, Ignacio Melero, Jackeline Agorreta, Luis Montuenga, Richard Lifton, Soldano Ferrone, Paula Kavathas, David Rimm, Susan Kaech, Kurt Schalper, Roy Herbst, Katerina Politi. Impaired HLA Class I antigen processing and presentation as a mechanism of acquired Rrsistance to immune checkpoint inhibitors in lung cancer [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A09.
{"title":"Abstract A09: Impaired HLA Class I antigen processing and presentation as a mechanism of acquired Rrsistance to immune checkpoint inhibitors in lung cancer","authors":"K. Hastings, S. Gettinger, Choi Jungmin, A. Truini, I. Datar, R. Sowell, A. Wurtz, W. Dong, G. Cai, M. Melnick, J. Schlessinger, S. Goldberg, A. Chiang, I. Melero, J. Agorreta, L. Montuenga, R. Lifton, S. Ferrone, P. Kavathas, D. Rimm, S. Kaech, K. Schalper, R. Herbst, K. Politi","doi":"10.1158/2326-6074.TUMIMM17-A09","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A09","url":null,"abstract":"Immune checkpoint inhibitors (ICIs) including programmed death 1 (PD-1) and programmed death ligand 1 (PD-L1) antagonist antibodies for lung tumors mark a new era of cancer therapeutics harnessing a patient’s immune system to induce durable antitumor responses. Despite their impressive activity in some patients, challenges remain as most tumors exhibit primary or acquired resistance (AR) to ICIs, and the biologic mechanisms for resistance are poorly understood. Using a collection of 14 ICI-resistant lung cancer samples, we investigated whether alterations in genes encoding components of the HLA Class I antigen processing and presentation machinery or interferon signaling pathways play a role in AR to PD-1 or PD-L1 antagonistic antibodies. Although we did not detect any recurrent mutations or copy number changes in our AR cohort, we noted one case of an acquired homozygous loss of B2M that resulted in lack of HLA class I expression on the cell surface in both the patient’s tumor sample and the corresponding patient-derived xenograft (PDX). Downregulation of B2M was also found in two additional PDXs established from ICI-resistant tumors. To test if B2m expression confers sensitivity to ICIs in vivo, we used a CRISPR-mediated approach to knockout B2m in an ICI-sensitive, murine lung cancer cell line and transplanted the cells into syngeneic, immunocompetent mice. We found that the B2m knockout tumors were resistant to ICI therapy in contrast to the wild type tumors. Furthermore, RNA-seq analysis of a subset of the samples in the acquired resistance to ICI cohort revealed an inflammatory tumor microenvironment with significant upregulation of the inhibitory receptors LAG-3 and PD-1 in tumor-infiltrating T cells at ICI resistance. Overall, these findings provide a novel system for the evaluation and screening of candidate genes for their ability to mediate AR to ICIs in vivo. Moreover, they also provide evidence for the disruption of HLA Class I antigen processing and presentation as a mechanism for escape from ICIs in lung cancer and provide information on the immune microenvironment in ICI-resistant tumors. Citation Format: Katherine Hastings, Scott Gettinger, Choi Jungmin, Anna Truini, Ila Datar, Ryan Sowell, Anna Wurtz, Weilai Dong, Guoping Cai, Mary Ann Melnick, Joseph Schlessinger, Sarah Goldberg, Anne Chiang, Ignacio Melero, Jackeline Agorreta, Luis Montuenga, Richard Lifton, Soldano Ferrone, Paula Kavathas, David Rimm, Susan Kaech, Kurt Schalper, Roy Herbst, Katerina Politi. Impaired HLA Class I antigen processing and presentation as a mechanism of acquired Rrsistance to immune checkpoint inhibitors in lung cancer [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A09.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82726835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A31
Huizhong Xiong, M. Moskalenko, Ryan Rodriguez, S. Mittman, Michelle Yang, J. Kim, R. Barcelli
Tumor-associated macrophages play a vital role in shaping tumor environment and contribute to the cancer-immune set point. Immunotherapy such as aPD1/aPDL1 has demonstrated remarkable therapeutic efficacy on a variety of cancers through reinvigorating CD8+ T cells. However, its impact on macrophages largely remains unclear. Here by using mouse MC38 cancer model, we show that aPDL1 re-programs macrophages from M2-like to M1-like: it decreases Arginase-I (ARG1), an M2-like marker, and increases iNOS and MHCII, both M1-like markers, on macrophages. Next, we investigate the mechanism behind the reprogramming. We identify that IFNg from CD8+ T cells and NK cells is boosted by aPDL1 and is required for macrophage re-polarization. IFNg blockade abrogates this process. Finally, we examine additional cancer models and observe similar phenotypes in another aPDL1-responsive model, but not in a third, non-responsive model. We conclude that tumor associated macrophage is re-programmed from M2-like to M1-like following aPDL1 treatment, and that it is mediated by enhanced IFNg in the tumor environment. Our findings suggest macrophage reprogramming as a novel mechanism and an independent avenue to promote antitumor activity via modulation of the cancer-immune set point. Citation Format: Huizhong Xiong, Marina Moskalenko, Ryan Rodriguez, Stephanie Mittman, Michelle Yang, Jeong Kim, Rafael Cubas Barcelli. Reprogramming of tumor-associated macrophages by anti-Program Death Ligand 1 (PDL1) [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A31.
肿瘤相关巨噬细胞在塑造肿瘤环境中起着至关重要的作用,并有助于癌症免疫设定点。aPD1/aPDL1等免疫疗法通过活化CD8+ T细胞对多种癌症显示出显着的治疗效果。然而,其对巨噬细胞的影响在很大程度上仍不清楚。通过小鼠MC38癌症模型,我们发现aPDL1可以将巨噬细胞从m2样细胞重编程为m1样细胞:它降低了m2样标记Arginase-I (ARG1),并增加了巨噬细胞上的iNOS和MHCII(两者都是m1样标记)。接下来,我们将探讨重编程背后的机制。我们发现来自CD8+ T细胞和NK细胞的IFNg被aPDL1增强,并且是巨噬细胞再极化所必需的。IFNg封锁取消了这一过程。最后,我们研究了其他癌症模型,并在另一个apdl1应答模型中观察到类似的表型,但在第三个无应答模型中没有观察到。我们得出结论,在aPDL1治疗后,肿瘤相关巨噬细胞从m2样重编程为m1样,并且在肿瘤环境中,这是由增强的IFNg介导的。我们的研究结果表明,巨噬细胞重编程是一种通过调节癌症免疫设定点来促进抗肿瘤活性的新机制和独立途径。引文格式:熊慧忠,Marina Moskalenko, Ryan Rodriguez, Stephanie Mittman, Michelle Yang, Jeong Kim, Rafael Cubas Barcelli。抗程序死亡配体1 (anti-Program Death Ligand 1, PDL1)重编程肿瘤相关巨噬细胞[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫学杂志,2018;6(9增刊):摘要nr A31。
{"title":"Abstract A31: Reprogramming of tumor-associated macrophages by anti-Program Death Ligand 1 (PDL1)","authors":"Huizhong Xiong, M. Moskalenko, Ryan Rodriguez, S. Mittman, Michelle Yang, J. Kim, R. Barcelli","doi":"10.1158/2326-6074.TUMIMM17-A31","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A31","url":null,"abstract":"Tumor-associated macrophages play a vital role in shaping tumor environment and contribute to the cancer-immune set point. Immunotherapy such as aPD1/aPDL1 has demonstrated remarkable therapeutic efficacy on a variety of cancers through reinvigorating CD8+ T cells. However, its impact on macrophages largely remains unclear. Here by using mouse MC38 cancer model, we show that aPDL1 re-programs macrophages from M2-like to M1-like: it decreases Arginase-I (ARG1), an M2-like marker, and increases iNOS and MHCII, both M1-like markers, on macrophages. Next, we investigate the mechanism behind the reprogramming. We identify that IFNg from CD8+ T cells and NK cells is boosted by aPDL1 and is required for macrophage re-polarization. IFNg blockade abrogates this process. Finally, we examine additional cancer models and observe similar phenotypes in another aPDL1-responsive model, but not in a third, non-responsive model. We conclude that tumor associated macrophage is re-programmed from M2-like to M1-like following aPDL1 treatment, and that it is mediated by enhanced IFNg in the tumor environment. Our findings suggest macrophage reprogramming as a novel mechanism and an independent avenue to promote antitumor activity via modulation of the cancer-immune set point. Citation Format: Huizhong Xiong, Marina Moskalenko, Ryan Rodriguez, Stephanie Mittman, Michelle Yang, Jeong Kim, Rafael Cubas Barcelli. Reprogramming of tumor-associated macrophages by anti-Program Death Ligand 1 (PDL1) [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A31.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89505378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A40
A. Hinsch, M. Kluth, A. Lübke, A. Menz, T. Krech, S. Steurer, D. Höflmayer, G. Sauter, W. Wilczak, K. Fischer, R. Simon
Introduction: TIGIT (T-cell immunoreceptor with Ig and ITIM domains) is an immune checkpoint protein expressed on subsets of cytotoxic and regulatory T cells. TIGIT inhibiting drugs are currently being developed. The purpose of this study was to investigate the pattern of TIGIT expressing cells in normal tissues, inflammation and cancer. Methods: Monoclonal mouse antibodies were used for immunohistochemical TIGIT (Dianova, Hamburg, Germany) and PD1 (Abcam, Cambridge, UK, ab52587) analyses on formalin fixed paraffin embedded tissue sections from normal lymphatic tissues as well as selected inflammations and cancers. Results: In lymph nodes and tonsils, TIGIT positivity was seen in a large fraction of the germinal center T-cells. A high density of TIGIT positive T-cells also occurred in the marginal zone and in the interfollicular area. The analyses of selected inflammatory diseases revealed detectable TIGIT expression in a high proportion of T-lymphocytes in BCG induced cystitis and prostatitis, Hashimoto thyreoiditis, Lichen sclerosis of the penis, skin eczema, Crohn’s disease, and rheumatoid synovialitis. In all normal and inflammatory tissues, the pattern of TIGIT expression largely paralleled the pattern of PD1 expression. Three examples each of cancers types for which immune checkpoint inhibitors are already approved or extensively studied (melanoma, lung, kidney, bladder and colorectal cancer) were also analyzed. Here, the number of CD8 positive lymphocytes varied greatly between individual cases and the fraction of TIGIT and PD1 positive CD4 and CD8 positive lymphocytes varied considerably between cases. Conclusion: Expression of TIGIT is regularly seen in a large subset of T-cells and has a similar expression pattern as PD1. TIGIT’s frequent co-expression with PD1 in cytotoxic T-cells is consistent with TIGIT representing a clinically relevant druggable immune checkpoint regulator that potentially could be targeted in combination with PD1. Citation Format: Andrea Hinsch, Martina Kluth, Andreas M. Lubke, Anne Menz, Till Krech, Stefan Steurer, Doris Hoflmayer, Guido Sauter, Waldemar Wilczak, Kristine Fischer, Ronald Simon. Prevalence of TIGIT expression in normal tissues, inflammation, and cancer [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A40.
TIGIT(具有Ig和ITIM结构域的T细胞免疫受体)是一种表达于细胞毒性和调节性T细胞亚群上的免疫检查点蛋白。目前正在开发抑制TIGIT的药物。本研究旨在探讨TIGIT在正常组织、炎症和肿瘤中的表达模式。方法:采用小鼠单克隆抗体对正常淋巴组织及选定炎症和肿瘤组织的福尔马林固定石蜡包埋切片进行免疫组化TIGIT (Dianova, Hamburg, Germany)和PD1 (Abcam, Cambridge, UK, ab52587)分析。结果:在淋巴结和扁桃体中,大部分生发中心t细胞呈TIGIT阳性。高密度的TIGIT阳性t细胞也出现在边缘区和滤泡间区。对选定的炎症性疾病的分析显示,在BCG诱导的膀胱炎和前列腺炎、桥本甲状腺炎、阴茎地衣硬化、皮肤湿疹、克罗恩病和类风湿性滑膜炎中,可检测到TIGIT在t淋巴细胞中的高比例表达。在所有正常组织和炎症组织中,TIGIT的表达模式与PD1的表达模式基本相似。研究还分析了免疫检查点抑制剂已被批准或广泛研究的三种癌症类型(黑色素瘤、肺癌、肾癌、膀胱癌和结直肠癌)。在这里,CD8阳性淋巴细胞的数量在个体病例之间差异很大,TIGIT和PD1阳性CD4和CD8阳性淋巴细胞的比例在病例之间差异很大。结论:TIGIT在t细胞大亚群中有规律表达,其表达模式与PD1相似。TIGIT在细胞毒性t细胞中频繁与PD1共表达,这与TIGIT代表一种临床相关的可药物免疫检查点调节剂一致,可能与PD1联合靶向。引文格式:Andrea Hinsch, Martina Kluth, Andreas M. Lubke, Anne Menz, Till Krech, Stefan Steurer, Doris Hoflmayer, Guido Sauter, Waldemar Wilczak, Kristine Fischer, Ronald Simon。TIGIT在正常组织、炎症和癌症中的表达[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫,2018;6(9增刊):摘要nr A40。
{"title":"Abstract A40: Prevalence of TIGIT expression in normal tissues, inflammation, and cancer","authors":"A. Hinsch, M. Kluth, A. Lübke, A. Menz, T. Krech, S. Steurer, D. Höflmayer, G. Sauter, W. Wilczak, K. Fischer, R. Simon","doi":"10.1158/2326-6074.TUMIMM17-A40","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A40","url":null,"abstract":"Introduction: TIGIT (T-cell immunoreceptor with Ig and ITIM domains) is an immune checkpoint protein expressed on subsets of cytotoxic and regulatory T cells. TIGIT inhibiting drugs are currently being developed. The purpose of this study was to investigate the pattern of TIGIT expressing cells in normal tissues, inflammation and cancer. Methods: Monoclonal mouse antibodies were used for immunohistochemical TIGIT (Dianova, Hamburg, Germany) and PD1 (Abcam, Cambridge, UK, ab52587) analyses on formalin fixed paraffin embedded tissue sections from normal lymphatic tissues as well as selected inflammations and cancers. Results: In lymph nodes and tonsils, TIGIT positivity was seen in a large fraction of the germinal center T-cells. A high density of TIGIT positive T-cells also occurred in the marginal zone and in the interfollicular area. The analyses of selected inflammatory diseases revealed detectable TIGIT expression in a high proportion of T-lymphocytes in BCG induced cystitis and prostatitis, Hashimoto thyreoiditis, Lichen sclerosis of the penis, skin eczema, Crohn’s disease, and rheumatoid synovialitis. In all normal and inflammatory tissues, the pattern of TIGIT expression largely paralleled the pattern of PD1 expression. Three examples each of cancers types for which immune checkpoint inhibitors are already approved or extensively studied (melanoma, lung, kidney, bladder and colorectal cancer) were also analyzed. Here, the number of CD8 positive lymphocytes varied greatly between individual cases and the fraction of TIGIT and PD1 positive CD4 and CD8 positive lymphocytes varied considerably between cases. Conclusion: Expression of TIGIT is regularly seen in a large subset of T-cells and has a similar expression pattern as PD1. TIGIT’s frequent co-expression with PD1 in cytotoxic T-cells is consistent with TIGIT representing a clinically relevant druggable immune checkpoint regulator that potentially could be targeted in combination with PD1. Citation Format: Andrea Hinsch, Martina Kluth, Andreas M. Lubke, Anne Menz, Till Krech, Stefan Steurer, Doris Hoflmayer, Guido Sauter, Waldemar Wilczak, Kristine Fischer, Ronald Simon. Prevalence of TIGIT expression in normal tissues, inflammation, and cancer [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A40.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76283173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.tumimm17-ia30
J. Allison
{"title":"Abstract IA30: Immune checkpoint blockade in cancer therapy: New insights and opportunities, and prospects for cures","authors":"J. Allison","doi":"10.1158/2326-6074.tumimm17-ia30","DOIUrl":"https://doi.org/10.1158/2326-6074.tumimm17-ia30","url":null,"abstract":"","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85683595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A11
Amber J. Giles, Marsha-Kay N. D. Hutchinson, H. Sonnemann, Caitlin M. Reid, Jinkyu Jung, Wei Zhang, Hua Song, R. Bailey, Dionne L Davis, Deric M. Park, M. Roederer, M. Gilbert
Background: Checkpoint inhibitor blockade, designed to activate antitumor immune cells, is gaining enthusiasm as a potential treatment modality for patients with brain tumors. However, adjuvant therapies aimed at killing tumor (i.e., chemotherapy) or reducing tumor-related edema (i.e., corticosteroids) are often cytotoxic to lymphocytes. Yet, whether tumor-specific T cells are harmed during corticosteroid treatment is not known. Methods: The effects of dexamethasone on healthy donor T cells was tested in vitro for T cell proliferation, cell cycle analysis, glucose uptake, transcriptional changes, and protein expression. The effects of dexamethasone and CTLA-4 antibody blockade were tested in vivo using the GL261 murine glioblastoma model. Results: Here we show that dexamethasone blocks proliferation of naive human T cells but not memory T cells. We find that dexamethasone inhibits early stages of T cell proliferation by impairing CD28-mediated cell cycle entry. Dexamethasone induced a fourfold increase in surface CTLA-4 during T cell stimulation, and neutralizing CTLA-4 with ipilimumab overcame the dexamethasone-induced blockade of cell cycle entry in vitro. Further, CTLA-4 blockade in combination with dexamethasone provided a survival benefit in vivo to mice bearing orthotopic GL261 brain tumors. Intriguingly, early dexamethasone treatment afforded the greatest survival advantage Conclusions: These findings shed light on the T cell-specific effects of dexamethasone and suggest that antigen-experienced T cells are resistant to anti-proliferative effects of corticosteroids. These findings have important implications for patients receiving immune therapy who may benefit from the anti-inflammatory properties of dexamethasone. Citation Format: Amber J. Giles, Marsha-Kay N.M. Hutchinson, Heather Sonnemann, Caitlin M. Reid, Jinkyu Jung, Wei Zhang, Hua Song, Rolanda Bailey, Dionne Davis, Deric M. Park, Mario Roederer, Mark R. Gilbert. Ipilimumab protects T cells from the antiproliferative effects of dexamethasone [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A11.
背景:检查点抑制剂阻断,旨在激活抗肿瘤免疫细胞,作为脑肿瘤患者的一种潜在治疗方式正在获得热情。然而,旨在杀死肿瘤(即化疗)或减少肿瘤相关水肿(即皮质类固醇)的辅助治疗通常对淋巴细胞具有细胞毒性。然而,肿瘤特异性T细胞是否在皮质类固醇治疗过程中受到损害尚不清楚。方法:体外检测地塞米松对健康供体T细胞增殖、细胞周期分析、葡萄糖摄取、转录变化和蛋白表达的影响。采用GL261小鼠胶质母细胞瘤模型,在体内检测地塞米松和CTLA-4抗体阻断的作用。结果:在这里,我们发现地塞米松阻断了幼稚的人T细胞的增殖,而不是记忆T细胞。我们发现地塞米松通过损害cd28介导的细胞周期进入来抑制早期T细胞增殖。在T细胞刺激过程中,地塞米松诱导表面CTLA-4增加4倍,用伊匹单抗中和CTLA-4克服了地塞米松诱导的体外细胞周期进入阻断。此外,CTLA-4阻断剂联合地塞米松在体内为患有原位GL261脑肿瘤的小鼠提供了生存益处。有趣的是,早期地塞米松治疗提供了最大的生存优势。结论:这些发现揭示了地塞米松对T细胞的特异性作用,并表明抗原经历的T细胞对皮质类固醇的抗增殖作用具有抗性。这些发现对接受免疫治疗的患者可能受益于地塞米松的抗炎特性具有重要意义。引文格式:Amber J. Giles, Marsha-Kay N.M. Hutchinson, Heather Sonnemann, Caitlin M. Reid, Jung Jinkyu, Zhang Wei, Song Hua, Rolanda Bailey, Dionne Davis, Deric M. Park, Mario Roederer, Mark R. GilbertIpilimumab保护T细胞免受地塞米松的抗增殖作用[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫学杂志,2018;6(9增刊):摘要11 - 11。
{"title":"Abstract A11: Ipilimumab protects T cells from the antiproliferative effects of dexamethasone","authors":"Amber J. Giles, Marsha-Kay N. D. Hutchinson, H. Sonnemann, Caitlin M. Reid, Jinkyu Jung, Wei Zhang, Hua Song, R. Bailey, Dionne L Davis, Deric M. Park, M. Roederer, M. Gilbert","doi":"10.1158/2326-6074.TUMIMM17-A11","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A11","url":null,"abstract":"Background: Checkpoint inhibitor blockade, designed to activate antitumor immune cells, is gaining enthusiasm as a potential treatment modality for patients with brain tumors. However, adjuvant therapies aimed at killing tumor (i.e., chemotherapy) or reducing tumor-related edema (i.e., corticosteroids) are often cytotoxic to lymphocytes. Yet, whether tumor-specific T cells are harmed during corticosteroid treatment is not known. Methods: The effects of dexamethasone on healthy donor T cells was tested in vitro for T cell proliferation, cell cycle analysis, glucose uptake, transcriptional changes, and protein expression. The effects of dexamethasone and CTLA-4 antibody blockade were tested in vivo using the GL261 murine glioblastoma model. Results: Here we show that dexamethasone blocks proliferation of naive human T cells but not memory T cells. We find that dexamethasone inhibits early stages of T cell proliferation by impairing CD28-mediated cell cycle entry. Dexamethasone induced a fourfold increase in surface CTLA-4 during T cell stimulation, and neutralizing CTLA-4 with ipilimumab overcame the dexamethasone-induced blockade of cell cycle entry in vitro. Further, CTLA-4 blockade in combination with dexamethasone provided a survival benefit in vivo to mice bearing orthotopic GL261 brain tumors. Intriguingly, early dexamethasone treatment afforded the greatest survival advantage Conclusions: These findings shed light on the T cell-specific effects of dexamethasone and suggest that antigen-experienced T cells are resistant to anti-proliferative effects of corticosteroids. These findings have important implications for patients receiving immune therapy who may benefit from the anti-inflammatory properties of dexamethasone. Citation Format: Amber J. Giles, Marsha-Kay N.M. Hutchinson, Heather Sonnemann, Caitlin M. Reid, Jinkyu Jung, Wei Zhang, Hua Song, Rolanda Bailey, Dionne Davis, Deric M. Park, Mario Roederer, Mark R. Gilbert. Ipilimumab protects T cells from the antiproliferative effects of dexamethasone [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A11.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74545739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-01DOI: 10.1158/2326-6074.TUMIMM17-A08
Samanthi A. Perera, E. KopinjaJohnny, Yanhong Ma, J. Laskey, K. Chakravarthy, L. Cui, Yiping Chen, J. Presland, Sharad K Sharma, Shuxia Zhao, J. Piesvaux, E. Minnihan, Heidi Ferguson, Hyun Woo, Ian Knemeyer, I. Kariv, A. Tse, S. Cemerski, J. Cumming, B. Trotter, B. Pan, G. Addona, B. Long
Activated STING (STimulator of INterferon Genes) bound to its natural ligand 2,3-cGAMP (cyclic guanosine-adenosine monophosphate), initiates type I interferon (IFN) and pro-inflammatory cytokine production. IFN upregulation is essential to promote antigen-specific CD8+ T-cell priming and leads to potent anti-tumor activity. To exploit this mechanism we synthesized a new STING agonist, MSA-1, that potently activates both mouse and human STING. Intratumoral (IT) administration of MSA-1 to MC38 syngeneic tumor-bearing mice increased tumor and plasma cytokine levels and was effective at driving complete responses (CRs) in 100% of the animals. Most surviving animals developed tumor-specific adaptive immune memory as demonstrated by robust protection against re-challenge with the same tumor type. Mechanistic studies in immune-deficient mice suggested that the initial antitumor activity is in part due to cytokine-driven cytotoxicity and/or other innate immune mechanisms, which may have contributed to some animals not developing an adaptive immune memory. Importantly, MSA-1 caused long-term tumor regressions or CRs in CT26 and B16-F10 tumor models, both of which are intrinsically resistant to single-agent therapy with a fully murinized anti-mouse PD-1 antibody (muDX400). The antitumor immune response in these models was further enhanced when treating the animals with MSA-1 in combination with muDX400. This combination restored T-cell responses in both blood and tumors of the treated mice and provided long-lived immunologic memory in a majority of the animals. Taken together, these data strongly support the development of STING agonists in combination with Keytruda (humanized anti-PD-1 antibody) for patients with tumors that are partially responsive or nonresponsive to single agent anti-PD-1 therapy. Citation Format: Samanthi A. Perera, Johnny E. Kopinja, Yanhong Ma, Jason Laskey, Kalyan Chakravarthy, Long Cui, Yiping Chen, Jeremy Presland, Sharad Sharma, Shuxia Zhao, Jennifer Piesvaux, Ellen C. Minnihan, Heidi Ferguson, Hyun Chong Woo, Ian Knemeyer, Ilona Kariv, Archie Tse, Saso Cemerski, Jared Cumming, B. Wesley Trotter, Bo-Sheng Pan, George H. Addona, Brian J. Long. Combination with a novel STING agonist significantly improves efficacy of anti-PD1 therapy in mouse syngeneic tumor models [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A08.
被激活的STING(干扰素基因刺激因子)与其天然配体2,3- cgamp(环鸟苷-单磷酸腺苷)结合,启动I型干扰素(IFN)和促炎细胞因子的产生。IFN的上调对于促进抗原特异性CD8+ t细胞的启动和导致有效的抗肿瘤活性是必不可少的。为了利用这一机制,我们合成了一种新的STING激动剂MSA-1,它能有效激活小鼠和人的STING。肿瘤内给药MSA-1增加MC38同基因荷瘤小鼠的肿瘤和血浆细胞因子水平,并在100%的动物中有效地驱动完全反应(cr)。大多数存活的动物产生了肿瘤特异性适应性免疫记忆,这证明了对相同肿瘤类型的再次攻击的强大保护。免疫缺陷小鼠的机制研究表明,最初的抗肿瘤活性部分是由于细胞因子驱动的细胞毒性和/或其他先天免疫机制,这可能导致一些动物没有形成适应性免疫记忆。重要的是,MSA-1在CT26和B16-F10肿瘤模型中引起长期肿瘤消退或cr,这两种肿瘤模型本质上对完全鼠化的抗小鼠PD-1抗体(muDX400)单药治疗具有耐药性。当MSA-1与muDX400联合治疗动物时,这些模型的抗肿瘤免疫应答进一步增强。这种组合恢复了治疗小鼠血液和肿瘤中的t细胞反应,并为大多数动物提供了长期的免疫记忆。综上所述,这些数据有力地支持了STING激动剂与Keytruda(人源抗pd -1抗体)联合用于对单药抗pd -1治疗部分反应或无反应的肿瘤患者的开发。引文格式:Samanthi A. Perera, Johnny E. Kopinja, Yanhong Ma, Jason Laskey, Kalyan Chakravarthy, Long Cui, Yiping Chen, Jeremy Presland, Sharad Sharma, Shuxia Zhao, Jennifer Piesvaux, Ellen C. Minnihan, Heidi Ferguson, Hyun Chong Woo, Ian Knemeyer, Ilona Kariv, Archie Tse, Saso Cemerski, Jared Cumming, B. Wesley Trotter, Pan Bo-Sheng, George H. adona, Brian J. Long。联合一种新型STING激动剂可显著提高小鼠同基因肿瘤模型抗pd1治疗的疗效[摘要]。摘自:AACR肿瘤免疫学和免疫治疗特别会议论文集;2017年10月1-4日;波士顿,MA。费城(PA): AACR;癌症免疫杂志,2018;6(9增刊):摘要nr A08。
{"title":"Abstract A08: Combination with a novel STING agonist significantly improves efficacy of anti-PD1 therapy in mouse syngeneic tumor models","authors":"Samanthi A. Perera, E. KopinjaJohnny, Yanhong Ma, J. Laskey, K. Chakravarthy, L. Cui, Yiping Chen, J. Presland, Sharad K Sharma, Shuxia Zhao, J. Piesvaux, E. Minnihan, Heidi Ferguson, Hyun Woo, Ian Knemeyer, I. Kariv, A. Tse, S. Cemerski, J. Cumming, B. Trotter, B. Pan, G. Addona, B. Long","doi":"10.1158/2326-6074.TUMIMM17-A08","DOIUrl":"https://doi.org/10.1158/2326-6074.TUMIMM17-A08","url":null,"abstract":"Activated STING (STimulator of INterferon Genes) bound to its natural ligand 2,3-cGAMP (cyclic guanosine-adenosine monophosphate), initiates type I interferon (IFN) and pro-inflammatory cytokine production. IFN upregulation is essential to promote antigen-specific CD8+ T-cell priming and leads to potent anti-tumor activity. To exploit this mechanism we synthesized a new STING agonist, MSA-1, that potently activates both mouse and human STING. Intratumoral (IT) administration of MSA-1 to MC38 syngeneic tumor-bearing mice increased tumor and plasma cytokine levels and was effective at driving complete responses (CRs) in 100% of the animals. Most surviving animals developed tumor-specific adaptive immune memory as demonstrated by robust protection against re-challenge with the same tumor type. Mechanistic studies in immune-deficient mice suggested that the initial antitumor activity is in part due to cytokine-driven cytotoxicity and/or other innate immune mechanisms, which may have contributed to some animals not developing an adaptive immune memory. Importantly, MSA-1 caused long-term tumor regressions or CRs in CT26 and B16-F10 tumor models, both of which are intrinsically resistant to single-agent therapy with a fully murinized anti-mouse PD-1 antibody (muDX400). The antitumor immune response in these models was further enhanced when treating the animals with MSA-1 in combination with muDX400. This combination restored T-cell responses in both blood and tumors of the treated mice and provided long-lived immunologic memory in a majority of the animals. Taken together, these data strongly support the development of STING agonists in combination with Keytruda (humanized anti-PD-1 antibody) for patients with tumors that are partially responsive or nonresponsive to single agent anti-PD-1 therapy. Citation Format: Samanthi A. Perera, Johnny E. Kopinja, Yanhong Ma, Jason Laskey, Kalyan Chakravarthy, Long Cui, Yiping Chen, Jeremy Presland, Sharad Sharma, Shuxia Zhao, Jennifer Piesvaux, Ellen C. Minnihan, Heidi Ferguson, Hyun Chong Woo, Ian Knemeyer, Ilona Kariv, Archie Tse, Saso Cemerski, Jared Cumming, B. Wesley Trotter, Bo-Sheng Pan, George H. Addona, Brian J. Long. Combination with a novel STING agonist significantly improves efficacy of anti-PD1 therapy in mouse syngeneic tumor models [abstract]. In: Proceedings of the AACR Special Conference on Tumor Immunology and Immunotherapy; 2017 Oct 1-4; Boston, MA. Philadelphia (PA): AACR; Cancer Immunol Res 2018;6(9 Suppl):Abstract nr A08.","PeriodicalId":9948,"journal":{"name":"Checkpoints and Immunomodulation","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89167336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}