Agonist immunotherapy restores T cell function following MEK inhibition improving efficacy in breast cancer.

Agonist immunotherapy restores T cell function following MEK inhibition improving efficacy in breast cancer.
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DOI:
10.1038/s41467-017-00728-9
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发表时间:
2017-09-19
影响因子:
16.6
通讯作者:
Loi S
Loi S
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Dushyanthen S;Teo ZL;Caramia F;Savas P;Mintoff CP;Virassamy B;Henderson MA;Luen SJ;Mansour M;Kershaw MH;Trapani JA;Neeson PJ;Salgado R;McArthur GA;Balko JM;Beavis PA;Darcy PK;Loi S

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The presence of tumor-infiltrating lymphocytes in triple-negative breast cancers is correlated with improved outcomes. Ras/MAPK pathway activation is associated with significantly lower levels of tumor-infiltrating lymphocytes in triple-negative breast cancers and while MEK inhibition can promote recruitment of tumor-infiltrating lymphocytes to the tumor, here we show that MEK inhibition adversely affects early onset T-cell effector function. We show that α-4-1BB and α-OX-40 T-cell agonist antibodies can rescue the adverse effects of MEK inhibition on T cells in both mouse and human T cells, which results in augmented anti-tumor effects in vivo. This effect is dependent upon increased downstream p38/JNK pathway activation. Taken together, our data suggest that although Ras/MAPK pathway inhibition can increase tumor immunogenicity, the negative impact on T-cell activity is functionally important. This undesirable impact is effectively prevented by combination with T-cell immune agonist immunotherapies resulting in superior therapeutic efficacy. MEK inhibition in breast cancer is associated with increased tumour infiltrating lymphocytes (TILs), however, MAPK activity is required for T cells function. Here the authors show that TILs activity following MEK inhibition can be enhanced by agonist immunotherapy resulting in synergic therapeutic effects.
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