Targeting immune suppression with PDE5 inhibition in end-stage multiple myeloma.
Targeting immune suppression with PDE5 inhibition in end-stage multiple myeloma.
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DOI:
10.1158/2326-6066.cir-13-0213
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发表时间:
2014-08
影响因子:
10.1
通讯作者:
Borrello I
中科院分区:
文献类型:
--
作者:
Noonan KA;Ghosh N;Rudraraju L;Bui M;Borrello I
Myeloid-derived suppressor cells (MDSC) play a significant role in tumor-induced immune suppression. Targeting their function could improve antitumor therapies. Previously we demonstrated that phosphodiesterase 5 (PDE5) inhibition in MDSCs augmented antitumor immunity in murine models. Here we show how the addition of the PDE5 inhibitor, tadalafil, in a patient with end-stage relapsed/refractory multiple myeloma reduced MDSC function and generated a dramatic and durable anti-myeloma immune and clinical response. Strategies targeting MDSC function with PDE5 inhibitors represent a novel approach that can augment the efficacy of tumor-directed therapies.