MTL-CEBPA Combined with Immunotherapy or RFA Enhances Immunological Anti-Tumor Response in Preclinical Models.

MTL-CEBPA Combined with Immunotherapy or RFA Enhances Immunological Anti-Tumor Response in Preclinical Models.
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DOI:
10.3390/ijms22179168
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发表时间:
2021-08-25
影响因子:
5.6
通讯作者:
Sodergren MH
Sodergren MH
中科院分区:
生物学2区
文献类型:
--
作者:
Huang KW;Tan CP;Reebye V;Chee CE;Zacharoulis D;Habib R;Blakey DC;Rossi JJ;Habib N;Sodergren MH

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转录因子CEBPA是肝脏稳态、骨髓细胞分化的主要调节因子,并且在几种致癌疾病中下调。MTL-CEBPA是一种小分子激活RNA药物,可上调CEBPA基因表达,用于治疗肝细胞癌(HCC)。我们通过在两个临床前模型中将MTL-CEBPA与抗PD-1检查点抑制剂(CPI)和/或射频消融(RFA)组合来研究MTL-CEBPA是否具有免疫调节作用。首先,用RFA(右侧腹)、抗PD-1或MTL-CEBPA的组合治疗具有两个HCC肿瘤侧腹(BNL)的小鼠。在RFA+抗PD 1 +MTL-CEBPA治疗组中,左侧腹侧肿瘤的减少最明显,7/8只动物有反应。这是唯一一个CD 8+和CD 49 b +/CD 45+肿瘤浸润淋巴细胞(TIL)显著增加的组。第二,在CT 26结肠癌模型中测试了抗PD-1+MTL-CEBPA的组合,该治疗显著减小了肿瘤大小,调节了肿瘤免疫微环境并增加了TIL。这些数据表明,CPI、RFA和MTL-CEBPA联合治疗的临床作用是通过协同引发免疫肿瘤反应,使RFA和CPI具有显著的抗肿瘤作用,包括RFA在未治疗肿瘤中的活性。
The transcription factor CEBPA is a master regulator of liver homeostasis, myeloid cell differentiation and is downregulated in several oncogenic diseases. MTL-CEBPA is a small activating RNA drug which upregulates gene expression of CEBPA for treatment of hepatocellular carcinoma (HCC). We investigate whether MTL-CEBPA has immune modulatory effects by combining MTL-CEBPA with an anti-PD-1 checkpoint inhibitor (CPI) and/or radiofrequency ablation (RFA) in two preclinical models. First, mice with two flanks of HCC tumors (BNL) were treated with combinations of RFA (right flank), anti-PD-1 or MTL-CEBPA. The reduction of the left flank tumors was most pronounced in the group treated with RFA+anti-PD1+MTL-CEBPA and 7/8 animals responded. This was the only group with a significant increase in CD8+ and CD49b+/CD45+ tumor infiltrating lymphocytes (TIL). Second, a combination of anti-PD-1+MTL-CEBPA was tested in a CT26 colon cancer model and this treatment significantly reduced tumor size, modulated the tumor immune microenvironment and increased TILs. These data suggest a clinical role for combination treatment with CPIs, RFA and MTL-CEBPA through synergistic priming of the immune tumor response, enabling RFA and CPIs to have a pronounced anti-tumor effect including activity in non-treated tumors in the case of RFA.
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