Department of Immunology, M D Anderson Cancer Center, Houston, TX 77030, USA.
J Exp Med. 2013 Aug 26;210(9):1695-710. doi: 10.1084/jem.20130579. Epub 2013 Jul 29.
Treatment with monoclonal antibody specific for cytotoxic T lymphocyte-associated antigen 4 (CTLA-4), an inhibitory receptor expressed by T lymphocytes, has emerged as an effective therapy for the treatment of metastatic melanoma. Although subject to debate, current models favor a mechanism of activity involving blockade of the inhibitory activity of CTLA-4 on both effector (T eff) and regulatory (T reg) T cells, resulting in enhanced antitumor effector T cell activity capable of inducing tumor regression. We demonstrate, however, that the activity of anti-CTLA-4 antibody on the T reg cell compartment is mediated via selective depletion of T reg cells within tumor lesions. Importantly, T reg cell depletion is dependent on the presence of Fcγ receptor-expressing macrophages within the tumor microenvironment, indicating that T reg cells are depleted in trans in a context-dependent manner. Our results reveal further mechanistic insight into the activity of anti-CTLA-4-based cancer immunotherapy, and illustrate the importance of specific features of the local tumor environment on the final outcome of antibody-based immunomodulatory therapies.
治疗转移性黑色素瘤的一种有效方法是使用针对细胞毒性 T 淋巴细胞相关抗原 4(CTLA-4)的单克隆抗体,CTLA-4 是 T 淋巴细胞表达的一种抑制性受体。虽然存在争议,但目前的模型倾向于一种活性机制,涉及阻断 CTLA-4 对效应(T eff)和调节(T reg)T 细胞的抑制活性,从而增强能够诱导肿瘤消退的抗肿瘤效应 T 细胞活性。然而,我们证明,抗 CTLA-4 抗体在 T reg 细胞群中的活性是通过选择性耗尽肿瘤病变内的 T reg 细胞来介导的。重要的是,T reg 细胞的耗竭依赖于肿瘤微环境中表达 Fcγ 受体的巨噬细胞的存在,表明 T reg 细胞以依赖于上下文的方式在转位中被耗尽。我们的结果进一步揭示了基于抗 CTLA-4 的癌症免疫疗法的作用机制,并说明了局部肿瘤环境的特定特征对基于抗体的免疫调节疗法最终结果的重要性。