在具有免疫活性的间变性甲状腺癌小鼠模型中,联合使用BRAF抑制剂和抗PD-L1抗体可显著提高肿瘤消退和抗肿瘤免疫力。
Combining BRAF inhibitor and anti PD-L1 antibody dramatically improves tumor regression and anti tumor immunity in an immunocompetent murine model of anaplastic thyroid cancer.
作者信息
Brauner Eran, Gunda Viswanath, Vanden Borre Pierre, Zurakowski David, Kim Yon Seon, Dennett Kate Virginia, Amin Salma, Freeman Gordon James, Parangi Sareh
机构信息
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Departments of Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
Oncotarget. 2016 Mar 29;7(13):17194-211. doi: 10.18632/oncotarget.7839.
The interaction of programmed cell death-1 and its ligand is widely studied in cancer. Monoclonal antibodies blocking these molecules have had great success but little is known about them in thyroid cancer. We investigated the role of PD-L1 in thyroid cancer with respect to BRAF mutation and MAP kinase pathway activity and the effect of anti PD-L1 antibody therapy on tumor regression and intra-tumoral immune response alone or in combination with BRAF inhibitor (BRAFi). BRAFV600E cells showed significantly higher baseline expression of PD-L1 at mRNA and protein levels compared to BRAFWT cells. MEK inhibitor treatment resulted in a decrease of PD-L1 expression across all cell lines. BRAFi treatment decreased PD-L1 expression in BRAFV600E cells, but paradoxically increased its expression in BRAFWT cells. BRAFV600E mutated patients samples had a higher level of PD-L1 mRNA compared to BRAFWT (p=0.015). Immunocompetent mice (B6129SF1/J) implanted with syngeneic 3747 BRAFV600E/WT P53-/- murine tumor cells were randomized to control, PLX4720, anti PD-L1 antibody and their combination. In this model of aggressive thyroid cancer, control tumor volume reached 782.3±174.6mm3 at two weeks. The combination dramatically reduced tumor volume to 147.3±60.8, compared to PLX4720 (439.3±188.4 mm3, P=0.023) or PD-L1 antibody (716.7±62.1, P<0.001) alone. Immunohistochemistry analysis revealed intense CD8+ CTL infiltration and cytotoxicity and favorable CD8+:Treg ratio compared to each individual treatment. Our results show anti PD-L1 treatment potentiates the effect of BRAFi on tumor regression and intensifies anti tumor immune response in an immunocompetent model of ATC. Clinical trials of this therapeutic combination may be of benefit in patients with ATC.
程序性细胞死亡蛋白-1与其配体的相互作用在癌症研究中受到广泛关注。阻断这些分子的单克隆抗体已取得巨大成功,但在甲状腺癌中对它们的了解却很少。我们研究了程序性死亡配体-1(PD-L1)在甲状腺癌中与BRAF突变和丝裂原活化蛋白激酶(MAP)激酶信号通路活性的关系,以及抗PD-L1抗体治疗单独或与BRAF抑制剂(BRAFi)联合应用对肿瘤消退和肿瘤内免疫反应的影响。与BRAF野生型(BRAFWT)细胞相比,BRAFV600E细胞在mRNA和蛋白水平上的PD-L1基线表达显著更高。MEK抑制剂处理导致所有细胞系中PD-L1表达下降。BRAFi处理使BRAFV600E细胞中的PD-L1表达降低,但矛盾的是,却使BRAFWT细胞中的PD-L1表达增加。与BRAFWT患者样本相比,BRAFV600E突变患者样本的PD-L1 mRNA水平更高(p = 0.015)。将植入同基因3747 BRAFV600E/WT P53-/-小鼠肿瘤细胞的免疫活性小鼠(B6129SF1/J)随机分为对照组、PLX4720组、抗PD-L1抗体组及其联合组。在这种侵袭性甲状腺癌模型中,对照组肿瘤体积在两周时达到782.3±174.6mm3。与单独使用PLX4720(439.3±188.4 mm3,P = 0.023)或PD-L1抗体(716.7±62.1,P<0.001)相比,联合治疗显著将肿瘤体积缩小至147.3±60.8。免疫组织化学分析显示,与单独治疗相比,联合治疗有强烈的CD8+细胞毒性T淋巴细胞(CTL)浸润和细胞毒性,以及良好的CD8+:调节性T细胞(Treg)比例。我们的结果表明,在分化型甲状腺癌(ATC)的免疫活性模型中,抗PD-L1治疗增强了BRAFi对肿瘤消退的作用,并强化了抗肿瘤免疫反应。这种治疗组合的临床试验可能对ATC患者有益。