VISTA是一种抑制性免疫检查点,在前列腺癌患者接受伊匹单抗治疗后会升高。

VISTA is an inhibitory immune checkpoint that is increased after ipilimumab therapy in patients with prostate cancer.

作者信息

Gao Jianjun, Ward John F, Pettaway Curtis A, Shi Lewis Z, Subudhi Sumit K, Vence Luis M, Zhao Hao, Chen Jianfeng, Chen Hong, Efstathiou Eleni, Troncoso Patricia, Allison James P, Logothetis Christopher J, Wistuba Ignacio I, Sepulveda Manuel A, Sun Jingjing, Wargo Jennifer, Blando Jorge, Sharma Padmanee

机构信息

Department of Genitourinary Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Department of Urology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

出版信息

Nat Med. 2017 May;23(5):551-555. doi: 10.1038/nm.4308. Epub 2017 Mar 27.

Abstract

To date, anti-CTLA-4 (ipilimumab) or anti-PD-1 (nivolumab) monotherapy has not been demonstrated to be of substantial clinical benefit in patients with prostate cancer. To identify additional immune-inhibitory pathways in the prostate-tumor microenvironment, we evaluated untreated and ipilimumab-treated tumors from patients in a presurgical clinical trial. Levels of the PD-L1 and VISTA inhibitory molecules increased on independent subsets of macrophages in treated tumors. Our data suggest that VISTA represents another compensatory inhibitory pathway in prostate tumors after ipilimumab therapy.

摘要

迄今为止,抗细胞毒性T淋巴细胞相关抗原4(CTLA-4)(伊匹单抗)或抗程序性死亡蛋白1(PD-1)(纳武单抗)单药治疗尚未被证明对前列腺癌患者具有显著的临床益处。为了确定前列腺肿瘤微环境中其他免疫抑制途径,我们在一项术前临床试验中评估了患者未经治疗和接受伊匹单抗治疗的肿瘤。在接受治疗的肿瘤中,PD-L1和VISTA抑制分子的水平在巨噬细胞的独立亚群上有所增加。我们的数据表明,VISTA代表了伊匹单抗治疗后前列腺肿瘤中的另一种代偿性抑制途径。

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