肿瘤细胞和自然杀伤细胞的表观遗传启动增强了抗程序性死亡配体1(PD-L1)抗体阿维鲁单抗对多种癌细胞类型引发的抗体依赖性细胞毒性作用。
Epigenetic priming of both tumor and NK cells augments antibody-dependent cellular cytotoxicity elicited by the anti-PD-L1 antibody avelumab against multiple carcinoma cell types.
作者信息
Hicks Kristin C, Fantini Massimo, Donahue Renee N, Schwab Angie, Knudson Karin M, Tritsch Sarah R, Jochems Caroline, Clavijo Paul E, Allen Clint T, Hodge James W, Tsang Kwong Y, Schlom Jeffrey, Gameiro Sofia R
机构信息
Laboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Head and Neck Surgery Branch, National Institute of Deafness and other Communication Disorders, National Institutes of Health, Bethesda, MD, USA.
出版信息
Oncoimmunology. 2018 Jul 30;7(11):e1466018. doi: 10.1080/2162402X.2018.1466018. eCollection 2018.
Checkpoint inhibitors targeting the PD-1/PD-L1 axis are promising immunotherapies shown to elicit objective responses against multiple tumor types, yet these agents fail to benefit most patients with carcinomas. This highlights the need to develop effective therapeutic strategies to increase responses to PD-1/PD-L1 blockade. Histone deacetylase (HDAC) inhibitors in combination with immunotherapies have provided preliminary evidence of anti-tumor effects. We investigated here whether exposure of either natural killer (NK) cells and/or tumor cells to two different classes of HDAC inhibitors would augment (a) NK cell‒mediated direct tumor cell killing and/or (b) antibody-dependent cellular cytotoxicity (ADCC) using avelumab, a fully human IgG1 monoclonal antibody targeting PD-L1. Treatment of a diverse array of human carcinoma cells with a clinically relevant dose of either the pan-HDAC inhibitor vorinostat or the class I HDAC inhibitor entinostat significantly enhanced the expression of multiple NK ligands and death receptors resulting in enhanced NK cell‒mediated lysis. Moreover, HDAC inhibition enhanced tumor cell PD-L1 expression both and in carcinoma xenografts. These data demonstrate that treatment of a diverse array of carcinoma cells with two different classes of HDAC inhibitors results in enhanced NK cell tumor cell lysis and avelumab-mediated ADCC. Furthermore, entinostat treatment of NK cells from healthy donors and PBMCs from cancer patients induced an activated NK cell phenotype, and heightened direct and ADCC-mediated healthy donor NK lysis of multiple carcinoma types. This study thus extends the mechanism and provides a rationale for combining HDAC inhibitors with PD-1/PD-L1 checkpoint blockade to increase patient responses to anti-PD-1/PD-L1 therapies.
靶向PD-1/PD-L1轴的检查点抑制剂是很有前景的免疫疗法,已显示可引发针对多种肿瘤类型的客观反应,但这些药物未能使大多数癌症患者受益。这凸显了开发有效治疗策略以增强对PD-1/PD-L1阻断反应的必要性。组蛋白去乙酰化酶(HDAC)抑制剂与免疫疗法联合使用已提供了抗肿瘤作用的初步证据。我们在此研究了将自然杀伤(NK)细胞和/或肿瘤细胞暴露于两类不同的HDAC抑制剂是否会增强(a)NK细胞介导的直接肿瘤细胞杀伤和/或(b)使用阿维鲁单抗(一种靶向PD-L1的全人IgG1单克隆抗体)的抗体依赖性细胞毒性(ADCC)。用临床相关剂量的泛HDAC抑制剂伏立诺他或I类HDAC抑制剂恩替诺特处理多种人类癌细胞,可显著增强多种NK配体和死亡受体的表达,从而增强NK细胞介导的裂解作用。此外,HDAC抑制在体外和癌异种移植模型中均增强了肿瘤细胞PD-L1的表达。这些数据表明,用两类不同的HDAC抑制剂处理多种癌细胞可增强NK细胞对肿瘤细胞的裂解作用以及阿维鲁单抗介导的ADCC。此外,用恩替诺特处理健康供体的NK细胞和癌症患者的外周血单核细胞(PBMC)可诱导活化的NK细胞表型,并增强多种癌症类型的健康供体NK细胞的直接杀伤和ADCC介导的杀伤作用。因此,本研究扩展了相关机制,并为将HDAC抑制剂与PD-1/PD-L1检查点阻断联合使用以增加患者对抗PD-1/PD-L1疗法的反应提供了理论依据。