Chinese Academy of Sciences Key Laboratory of Infection and Immunity, Institute of Biophysics, Chinese Academy of Sciences, Beijing, 100101, China.
School of Pharmaceutical Sciences, Tsinghua University, Beijing, 100084, China.
Nat Commun. 2018 Nov 2;9(1):4586. doi: 10.1038/s41467-018-06890-y.
Many patients remain unresponsive to intensive PD-1/PD-L1 blockade therapy despite the presence of tumor-infiltrating lymphocytes. We propose that impaired innate sensing might limit the complete activation of tumor-specific T cells after PD-1/PD-L1 blockade. Local delivery of type I interferons (IFNs) restores antigen presentation, but upregulates PD-L1, dampening subsequent T-cell activation. Therefore, we armed anti-PD-L1 antibody with IFNα (IFNα-anti-PD-L1) to create feedforward responses. Here, we find that a synergistic effect is achieved to overcome both type I IFN and checkpoint blockade therapy resistance with the least side effects in advanced tumors. Intriguingly, PD-L1 expressed in either tumor cells or tumor-associated host cells is sufficient for fusion protein targeting. IFNα-anti-PD-L1 activates IFNAR signaling in host cells, but not in tumor cells to initiate T-cell reactivation. Our data suggest that a next-generation PD-L1 antibody armed with IFNα improves tumor targeting and antigen presentation, while countering innate or T-cell-driven PD-L1 upregulation within tumor.
尽管存在肿瘤浸润淋巴细胞,许多患者对密集的 PD-1/PD-L1 阻断疗法仍没有反应。我们提出,先天感应受损可能会限制 PD-1/PD-L1 阻断后肿瘤特异性 T 细胞的完全激活。I 型干扰素(IFN)的局部递送恢复抗原呈递,但上调 PD-L1,抑制随后的 T 细胞激活。因此,我们用 IFNα(IFNα-anti-PD-L1)武装抗 PD-L1 抗体,以创建正向反馈反应。在这里,我们发现协同作用可以克服 I 型 IFN 和检查点阻断治疗耐药性,在晚期肿瘤中副作用最小。有趣的是,肿瘤细胞或肿瘤相关宿主细胞中表达的 PD-L1 足以靶向融合蛋白。IFNα-anti-PD-L1 在宿主细胞中激活 IFNAR 信号,但在肿瘤细胞中不激活,以启动 T 细胞再激活。我们的数据表明,用 IFNα 武装的下一代 PD-L1 抗体可改善肿瘤靶向和抗原呈递,同时抑制肿瘤内先天或 T 细胞驱动的 PD-L1 上调。
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