Compugen, USA, Inc., South San Francisco, California.
Compugen Ltd, Holon, Israel.
Cancer Immunol Res. 2019 Feb;7(2):257-268. doi: 10.1158/2326-6066.CIR-18-0442. Epub 2019 Jan 18.
Although checkpoint inhibitors that block CTLA-4 and PD-1 have improved cancer immunotherapies, targeting additional checkpoint receptors may be required to broaden patient response to immunotherapy. PVRIG is a coinhibitory receptor of the DNAM/TIGIT/CD96 nectin family that binds to PVRL2. We report that antagonism of PVRIG and TIGIT, but not CD96, increased CD8 T-cell cytokine production and cytotoxic activity. The inhibitory effect of PVRL2 was mediated by PVRIG and not TIGIT, demonstrating that the PVRIG-PVRL2 pathway is a nonredundant signaling node. A combination of PVRIG blockade with TIGIT or PD-1 blockade further increased T-cell activation. In human tumors, PVRIG expression on T cells was increased relative to normal tissue and trended with TIGIT and PD-1 expression. Tumor cells coexpressing PVR and PVRL2 were observed in multiple tumor types, with highest coexpression in endometrial cancers. Tumor cells expressing either PVR or PVRL2 were also present in numbers that varied with the cancer type, with ovarian cancers having the highest percentage of PVRPVRL2 tumor cells and colorectal cancers having the highest percentage of PVRPVRL2 cells. To demonstrate a role of PVRIG and TIGIT on tumor-derived T cells, we examined the effect of PVRIG and TIGIT blockade on human tumor-infiltrating lymphocytes. For some donors, blockade of PVRIG increased T-cell function, an effect enhanced by combination with TIGIT or PD-1 blockade. In summary, we demonstrate that PVRIG and PVRL2 are expressed in human cancers and the PVRIG-PVRL2 and TIGIT-PVR pathways are nonredundant inhibitory signaling pathways..
尽管阻断 CTLA-4 和 PD-1 的检查点抑制剂改善了癌症免疫疗法,但可能需要针对其他检查点受体进行靶向治疗,以扩大免疫疗法对患者的反应。PVRIG 是 DNAM/TIGIT/CD96 神经细胞黏附分子家族的共抑制受体,与 PVRL2 结合。我们报告说,拮抗 PVRIG 和 TIGIT,但不是 CD96,增加了 CD8 T 细胞细胞因子的产生和细胞毒性活性。PVRL2 的抑制作用是由 PVRIG 介导的,而不是 TIGIT,这表明 PVRIG-PVRL2 途径是一个非冗余的信号节点。PVRIG 阻断与 TIGIT 或 PD-1 阻断的联合进一步增加了 T 细胞的激活。在人类肿瘤中,与正常组织相比,T 细胞上的 PVRIG 表达增加,并且与 TIGIT 和 PD-1 的表达呈趋势。在多种肿瘤类型中观察到同时表达 PVR 和 PVRL2 的肿瘤细胞,在子宫内膜癌中最高度共表达。在卵巢癌中,表达 PVR 或 PVRL2 的肿瘤细胞数量最高,而在结直肠癌中,表达 PVR-PVRL2 细胞的数量最高。为了证明 PVRIG 和 TIGIT 在肿瘤衍生 T 细胞上的作用,我们研究了 PVRIG 和 TIGIT 阻断对人肿瘤浸润淋巴细胞的影响。对于一些供体,PVRIG 阻断增加了 T 细胞的功能,这种作用通过与 TIGIT 或 PD-1 阻断联合增强。总之,我们证明 PVRIG 和 PVRL2 在人类癌症中表达,并且 PVRIG-PVRL2 和 TIGIT-PVR 途径是非冗余的抑制信号通路。
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