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吡非尼酮可促进免疫细胞浸润,并增强小鼠中PD-L1阻断的抗肿瘤疗效。

Pirfenidone facilitates immune infiltration and enhances the antitumor efficacy of PD-L1 blockade in mice.

作者信息

Qin Wan, Zou Jun, Huang Yongbiao, Liu Chaofan, Kang Yalin, Han Hu, Tang Yang, Li Long, Liu Bo, Zhao Weiheng, Yuan Xianglin

机构信息

Department of Oncology, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, Hubei, China.

Department of Oncology, First Affiliated Hospital, Shihezi University, Shihezi, Xinjiang, China.

出版信息

Oncoimmunology. 2020 Sep 22;9(1):1824631. doi: 10.1080/2162402X.2020.1824631.

Abstract

Idiopathic pulmonary fibrosis (IPF) patients have a high risk of developing lung cancer, with few treatment options available. Pirfenidone, an antifibrotic agent approved for the treatment of IPF, has been demonstrated to suppress the TGFβ signaling and modulate the expression of immune-related genes. However, for lung cancer patients with comorbid IPF, whether pirfenidone has any synergetic effect with immune checkpoint inhibitors has not been investigated. In this study, we showed that pirfenidone monotherapy attenuated tumor growth with an increased T cell inflammatory signature in tumors. Co-administration of pirfenidone with PD-L1 blockades significantly delayed the tumor growth and increased survival, compared with the effect of either treatment alone. Combination therapy promoted gene expression with a unique signature associated with innate and adaptive immune response resulted in the infiltration of immune cells and optimal T cell positioning. Furthermore, we showed a great benefit of combination therapy in alleviating the pulmonary fibrosis and reducing the tumor growth in a tumor-fibrosis model. Our results collectively demonstrated that pirfenidone facilitated antitumor immunity and enhanced the efficacy of PD-L1 blockades. It may act as an adjuvant to immunotherapy in cancer treatment, particularly, in lung cancer patients with preexisting IPF.

摘要

特发性肺纤维化(IPF)患者患肺癌的风险很高,且可用的治疗选择很少。吡非尼酮是一种被批准用于治疗IPF的抗纤维化药物,已被证明可抑制TGFβ信号传导并调节免疫相关基因的表达。然而,对于合并IPF的肺癌患者,吡非尼酮与免疫检查点抑制剂是否具有协同作用尚未得到研究。在本研究中,我们表明吡非尼酮单药治疗可通过增加肿瘤中的T细胞炎症特征来减弱肿瘤生长。与单独使用任何一种治疗的效果相比,吡非尼酮与PD-L1阻断剂联合给药可显著延迟肿瘤生长并提高生存率。联合治疗促进了具有与先天和适应性免疫反应相关的独特特征的基因表达,导致免疫细胞浸润和最佳的T细胞定位。此外,我们在肿瘤-纤维化模型中显示联合治疗在减轻肺纤维化和减少肿瘤生长方面具有很大益处。我们的结果共同表明,吡非尼酮促进了抗肿瘤免疫并增强了PD-L1阻断剂的疗效。它可能在癌症治疗中,特别是在已有IPF的肺癌患者中,作为免疫治疗的佐剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae3a/7781712/c428303de1c1/KONI_A_1824631_F0001_OC.jpg

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