Division of Molecular Oncology and Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands.
Genmab, Utrecht, the Netherlands.
Cancer Res. 2021 Apr 1;81(7):1775-1787. doi: 10.1158/0008-5472.CAN-20-0434. Epub 2021 Feb 2.
Although immune checkpoint blockade (ICB) has shown remarkable clinical benefit in a subset of patients with melanoma and lung cancer, most patients experience no durable benefit. The receptor tyrosine kinase AXL is commonly implicated in therapy resistance and may serve as a marker for therapy-refractory tumors, for example in melanoma, as we previously demonstrated. Here, we show that enapotamab vedotin (EnaV), an antibody-drug conjugate targeting AXL, effectively targets tumors that display insensitivity to immunotherapy or tumor-specific T cells in several melanoma and lung cancer models. In addition to its direct tumor cell killing activity, EnaV treatment induced an inflammatory response and immunogenic cell death in tumor cells and promoted the induction of a memory-like phenotype in cytotoxic T cells. Combining EnaV with tumor-specific T cells proved superior to either treatment alone in models of melanoma and lung cancer and induced ICB benefit in models otherwise insensitive to anti-PD-1 treatment. Our findings indicate that targeting AXL-expressing, immunotherapy-resistant tumors with EnaV causes an immune-stimulating tumor microenvironment and enhances sensitivity to ICB, warranting further investigation of this treatment combination. SIGNIFICANCE: These findings show that targeting AXL-positive tumor fractions with an antibody-drug conjugate enhances antitumor immunity in several humanized tumor models of melanoma and lung cancer.
虽然免疫检查点阻断(ICB)在一部分黑色素瘤和肺癌患者中显示出显著的临床获益,但大多数患者没有持久的获益。受体酪氨酸激酶 AXL 通常与治疗耐药有关,并且可能作为治疗抵抗性肿瘤的标志物,例如我们之前在黑色素瘤中所证明的那样。在这里,我们表明,靶向 AXL 的抗体药物偶联物 enapotamab vedotin(EnaV)可有效靶向对免疫疗法或肿瘤特异性 T 细胞不敏感的肿瘤,在几种黑色素瘤和肺癌模型中都是如此。除了其直接的肿瘤细胞杀伤活性外,EnaV 治疗还在肿瘤细胞中诱导了炎症反应和免疫原性细胞死亡,并促进了细胞毒性 T 细胞中记忆样表型的诱导。在黑色素瘤和肺癌模型中,EnaV 与肿瘤特异性 T 细胞联合使用的效果优于单独使用任何一种药物,并且在对抗 PD-1 治疗不敏感的模型中诱导了 ICB 获益。我们的研究结果表明,用 EnaV 靶向表达 AXL 的、对免疫治疗有抵抗力的肿瘤会引起免疫刺激的肿瘤微环境,并增强对 ICB 的敏感性,这使得进一步研究这种治疗联合方案具有重要意义。
Proc Natl Acad Sci U S A. 2021-7-20
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