Cancer Research Division, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Sir Peter MacCallum Department of Oncology, The University of Melbourne, Parkville, Victoria, Australia.
Cancer Discov. 2021 Oct;11(10):2582-2601. doi: 10.1158/2159-8290.CD-20-1554. Epub 2021 May 14.
Pharmacologic inhibitors of cyclin-dependent kinases 4 and 6 (CDK4/6) are an approved treatment for hormone receptor-positive breast cancer and are currently under evaluation across hundreds of clinical trials for other cancer types. The clinical success of these inhibitors is largely attributed to well-defined tumor-intrinsic cytostatic mechanisms, whereas their emerging role as immunomodulatory agents is less understood. Using integrated epigenomic, transcriptomic, and proteomic analyses, we demonstrated a novel action of CDK4/6 inhibitors in promoting the phenotypic and functional acquisition of immunologic T-cell memory. Short-term priming with a CDK4/6 inhibitor promoted long-term endogenous antitumor T-cell immunity in mice, enhanced the persistence and therapeutic efficacy of chimeric antigen receptor T cells, and induced a retinoblastoma-dependent T-cell phenotype supportive of favorable responses to immune checkpoint blockade in patients with melanoma. Together, these mechanistic insights significantly broaden the prospective utility of CDK4/6 inhibitors as clinical tools to boost antitumor T-cell immunity. SIGNIFICANCE: Immunologic memory is critical for sustained antitumor immunity. Our discovery that CDK4/6 inhibitors drive T-cell memory fate commitment sheds new light on their clinical activity, which is essential for the design of clinical trial protocols incorporating these agents, particularly in combination with immunotherapy, for the treatment of cancer..
细胞周期蛋白依赖性激酶 4 和 6(CDK4/6)的药理学抑制剂是一种已被批准用于治疗激素受体阳性乳腺癌的药物,目前正在数百项临床试验中评估其在其他癌症类型中的应用。这些抑制剂的临床成功在很大程度上归因于明确的肿瘤内在细胞抑制机制,而它们作为免疫调节药物的新兴作用则知之甚少。通过整合表观基因组学、转录组学和蛋白质组学分析,我们证明了 CDK4/6 抑制剂在促进免疫 T 细胞记忆的表型和功能获得方面具有新的作用。短期用 CDK4/6 抑制剂进行预处理可促进小鼠体内长期的内源性抗肿瘤 T 细胞免疫,增强嵌合抗原受体 T 细胞的持久性和治疗效果,并诱导视网膜母细胞瘤依赖性 T 细胞表型,支持黑色素瘤患者对免疫检查点阻断的有利反应。总之,这些机制上的见解极大地拓宽了 CDK4/6 抑制剂作为临床工具促进抗肿瘤 T 细胞免疫的潜在用途。
免疫记忆对于持续的抗肿瘤免疫至关重要。我们发现 CDK4/6 抑制剂驱动 T 细胞记忆命运的决定,这为它们的临床活性提供了新的认识,这对于设计包含这些药物的临床试验方案至关重要,特别是在与免疫疗法联合使用时,用于癌症的治疗。