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恩替诺特通过肿瘤新抗原的免疫编辑诱导抗肿瘤免疫反应。

Entinostat induces antitumor immune responses through immune editing of tumor neoantigens.

机构信息

Lineberger Comprehensive Cancer Center.

Department of Pharmacology.

出版信息

J Clin Invest. 2021 Aug 16;131(16). doi: 10.1172/JCI138560.


DOI:10.1172/JCI138560
PMID:34396985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8363284/
Abstract

Although immune-checkpoint inhibitors (ICIs) have been a remarkable advancement in bladder cancer treatment, the response rate to single-agent ICIs remains suboptimal. There has been substantial interest in the use of epigenetic agents to enhance ICI efficacy, although precisely how these agents potentiate ICI response has not been fully elucidated. We identified entinostat, a selective HDAC1/3 inhibitor, as a potent antitumor agent in our immune-competent bladder cancer mouse models (BBN963 and BBN966). We demonstrate that entinostat selectively promoted immune editing of tumor neoantigens, effectively remodeling the tumor immune microenvironment, resulting in a robust antitumor response that was cell autonomous, dependent upon antigen presentation, and associated with increased numbers of neoantigen-specific T cells. Finally, combination treatment with anti-PD-1 and entinostat led to complete responses and conferred long-term immunologic memory. Our work defines a tumor cell-autonomous mechanism of action for entinostat and a strong preclinical rationale for the combined use of entinostat and PD-1 blockade in bladder cancer.

摘要

尽管免疫检查点抑制剂(ICIs)在膀胱癌治疗方面取得了显著进展,但单药ICI 的反应率仍然不理想。人们对使用表观遗传药物来增强 ICI 疗效产生了浓厚的兴趣,尽管这些药物如何增强 ICI 反应尚未完全阐明。我们发现,选择性 HDAC1/3 抑制剂恩替诺特在我们的免疫功能正常的膀胱癌小鼠模型(BBN963 和 BBN966)中是一种有效的抗肿瘤药物。我们证明,恩替诺特选择性地促进了肿瘤新抗原的免疫编辑,有效地重塑了肿瘤免疫微环境,导致了强大的抗肿瘤反应,这种反应是细胞自主性的,依赖于抗原呈递,并与新抗原特异性 T 细胞数量的增加有关。最后,抗 PD-1 和恩替诺特联合治疗导致完全缓解,并赋予长期免疫记忆。我们的工作定义了恩替诺特的肿瘤细胞自主作用机制,并为恩替诺特和 PD-1 阻断联合用于膀胱癌提供了强有力的临床前依据。

相似文献

[1]
Entinostat induces antitumor immune responses through immune editing of tumor neoantigens.

J Clin Invest. 2021-8-16

[2]
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[3]
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[4]
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[5]
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[6]
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Gynecol Oncol. 2021-7

[7]
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[8]
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[9]
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[10]
Entinostat Converts Immune-Resistant Breast and Pancreatic Cancers into Checkpoint-Responsive Tumors by Reprogramming Tumor-Infiltrating MDSCs.

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[2]
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[3]
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[4]
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Vaccines (Basel). 2025-3-24

[5]
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J Exp Clin Cancer Res. 2025-4-29

[6]
Lipid-siRNA Conjugates Targeting High PD-L1 Expression as Potential Novel Immune Checkpoint Inhibitors.

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[7]
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Life Med. 2023-6-17

[8]
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Nat Commun. 2024-11-12

[9]
Pharmacological activation of STAT1-GSDME pyroptotic circuitry reinforces epigenetic immunotherapy for hepatocellular carcinoma.

Gut. 2025-3-6

[10]
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本文引用的文献

[1]
Meta-analysis of tumor- and T cell-intrinsic mechanisms of sensitization to checkpoint inhibition.

Cell. 2021-2-4

[2]
Cancer Statistics, 2021.

CA Cancer J Clin. 2021-1

[3]
Genomic correlates of response to immune checkpoint blockade.

Nat Med. 2019-3-6

[4]
Entinostat Converts Immune-Resistant Breast and Pancreatic Cancers into Checkpoint-Responsive Tumors by Reprogramming Tumor-Infiltrating MDSCs.

Cancer Immunol Res. 2018-10-19

[5]
Molecular Subtype-Specific Immunocompetent Models of High-Grade Urothelial Carcinoma Reveal Differential Neoantigen Expression and Response to Immunotherapy.

Cancer Res. 2018-5-21

[6]
Tumor Mutational Burden and Response Rate to PD-1 Inhibition.

N Engl J Med. 2017-12-21

[7]
Comprehensive Molecular Characterization of Muscle-Invasive Bladder Cancer.

Cell. 2017-10-19

[8]
NetMHCpan-4.0: Improved Peptide-MHC Class I Interaction Predictions Integrating Eluted Ligand and Peptide Binding Affinity Data.

J Immunol. 2017-11-1

[9]
Cancer Evolution Constrained by the Immune Microenvironment.

Cell. 2017-8-24

[10]
Entinostat Neutralizes Myeloid-Derived Suppressor Cells and Enhances the Antitumor Effect of PD-1 Inhibition in Murine Models of Lung and Renal Cell Carcinoma.

Clin Cancer Res. 2017-7-11

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