Lineberger Comprehensive Cancer Center.
Department of Pharmacology.
J Clin Invest. 2021 Aug 16;131(16). doi: 10.1172/JCI138560.
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.
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。
J Clin Invest. 2021-8-16
J Immunother Cancer. 2019-11-8
Skelet Muscle. 2019-5-21
J Exp Clin Cancer Res. 2025-4-29
J Exp Clin Cancer Res. 2024-10-22
CA Cancer J Clin. 2021-1
Nat Med. 2019-3-6
N Engl J Med. 2017-12-21
Cell. 2017-8-24