Translational Research Center for Hemato-Oncology, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Department of Oncology, University Hospitals of Geneva, Geneva, Switzerland.
JCI Insight. 2021 Sep 22;6(18):e142980. doi: 10.1172/jci.insight.142980.
Glioblastoma is a highly malignant brain tumor with no curative treatment options, and immune checkpoint blockade has not yet shown major impact. We hypothesized that drugs targeting mitosis might affect the tumor microenvironment and sensitize cancer cells to immunotherapy. We used 2 glioblastoma mouse models with different immunogenicity profiles, GL261 and SB28, to test the efficacy of antineoplastic and immunotherapy combinations. The spindle assembly checkpoint activator BAL101553 (lisavanbulin), agonistic anti-CD40 antibody, and double immune checkpoint blockade (anti-programmed cell death 1 and anti-cytotoxic T lymphocyte-associated protein 4; anti-PD-1 and anti-CTLA-4) were evaluated individually or in combination for treating orthotopic GL261 and SB28 tumors. Genomic and immunological analyses were used to predict and interpret therapy responsiveness. BAL101553 monotherapy increased survival in immune checkpoint blockade-resistant SB28 glioblastoma tumors and synergized with anti-CD40 antibody, in a T cell-independent manner. In contrast, the more immunogenic and highly mutated GL261 model responded best to anti-PD-1 and anti-CTLA-4 therapy and more modestly to BAL101553 and anti-CD40 combination. Our results show that BAL101553 is a promising therapeutic agent for glioblastoma and could synergize with innate immune stimulation. Overall, these data strongly support immune profiling of glioblastoma patients and preclinical testing of combination therapies with appropriate models for particular patient groups.
胶质母细胞瘤是一种高度恶性的脑肿瘤,目前尚无治愈的治疗方法,免疫检查点阻断也尚未显示出重大影响。我们假设针对有丝分裂的药物可能会影响肿瘤微环境,并使癌细胞对免疫疗法敏感。我们使用两种具有不同免疫原性特征的胶质母细胞瘤小鼠模型,GL261 和 SB28,来测试抗肿瘤和免疫治疗联合疗法的疗效。纺锤体组装检查点激活剂 BAL101553(利斯伐布林)、激动性抗 CD40 抗体和双重免疫检查点阻断(抗程序性细胞死亡 1 和抗细胞毒性 T 淋巴细胞相关蛋白 4;抗 PD-1 和抗 CTLA-4)分别单独或联合用于治疗原位 GL261 和 SB28 肿瘤。基因组和免疫分析用于预测和解释治疗反应。BAL101553 单药治疗增加了免疫检查点阻断耐药性 SB28 胶质母细胞瘤肿瘤的存活时间,并以 T 细胞非依赖性方式与抗 CD40 抗体协同作用。相比之下,更具免疫原性和高度突变的 GL261 模型对抗 PD-1 和抗 CTLA-4 治疗的反应最好,对 BAL101553 和抗 CD40 联合治疗的反应则较为适度。我们的研究结果表明,BAL101553 是胶质母细胞瘤有前途的治疗药物,并且可以与先天免疫刺激协同作用。总的来说,这些数据强烈支持对胶质母细胞瘤患者进行免疫分析,并对特定患者群体的合适模型进行联合治疗的临床前测试。