Oncology R & D, AstraZeneca, Cambridge, UK.
Imaging Sciences, AstraZeneca, Cambridge, UK.
Cancer Biol Ther. 2024 Dec 31;25(1):2296048. doi: 10.1080/15384047.2023.2296048. Epub 2024 Jan 11.
CD73 is a cell surface 5'nucleotidase (NT5E) and key node in the catabolic process generating immunosuppressive adenosine in cancer. Using a murine monoclonal antibody surrogate of Oleclumab, we investigated the effect of CD73 inhibition in concert with cytotoxic therapies (chemotherapies as well as fractionated radiotherapy) and PD-L1 blockade. Our results highlight improved survival in syngeneic tumor models of colorectal cancer (CT26 and MC38) and sarcoma (MCA205). This therapeutic outcome was in part driven by cytotoxic CD8 T-cells, as evidenced by the detrimental effect of CD8 depleting antibody treatment of MCA205 tumor bearing mice treated with anti-CD73, anti-PD-L1 and 5-Fluorouracil+Oxaliplatin (5FU+OHP). We hypothesize that the improved responses are tumor microenvironment (TME)-driven, as suggested by the lack of anti-CD73 enhanced cytopathic effects mediated by 5FU+OHP on cell lines . Pharmacodynamic analysis, using imaging mass cytometry and RNA-sequencing, revealed noteworthy changes in specific cell populations like cytotoxic T cells, B cells and NK cells in the CT26 TME. Transcriptomic analysis highlighted treatment-related modulation of gene profiles associated with an immune response, NK and T-cell activation, T cell receptor signaling and interferon (types 1 & 2) pathways. Inclusion of comparator groups representing the various components of the combination allowed deconvolution of contribution of the individual therapeutic elements; highlighting specific effects mediated by the anti-CD73 antibody with respect to immune-cell representation, chemotaxis and myeloid biology. These pre-clinical data reflect complementarity of adenosine blockade with cytotoxic therapy, and T-cell checkpoint inhibition, and provides new mechanistic insights in support of combination therapy.
CD73 是一种细胞表面 5′核苷酸酶(NT5E),也是在癌症中产生免疫抑制腺苷的分解代谢过程中的关键节点。我们使用 Oleclumab 的鼠单克隆抗体替代物研究了 CD73 抑制与细胞毒性疗法(化疗和分次放疗)和 PD-L1 阻断联合的效果。我们的结果突出了在结直肠癌(CT26 和 MC38)和肉瘤(MCA205)的同源肿瘤模型中生存时间的改善。这种治疗效果部分是由细胞毒性 CD8 T 细胞驱动的,这一点可以从 MCA205 肿瘤荷瘤小鼠的 CD8 耗竭抗体治疗对接受抗 CD73、抗 PD-L1 和 5-氟尿嘧啶+奥沙利铂(5FU+OHP)治疗的影响中得到证明。我们假设这种改善的反应是由肿瘤微环境(TME)驱动的,因为缺乏抗 CD73 增强的细胞病变效应,这是由 5FU+OHP 介导的细胞系。使用成像质谱细胞术和 RNA 测序的药效学分析显示,在 CT26 TME 中,特定细胞群如细胞毒性 T 细胞、B 细胞和 NK 细胞发生了显著变化。转录组分析突出了与免疫反应、NK 和 T 细胞激活、T 细胞受体信号和干扰素(1 型和 2 型)途径相关的基因谱的治疗相关调节。包括代表组合各个组成部分的比较组,允许对单个治疗元素的贡献进行解卷积;突出了抗 CD73 抗体介导的对免疫细胞代表性、趋化性和髓样生物学的特定影响。这些临床前数据反映了腺苷阻断与细胞毒性疗法和 T 细胞检查点抑制的互补性,并提供了新的机制见解,支持联合治疗。
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