Tumor Interferon Signaling Regulates a Multigenic Resistance Program to Immune Checkpoint Blockade

Autor: Lisa Cucolo, David Lee, Tony J. Wu, Robert H. Vonderheide, Hannah Dada, Bihui Xu, Lynn M. Schuchter, Tara C. Gangadhar, Christina Twyman-Saint Victor, Michael Feldman, E. John Wherry, Yu Qiu, Kristen E. Pauken, Andy J. Minn, Joseph L. Benci, Hemant Ishwaran, Amit Maity, Alexander C. Huang, Ravi K. Amaravadi
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Popis: Therapeutic blocking of the PD1 pathway results in significant tumor responses but resistance is common. We demonstrate that prolonged interferon signaling orchestrates PDL1-dependent and PDL1-independent resistance to immune checkpoint blockade (ICB), and to combinations such as radiation plus anti-CTLA4. Persistent type II interferon signaling allows tumors to acquire STAT1-related epigenomic changes and augments expression of interferon-stimulated genes and ligands for multiple T cell inhibitory receptors. Both type I and II interferons maintain this resistance program. Crippling the program genetically or pharmacologically interferes with multiple inhibitory pathways, and expands distinct T cell populations with improved function despite expressing markers of severe exhaustion. Consequently, tumors resistant to multi-agent ICB are rendered responsive to ICB monotherapy. Finally, we observe that biomarkers for interferon-driven resistance associate with clinical progression after anti-PD1 therapy. Thus, the duration of tumor interferon signaling augments adaptive resistance and inhibition of the interferon response bypasses requirements for combinatorial ICB therapies.
Databáze: OpenAIRE