Dendritic cells dictate responses to PD-L1 blockade cancer immunotherapy

M Mayoux, A Roller, V Pulko, S Sammicheli… - Science translational …, 2020 - science.org
M Mayoux, A Roller, V Pulko, S Sammicheli, S Chen, E Sum, C Jost, MF Fransen, RB Buser…
Science translational medicine, 2020science.org
PD-L1/PD-1 blocking antibodies have demonstrated therapeutic efficacy across a range of
human cancers. Extending this benefit to a greater number of patients, however, will require
a better understanding of how these therapies instigate anticancer immunity. Although the
PD-L1/PD-1 axis is typically associated with T cell function, we demonstrate here that
dendritic cells (DCs) are an important target of PD-L1 blocking antibody. PD-L1 binds two
receptors, PD-1 and B7. 1 (CD80). PD-L1 is expressed much more abundantly than B7. 1 on …
PD-L1/PD-1 blocking antibodies have demonstrated therapeutic efficacy across a range of human cancers. Extending this benefit to a greater number of patients, however, will require a better understanding of how these therapies instigate anticancer immunity. Although the PD-L1/PD-1 axis is typically associated with T cell function, we demonstrate here that dendritic cells (DCs) are an important target of PD-L1 blocking antibody. PD-L1 binds two receptors, PD-1 and B7.1 (CD80). PD-L1 is expressed much more abundantly than B7.1 on peripheral and tumor-associated DCs in patients with cancer. Blocking PD-L1 on DCs relieves B7.1 sequestration in cis by PD-L1, which allows the B7.1/CD28 interaction to enhance T cell priming. In line with this, in patients with renal cell carcinoma or non–small cell lung cancer treated with atezolizumab (PD-L1 blockade), a DC gene signature is strongly associated with improved overall survival. These data suggest that PD-L1 blockade reinvigorates DC function to generate potent anticancer T cell immunity.
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