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Integrin αvβ8–expressing tumor cells evade host immunity by regulating TGF-β activation in immune cells
Naoki Takasaka, Robert I. Seed, Anthony Cormier, Andrew J. Bondesson, Jianlong Lou, Ahmed Elattma, Saburo Ito, Haruhiko Yanagisawa, Mitsuo Hashimoto, Royce Ma, Michelle D. Levine, Jean Publicover, Rashaun Potts, Jillian M. Jespersen, Melody G. Campbell, Fraser Conrad, James D. Marks, Yifan Cheng, Jody L. Baron, Stephen L. Nishimura
Naoki Takasaka, Robert I. Seed, Anthony Cormier, Andrew J. Bondesson, Jianlong Lou, Ahmed Elattma, Saburo Ito, Haruhiko Yanagisawa, Mitsuo Hashimoto, Royce Ma, Michelle D. Levine, Jean Publicover, Rashaun Potts, Jillian M. Jespersen, Melody G. Campbell, Fraser Conrad, James D. Marks, Yifan Cheng, Jody L. Baron, Stephen L. Nishimura
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Research Article Immunology

Integrin αvβ8–expressing tumor cells evade host immunity by regulating TGF-β activation in immune cells

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Abstract

TGF-β is a promising immunotherapeutic target. It is expressed ubiquitously in a latent form that must be activated to function. Determination of where and how latent TGF-β (L-TGF-β) is activated in the tumor microenvironment could facilitate cell- and mechanism-specific approaches to immunotherapeutically target TGF-β. Binding of L-TGF-β to integrin αvβ8 results in activation of TGF-β. We engineered and used αvβ8 antibodies optimized for blocking or detection, which — respectively — inhibit tumor growth in syngeneic tumor models or sensitively and specifically detect β8 in human tumors. Inhibition of αvβ8 potentiates cytotoxic T cell responses and recruitment of immune cells to tumor centers — effects that are independent of PD-1/PD-L1. β8 is expressed on the cell surface at high levels by tumor cells, not immune cells, while the reverse is true of L-TGF-β, suggesting that tumor cell αvβ8 serves as a platform for activating cell-surface L-TGF-β presented by immune cells. Transcriptome analysis of tumor-associated lymphoid cells reveals macrophages as a key cell type responsive to β8 inhibition with major increases in chemokine and tumor-eliminating genes. High β8 expression in tumor cells is seen in 20%–80% of various cancers, which rarely coincides with high PD-L1 expression. These data suggest tumor cell αvβ8 is a PD-1/PD-L1–independent immunotherapeutic target.

Authors

Naoki Takasaka, Robert I. Seed, Anthony Cormier, Andrew J. Bondesson, Jianlong Lou, Ahmed Elattma, Saburo Ito, Haruhiko Yanagisawa, Mitsuo Hashimoto, Royce Ma, Michelle D. Levine, Jean Publicover, Rashaun Potts, Jillian M. Jespersen, Melody G. Campbell, Fraser Conrad, James D. Marks, Yifan Cheng, Jody L. Baron, Stephen L. Nishimura

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Figure 6

β8 expression in human carcinoma and melanoma specimens.

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β8 expression in human carcinoma and melanoma specimens.
A highly specif...
A highly specific and sensitive anti-β8 antibody suitable for staining formalin-fixed paraffin-embedded tissues (FFPE) was engineered, optimized, and extensively characterized (Supplemental Methods and Supplemental Figures 15–19). Representative F9 immunostaining results of archival FFPE tissues of (A) lung adenocarcinoma; (B) lung squamous cell carcinoma; (C) ovarian carcinoma; (D) endometrioid adenocarcinoma (n = 3, all positive); (E) melanoma; (F) skin (n = 3, all positive); (G) breast ductal carcinoma in situ, high grade (n = 3, all positive); (H) breast invasive carcinoma; (I) prostatic adenocarcinoma; (J) colonic adenocarcinoma; (K) oral squamous cell carcinoma; and (L) gastric adenocarcinoma (n = 3, all positive). All images taken at 400×. Scale bar: 25 μm. Arrows indicate representative positive staining of tumor cell islands. (M) Summary of staining data from cohorts of tumor samples depicted in A–L, where n > 3. High-grade serous ovarian (n = 14), colon (n = 10), melanoma (n = 10), breast (n = 8), lung (n = 29), prostate (n = 7), and mucosal squamous cell carcinoma (lung, oropharyngeal) (n = 22) were stained with F9, and staining was expressed as tumor proportion score (TPS), which represents the percentage of tumor cells with membrane staining compared with all tumor cells. 0 = TPS <1% (open bars); 1 = TPS 1%–49% (striped bars); 2 = TPS 50% or greater (filled bars). (N–P) High ITGB8 mRNA expression is correlated with decreased survival in subsets of breast, ovarian, and lung carcinomas. Kaplan-Meier curves of high vs. low ITGB8 mRNA expression in (N) triple-negative basal-type breast carcinoma (n = 186), (O) stage 3 or 4 serous ovarian carcinoma (n = 1,001), or (P) non–small cell lung carcinoma (n = 1,926). Kaplan-Meier plots were generated using KM plotter (http://kmplot.com), a web application supporting biomarker assessment for multiple carcinoma types and subtypes (35). HR, hazard ratio; significance found with logrank tests.

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