[PDF][PDF] Tumor interferon signaling regulates a multigenic resistance program to immune checkpoint blockade

JL Benci, B Xu, Y Qiu, TJ Wu, H Dada… - Cell, 2016 - cell.com
JL Benci, B Xu, Y Qiu, TJ Wu, H Dada, C Twyman-Saint Victor, L Cucolo, DSM Lee
Cell, 2016cell.com
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 …
Summary
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.
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