PD-L1 checkpoint blockade prevents immune dysfunction and leukemia development in a mouse model of chronic lymphocytic leukemia

F McClanahan, B Hanna, S Miller… - Blood, The Journal …, 2015 - ashpublications.org
F McClanahan, B Hanna, S Miller, AJ Clear, P Lichter, JG Gribben, M Seiffert
Blood, The Journal of the American Society of Hematology, 2015ashpublications.org
Blockade of the programmed cell death 1 (PD-1)/programmed death-ligand 1 (PD-L1)
immune checkpoint augments antitumor immunity and induces durable responses in
patients with solid cancers, but data on clinical efficacy in leukemias are sparse. Chronic
lymphocytic leukemia (CLL) is associated with a tumor-supportive microenvironment and a
dysfunctional immune system, as shown by “exhausted” T cells, defective immunologic
synapse formation, and immunosuppressive myeloid cells. These defects involve aberrant …
Abstract
Blockade of the programmed cell death 1 (PD-1)/programmed death-ligand 1 (PD-L1) immune checkpoint augments antitumor immunity and induces durable responses in patients with solid cancers, but data on clinical efficacy in leukemias are sparse. Chronic lymphocytic leukemia (CLL) is associated with a tumor-supportive microenvironment and a dysfunctional immune system, as shown by “exhausted” T cells, defective immunologic synapse formation, and immunosuppressive myeloid cells. These defects involve aberrant expression of PD-L1 and are closely mirrored in the Eµ-TCL1 mouse model for CLL. In this study, we treated mice after adoptive transfer of Eµ-TCL1 CLL with PD-L1–blocking antibodies, which prevented CLL development and was accompanied by a reactivation of immune effector functions. This included restoration of mature macrophages and major histocompatibility complex class II–expressing dendritic cells and prevention of aberrant and exhaustion-like T-cell phenotypes. In addition, PD-L1 blockade restored CD8 T-cell cytotoxicity and immune synapse formation and normalized T-cell cytokines and proliferation ex vivo and in vivo. Our data demonstrate that early PD-L1 blockade effectively corrects leukemia-induced immune dysfunction and thus prevents CLL development in mice. Targeting PD-L1/PD-1 interactions should therefore be further explored in clinical studies with CLL patients, ideally in combination with novel compounds to help eliminate CLL.
ashpublications.org