Engagement of the ICOS pathway markedly enhances efficacy of CTLA-4 blockade in cancer immunotherapy

X Fan, SA Quezada, MA Sepulveda… - Journal of Experimental …, 2014 - rupress.org
X Fan, SA Quezada, MA Sepulveda, P Sharma, JP Allison
Journal of Experimental Medicine, 2014rupress.org
Cytotoxic T lymphocyte antigen-4 (CTLA-4) blockade with a monoclonal antibody yields
durable responses in a subset of cancer patients and has been approved by the FDA as a
standard therapy for late-stage melanoma. We recently identified inducible co-stimulator
(ICOS) as a crucial player in the antitumor effects of CTLA-4 blockade. We now show that
concomitant CTLA-4 blockade and ICOS engagement by tumor cell vaccines engineered to
express ICOS ligand enhanced antitumor immune responses in both quantity and quality …
Cytotoxic T lymphocyte antigen-4 (CTLA-4) blockade with a monoclonal antibody yields durable responses in a subset of cancer patients and has been approved by the FDA as a standard therapy for late-stage melanoma. We recently identified inducible co-stimulator (ICOS) as a crucial player in the antitumor effects of CTLA-4 blockade. We now show that concomitant CTLA-4 blockade and ICOS engagement by tumor cell vaccines engineered to express ICOS ligand enhanced antitumor immune responses in both quantity and quality and significantly improved rejection of established melanoma and prostate cancer in mice. This study provides strong support for the development of combinatorial therapies incorporating anti–CTLA-4 and ICOS engagement.
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