[HTML][HTML] Combination PD-1 and PD-L1 blockade promotes durable neoantigen-specific T cell-mediated immunity in pancreatic ductal adenocarcinoma
AL Burrack, EJ Spartz, JF Raynor, I Wang, M Olson… - Cell reports, 2019 - cell.com
Cell reports, 2019•cell.com
Pancreatic ductal adenocarcinoma (PDA) is a lethal cancer resistant to immunotherapy. We
create a PDA mouse model and show that neoantigen expression is required for
intratumoral T cell accumulation and response to immune checkpoint blockade. By
generating a peptide: MHC tetramer, we identify that PDA induces rapid intratumoral, and
progressive systemic, tumor-specific T cell exhaustion. Monotherapy PD-1 or PD-L1
blockade enhances systemic T cell expansion and induces objective responses that require …
create a PDA mouse model and show that neoantigen expression is required for
intratumoral T cell accumulation and response to immune checkpoint blockade. By
generating a peptide: MHC tetramer, we identify that PDA induces rapid intratumoral, and
progressive systemic, tumor-specific T cell exhaustion. Monotherapy PD-1 or PD-L1
blockade enhances systemic T cell expansion and induces objective responses that require …
Summary
Pancreatic ductal adenocarcinoma (PDA) is a lethal cancer resistant to immunotherapy. We create a PDA mouse model and show that neoantigen expression is required for intratumoral T cell accumulation and response to immune checkpoint blockade. By generating a peptide:MHC tetramer, we identify that PDA induces rapid intratumoral, and progressive systemic, tumor-specific T cell exhaustion. Monotherapy PD-1 or PD-L1 blockade enhances systemic T cell expansion and induces objective responses that require systemic T cells. However, tumor escape variants defective in IFNγ-inducible Tap1 and MHC class I cell surface expression ultimately emerge. Combination PD-1 + PD-L1 blockade synergizes therapeutically by increasing intratumoral KLRG1+Lag3−TNFα+ tumor-specific T cells and generating memory T cells capable of expanding to spontaneous tumor recurrence, thereby prolonging animal survival. Our studies support that PD-1 and PD-L1 are relevant immune checkpoints in PDA and identify a combination for clinical testing in those patients with neoantigen-specific T cells.
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