[PDF][PDF] Magnitude of therapeutic STING activation determines CD8+ T cell-mediated anti-tumor immunity

KE Sivick, AL Desbien, LH Glickman, GL Reiner… - Cell reports, 2018 - cell.com
KE Sivick, AL Desbien, LH Glickman, GL Reiner, L Corrales, NH Surh, TE Hudson, UT Vu…
Cell reports, 2018cell.com
Intratumoral (IT) STING activation results in tumor regression in preclinical models, yet
factors dictating the balance between innate and adaptive anti-tumor immunity are unclear.
Here, clinical candidate STING agonist ADU-S100 (S100) is used in an IT dosing regimen
optimized for adaptive immunity to uncover requirements for a T cell-driven response
compatible with checkpoint inhibitors (CPIs). In contrast to high-dose tumor ablative
regimens that result in systemic S100 distribution, low-dose immunogenic regimens induce …
Summary
Intratumoral (IT) STING activation results in tumor regression in preclinical models, yet factors dictating the balance between innate and adaptive anti-tumor immunity are unclear. Here, clinical candidate STING agonist ADU-S100 (S100) is used in an IT dosing regimen optimized for adaptive immunity to uncover requirements for a T cell-driven response compatible with checkpoint inhibitors (CPIs). In contrast to high-dose tumor ablative regimens that result in systemic S100 distribution, low-dose immunogenic regimens induce local activation of tumor-specific CD8+ effector T cells that are responsible for durable anti-tumor immunity and can be enhanced with CPIs. Both hematopoietic cell STING expression and signaling through IFNAR are required for tumor-specific T cell activation, and in the context of optimized T cell responses, TNFα is dispensable for tumor control. In a poorly immunogenic model, S100 combined with CPIs generates a survival benefit and durable protection. These results provide fundamental mechanistic insights into STING-induced anti-tumor immunity.
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