BRAF inhibition alleviates immune suppression in murine autochthonous melanoma

SM Steinberg, P Zhang, BT Malik, A Boni… - Cancer immunology …, 2014 - AACR
SM Steinberg, P Zhang, BT Malik, A Boni, TB Shabaneh, KT Byrne, DW Mullins
Cancer immunology research, 2014AACR
A growing body of evidence suggests that BRAF inhibitors, in addition to their acute tumor
growth–inhibitory effects, can also promote immune responses to melanoma. The present
study aimed to define the immunologic basis of BRAF-inhibitor therapy using the Braf/Pten
model of inducible, autochthonous melanoma on a pure C57BL/6 background. In the tumor
microenvironment, BRAF inhibitor PLX4720 functioned by on-target mechanisms to
selectively decrease both the proportions and absolute numbers of CD4+ Foxp3+ regulatory …
Abstract
A growing body of evidence suggests that BRAF inhibitors, in addition to their acute tumor growth–inhibitory effects, can also promote immune responses to melanoma. The present study aimed to define the immunologic basis of BRAF-inhibitor therapy using the Braf/Pten model of inducible, autochthonous melanoma on a pure C57BL/6 background. In the tumor microenvironment, BRAF inhibitor PLX4720 functioned by on-target mechanisms to selectively decrease both the proportions and absolute numbers of CD4+Foxp3+ regulatory T cells (Treg) and CD11b+Gr1+ myeloid-derived suppressor cells (MDSC), while preserving numbers of CD8+ effector T cells. In PLX4720-treated mice, the intratumoral Treg populations decreased significantly, demonstrating enhanced apopotosis. CD11b+ myeloid cells from PLX4720-treated tumors also exhibited decreased immunosuppressive function on a per-cell basis. In accordance with a reversion of tumor immune suppression, tumors that had been treated with PLX4720 grew with reduced kinetics after treatment was discontinued, and this growth delay was dependent on CD8 T cells. These findings demonstrate that BRAF inhibition selectively reverses two major mechanisms of immunosuppression in melanoma and liberates host-adaptive antitumor immunity. Cancer Immunol Res; 2(11); 1044–50. ©2014 AACR.
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