1. CD40 Stimulation Obviates Innate Sensors and Drives T Cell Immunity in Cancer.
- Author
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Byrne KT and Vonderheide RH
- Subjects
- Albumins pharmacology, Albumins therapeutic use, Animals, Antibodies pharmacology, Antigen-Presenting Cells metabolism, CD8-Positive T-Lymphocytes drug effects, CD8-Positive T-Lymphocytes immunology, Carcinoma, Pancreatic Ductal drug therapy, Carcinoma, Pancreatic Ductal immunology, Carcinoma, Pancreatic Ductal pathology, Clone Cells, Deoxycytidine analogs & derivatives, Deoxycytidine pharmacology, Deoxycytidine therapeutic use, Interferon-gamma metabolism, Lymphocyte Subsets drug effects, Mice, Inbred C57BL, Mice, Knockout, Neoplasms pathology, Paclitaxel pharmacology, Paclitaxel therapeutic use, Pancreatic Neoplasms drug therapy, Pancreatic Neoplasms immunology, Pancreatic Neoplasms pathology, T-Lymphocytes drug effects, Treatment Outcome, Tumor Microenvironment drug effects, Gemcitabine, Pancreatic Neoplasms, CD40 Antigens metabolism, Immunity, Innate drug effects, Neoplasms immunology, T-Lymphocytes immunology
- Abstract
Cancer immunotherapies are more effective in tumors with robust T cell infiltrates, but mechanisms to convert T cell-devoid tumors with active immunosuppression to those capable of recruiting T cells remain incompletely understood. Here, using genetically engineered mouse models of pancreatic ductal adenocarcinoma (PDA), we demonstrate that a single dose of agonistic CD40 antibody with chemotherapy rendered PDA susceptible to T cell-dependent destruction and potentiated durable remissions. CD40 stimulation caused a clonal expansion of T cells in the tumor, but the addition of chemotherapy optimized myeloid activation and T cell function. Although recent data highlight the requirement for innate sensors in cancer immunity, these canonical pathways-including TLRs, inflammasome, and type I interferon/STING-played no role in mediating the efficacy of CD40 and chemotherapy. Thus, CD40 functions as a non-redundant mechanism to convert the tumor microenvironment immunologically. Our data provide a rationale for a newly initiated clinical trial of CD40 and chemotherapy in PDA., (Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Published
- 2016
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