Title | Immune reprogramming via PD-1 inhibition enhances early-stage lung cancer survival. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Markowitz GJ, Havel LS, Crowley MJp, Ban Y, Lee SB, Thalappillil JS, Narula N, Bhinder B, Elemento O, Wong STc, Gao D, Altorki NK, Mittal V |
Journal | JCI Insight |
Volume | 3 |
Issue | 13 |
Date Published | 2018 07 12 |
ISSN | 2379-3708 |
Keywords | Animals, Antibodies, Monoclonal, B7-H1 Antigen, Carcinoma, Non-Small-Cell Lung, CD4-Positive T-Lymphocytes, CD8-Positive T-Lymphocytes, Disease Models, Animal, Disease Progression, Female, Humans, Immunotherapy, Lung, Lung Neoplasms, Mice, Mice, Inbred C57BL, Programmed Cell Death 1 Receptor, Proto-Oncogene Proteins p21(ras), T-Lymphocytes, Tumor Microenvironment |
Abstract | Success of immune checkpoint inhibitors in advanced non-small-cell lung cancer (NSCLC) has invigorated their use in the neoadjuvant setting for early-stage disease. However, the cellular and molecular mechanisms of the early immune responses to therapy remain poorly understood. Through an integrated analysis of early-stage NSCLC patients and a Kras mutant mouse model, we show a prevalent programmed cell death 1/programmed cell death 1 ligand 1 (PD-1/PD-L1) axis exemplified by increased intratumoral PD-1+ T cells and PD-L1 expression. Notably, tumor progression was associated with spatiotemporal modulation of the immune microenvironment with dominant immunosuppressive phenotypes at later phases of tumor growth. Importantly, PD-1 inhibition controlled tumor growth, improved overall survival, and reprogrammed tumor-associated lymphoid and myeloid cells. Depletion of T lymphocyte subsets demonstrated synergistic effects of those populations on PD-1 inhibition of tumor growth. Transcriptome analyses revealed T cell subset-specific alterations corresponding to degree of response to the treatment. These results provide insights into temporal evolution of the phenotypic effects of PD-1/PD-L1 activation and inhibition and motivate targeting of this axis early in lung cancer progression. |
DOI | 10.1172/jci.insight.96836 |
Alternate Journal | JCI Insight |
PubMed ID | 29997286 |
PubMed Central ID | PMC6101707 |
Grant List | T32 CA203702 / CA / NCI NIH HHS / United States T32 GM008539 / GM / NIGMS NIH HHS / United States U01 CA188388 / CA / NCI NIH HHS / United States |