Engagement of the ICOS pathway markedly enhances efficacy of CTLA-4 blockade in cancer immunotherapy

被引:245
作者
Fan, Xiaozhou [1 ]
Quezada, Sergio A. [3 ]
Sepulveda, Manuel A. [5 ,6 ]
Sharma, Padmanee [1 ,2 ,4 ]
Allison, James P. [1 ,4 ,5 ,6 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Immunol, Houston, TX 77030 USA
[2] Univ Texas MD Anderson Canc Ctr, Dept Genitourinary Med Oncol, Houston, TX 77030 USA
[3] UCL, Dept Res Haematol, Canc Immunol Unit, Inst Canc, London WC1E 6DD, England
[4] Mem Sloan Kettering Canc Ctr, Ludwig Ctr Canc Immunotherapy, New York, NY 10065 USA
[5] Mem Sloan Kettering Canc Ctr, Howard Hughes Med Inst, New York, NY 10065 USA
[6] Mem Sloan Kettering Canc Ctr, Immunol Program, New York, NY 10065 USA
基金
美国国家卫生研究院;
关键词
REGULATORY T-CELLS; COMBINATION IMMUNOTHERAPY; IPILIMUMAB; EFFECTOR; EXPANSION; RESPONSES; THERAPY; TUMORS;
D O I
10.1084/jem.20130590
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
071005 [微生物学]; 100108 [医学免疫学];
摘要
Cytotoxic T lymphocyte antigen-4 (CTLA-4) blockade with a monoclonal antibody yields durable responses in a subset of cancer patients and has been approved by the FDA as a standard therapy for late-stage melanoma. We recently identified inducible co-stimulator (ICOS) as a crucial player in the antitumor effects of CTLA-4 blockade. We now show that concomitant CTLA-4 blockade and ICOS engagement by tumor cell vaccines engineered to express ICOS ligand enhanced antitumor immune responses in both quantity and quality and significantly improved rejection of established melanoma and prostate cancer in mice. This study provides strong support for the development of combinatorial therapies incorporating anti-CTLA-4 and ICOS engagement.
引用
收藏
页码:715 / 725
页数:11
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