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Oncoimmunology. 2019;8(1):e1515057.

Inhibition of MEK with trametinib enhances the efficacy of anti-PD-L1 inhibitor by regulating anti-tumor immunity in head and neck squamous cell carcinoma.

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제1저자 강성호 · 교신저자 김범석,안용운

소속 (3)
  1. Cancer Research Institute, Seoul National University, Seoul, Korea.
  2. Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
  3. Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.

Abstract

Major histocompatibility complex (MHC) class I downregulation is the primary immune evasion mechanism associated with failure in anti-PD-1/PD-L1 blockade therapies for cancer. Here, we examined the role of MEK signaling pathway inhibition in head and neck squamous cell carcinoma (HNSCC) both in vitro and in vivo. We found that trametinib, a small molecule inhibitor of MEK, significantly enhanced MHC class I and PD-L1 expression in human HNSCC cell lines, and this occurred via STAT3 activation. Trametinib also further upregulated the increase in CXCL9 and CXCL10 expression caused by IFN-γ in HNSCC cells, which is associated with T cell infiltration in tumor tissues. Finally, we evaluated the therapeutic efficacy of trametinib combined with an anti-PD-L1 monoclonal antibody in vivo, using SCCVII mouse syngeneic tumor model for HNSCC. While neither PD-L1 blockade nor trametinib treatment alone affected tumor growth, the combined therapy significantly delayed tumor growth. Our results indicate that in the combined therapy trametinib increases CD8+ T cell infiltration in the tumor site and upregulates antigen presentation, and this may be associated with enhanced PD-L1 blockade efficacy. Furthermore, our results suggest that this combination would therapeutically benefit patients with HNSCC.

Keywords

Head and neck squamous cell carcinomaMEK inhibitoranti-PD-1/PD-L1 mAbimmune infiltrationimmune recognition

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
Oncoimmunology · ISSN 2162-4011
전자 출판
2018-09-21
참고문헌
44편