Using a λ-MYC-B cell-specific transgenic mouse model, Scheuerpflug et al. showed that anti- CTLA-4 plus anti-PD-1 immune checkpoint blockade (ICB) delayed growth of spontaneously arising B-cell lymphomas, reduced the CD11clo to CD11chi splenic DC ratio, and upregulated CD80 and CD86 and reduced PD-L1 expression on CD11c+ tumor-infiltrating (TI) DCs. Dual ICB shifted TIDC bias from IL-10 to IL-12 – a shift attenuated by depleting NK cells or blocking IFNγ produced by T and NK cells. TIDCs upregulated PD-1 and CTLA-4, and dual ICB of the mice restored the ability of TIDCs to stimulate peptide-specific and allogeneic naive CD4+ T cell responses in vitro.

Contributed by Paula Hochman

ABSTRACT: Immune checkpoint blocking (ICB) is a promising new tool of cancer treatment. Yet, the underlying therapeutic mechanisms are not fully understood. Here we investigated the role of dendritic cells (DCs) for the therapeutic effect of ICB in a λ-MYC-transgenic mouse model of endogenously arising B-cell lymphoma. The growth of these tumors can be effectively delayed by antibodies against CTLA-4 and PD-1. Tumor-infiltrating DCs from mice having received therapy showed an upregulation of costimulatory molecules as well as an augmented IL-12/IL-10 ratio as compared to untreated controls. Both alterations seemed to be induced by interferon-γ (IFN-γ), which is upregulated in T cells and natural killer cells upon ICB. Furthermore, the enhanced IL-12/IL-10 ratio, which favors Th1-prone antitumor T-cell responses, was a consequence of direct interaction of ICB antibodies with DCs. Importantly, the capability of tumor-infiltrating DCs of stimulating peptide-specific or allogeneic T-cell responses in vitro was improved when DCs were derived from ICB-treated mice. The data indicate that ICB therapy is not only effective by directly activating T cells, but also by triggering a complex network, in which DCs play a pivotal role at the interface between innate and adaptive antitumor responses.

Author Info: (1) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Translationale Molekulare Immunologie, Munich, Germany. (2) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Tr

Author Info: (1) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Translationale Molekulare Immunologie, Munich, Germany. (2) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Translationale Molekulare Immunologie, Munich, Germany. Helmholtz-Zentrum Mnchen, Institut Fr Molekulare Immunologie, Munich, Germany. (3) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Translationale Molekulare Immunologie, Munich, Germany. (4) Helmholtz-Zentrum Mnchen, Institut Fr Molekulare Immunologie, Munich, Germany. (5) Klinik Fr Dermatologie, Eberhard-Karls-Universitt Tbingen, Tbingen, Germany. (6) Helmholtz-Zentrum Mnchen, Eigenstndige Forschungseinheit Translationale Molekulare Immunologie, Munich, Germany. Mocikat@helmholtz-muenchen.de. Helmholtz-Zentrum Mnchen, Institut Fr Molekulare Immunologie, Munich, Germany. Mocikat@helmholtz-muenchen.de.