Bréart, Williams, and Krimm et al. showed that in human and mouse tumors, DC-expressed IL-27 strongly associated with the CTL signature. In mouse tumor models, impairing IL-27 signaling showed that IL-27 acted directly on tumor-specific CTLs in the TME to boost their abundance and function. Conversely, IL-27R agonism promoted expression of the cytolytic program in antitumor CTLs, regression of established tumors, and efficacy of PD-L1 blockade, and was well tolerated. High IL-27 levels correlated with favorable ICB responses in patients with cancer. Under ex vivo conditions of chronic antigen stimulation, IL-27 promoted human CTL function.
Contributed by Paula Hochman
ABSTRACT: Although cytotoxic CD8(+) T lymphocytes (CTLs) are essential for anti-tumour immunity, they are frequently dysfunctional in tumours(1). Cytokines that sustain CTL activity are attractive for cancer immunotherapy, but avoiding inflammatory toxicity remains a challenge for their clinical use(2). Here we show that expression of a CTL signature is strongly associated with IL27 expression in human and mouse tumours. In mice, IL-27 acts directly on tumour-specific CTLs to promote their persistence and effector function in the tumour microenvironment. Moreover, treatment with inducible IL-27 overexpression or a half-life-extended IL-27 protein in vivo is well tolerated, induces regression of established tumours, drives an enhanced cytotoxic program in anti-tumour CTLs and synergizes with PD-L1 blockade. In patients with cancer who were treated with anti-PD-1/PD-L1 therapy, high expression of IL-27 correlates with a favourable clinical response, and IL-27 supports human CTL function during chronic antigen stimulation ex vivo. Our data demonstrate that endogenous IL-27 is essential for anti-tumour immunity and that IL-27 receptor agonism can safely improve anti-tumour T cell responses alone or in combination with PD-L1 blockade.