Type I IFN blockade uncouples immunotherapy-induced antitumor immunity and autoimmune toxicity

I型干扰素阻断可解除免疫疗法诱导的抗肿瘤免疫和自身免疫毒性之间的联系

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作者:Scott R Walsh ,Donald Bastin ,Lan Chen ,Andrew Nguyen ,Christopher J Storbeck ,Charles Lefebvre ,David Stojdl ,Jonathan L Bramson ,John C Bell ,Yonghong Wan

Abstract

Despite its success in treating melanoma and hematological malignancies, adoptive cell therapy (ACT) has had only limited effects in solid tumors. This is due in part to a lack of specific antigen targets, poor trafficking and infiltration, and immunosuppression in the tumor microenvironment. In this study, we combined ACT with oncolytic virus vaccines (OVVs) to drive expansion and tumor infiltration of transferred antigen-specific T cells and demonstrated that the combination is highly potent for the eradication of established solid tumors. Consistent with other successful immunotherapies, this approach elicited severe autoimmune consequences when the antigen targeted was a self-protein. However, modulation of IFN-α/-β signaling, either by functional blockade or rational selection of an OVV backbone, ameliorated autoimmune side effects without compromising antitumor efficacy. Our study uncovers a pathogenic role for IFN-α/-β in facilitating autoimmune toxicity during cancer immunotherapy and presents a safe and powerful combinatorial regimen with immediate translational applications.

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