Fibroblast growth factor inhibition by molecular-targeted agents mitigates immunosuppressive tissue microenvironment in hepatocellular carcinoma

© 2023. The Author(s)..

BACKGROUND & AIMS: Combination immunotherapy refers to the use of immune checkpoint inhibitors (ICI) and molecular-targeted agents (MTA), which have recently been approved for the treatment of advanced hepatocellular carcinoma (HCC). Owing to its relatively low antitumor effect (up to 30%), sequential therapy following ICIs treatment is required in patients with HCC. This study aimed to determine the impact of MTAs on the tumor immune microenvironment (TIME).

METHODS: We established immune syngeneic orthotopic HCC mouse models using Hep-55.1C and Hep-53.4, and treated them with MTAs (lenvatinib, sorafenib, regorafenib, cabozantinib, and DC101 as anti-vascular endothelial growth factor receptor-2 antibodies, and AZD4547 as a fibroblast growth factor receptor (FGFR)-1/2/3/4 inhibitor) for 2 weeks. Subsequently, alterations in the TIME caused by MTAs were evaluated using immunohistochemistry (antibodies for CD3, CD8, Foxp3, Granzyme B, Arginase-1, NK1.1, F4/80, CD11c, PD-1, and PD-L1). We conducted RNA-seq analysis using lenvatinib- and AZD4547-treated tumors. To confirm the clinical relevance of these findings, we analyzed the transcriptome data of human HCC cells (MHCC-97H) treated with various concentrations of lenvatinib for 24 h using RNA-seq data from the Gene Expression Omnibus database.

RESULTS: The number of Foxp3- and F4/80-positive cells in the TIME was decreased in many MTAs. Cabozantinib increased the numbers in NK1.1-, Granzyme B, and CD11c-positive cells. Lenvatinib and AZD4547 increased the number of CD8, Granzyme B, and PD-L1-positive cells. Gene ontology enrichment analysis revealed that lipid metabolism-related genes were downregulated by lenvatinib and AZD4547. In total, 161 genes downregulated by FGFR inhibition in rodent models overlapped with those downregulated by lenvatinib in human HCC cells.

CONCLUSIONS: In this study, we showed that cabozantinib activated the innate immune system, and lenvatinib and AZD4547, which commonly inhibit FGFR signaling, altered TIME to a hot immune state by downregulating lipid metabolism-related genes. These findings support the therapeutic use of combination immunotherapies.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Hepatology international - 18(2024), 2 vom: 21. Apr., Seite 610-622

Sprache:

Englisch

Beteiligte Personen:

Suzuki, Hiroyuki [VerfasserIn]
Iwamoto, Hideki [VerfasserIn]
Tanaka, Toshimitsu [VerfasserIn]
Sakaue, Takahiko [VerfasserIn]
Imamura, Yasuko [VerfasserIn]
Masuda, Atsutaka [VerfasserIn]
Nakamura, Toru [VerfasserIn]
Koga, Hironori [VerfasserIn]
Hoshida, Yujin [VerfasserIn]
Kawaguchi, Takumi [VerfasserIn]

Links:

Volltext

Themen:

1C39JW444G
62031-54-3
APOC1
AZD4547
Anilides
Antineoplastic Agents
B7-H1 Antigen
Benzamides
Cabozantinib
EC 3.4.21.-
EE083865G2
Fibroblast Growth Factors
Fibroblast growth factor
Forkhead Transcription Factors
Granzymes
Hepatocellular carcinoma
Immune checkpoint inhibitor
Immunosuppressive Agents
Journal Article
Lenvatinib
Molecular targeting
Orthotopic
Phenylurea Compounds
Piperazines
Protein Kinase Inhibitors
Pyrazoles
Pyridines
Quinolines
RNA sequencing
Tumor immune microenvironment
VIPR1
Vascular endothelial growth factor receptor

Anmerkungen:

Date Completed 15.04.2024

Date Revised 26.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s12072-023-10603-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363570500