Anti-PD-1 immunotherapy with androgen deprivation therapy induces robust immune infiltration in metastatic castration-sensitive prostate cancer

Copyright © 2023. Published by Elsevier Inc..

When compared to other malignancies, the tumor microenvironment (TME) of primary and castration-resistant prostate cancer (CRPC) is relatively devoid of immune infiltrates. While androgen deprivation therapy (ADT) induces a complex immune infiltrate in localized prostate cancer, the composition of the TME in metastatic castration-sensitive prostate cancer (mCSPC), and the effects of ADT and other treatments in this context are poorly understood. Here, we perform a comprehensive single-cell RNA sequencing (scRNA-seq) profiling of metastatic sites from patients participating in a phase 2 clinical trial (NCT03951831) that evaluated standard-of-care chemo-hormonal therapy combined with anti-PD-1 immunotherapy. We perform a longitudinal, protein activity-based analysis of TME subpopulations, revealing immune subpopulations conserved across multiple metastatic sites. We also observe dynamic changes in these immune subpopulations in response to treatment and a correlation with clinical outcomes. Our study uncovers a therapy-resistant, transcriptionally distinct tumor subpopulation that expands in cell number in treatment-refractory patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:41

Enthalten in:

Cancer cell - 41(2023), 11 vom: 13. Nov., Seite 1972-1988.e5

Sprache:

Englisch

Beteiligte Personen:

Hawley, Jessica E [VerfasserIn]
Obradovic, Aleksandar Z [VerfasserIn]
Dallos, Matthew C [VerfasserIn]
Lim, Emerson A [VerfasserIn]
Runcie, Karie [VerfasserIn]
Ager, Casey R [VerfasserIn]
McKiernan, James [VerfasserIn]
Anderson, Christopher B [VerfasserIn]
Decastro, Guarionex J [VerfasserIn]
Weintraub, Joshua [VerfasserIn]
Virk, Renu [VerfasserIn]
Lowy, Israel [VerfasserIn]
Hu, Jianhua [VerfasserIn]
Chaimowitz, Matthew G [VerfasserIn]
Guo, Xinzheng V [VerfasserIn]
Zhang, Ya [VerfasserIn]
Haffner, Michael C [VerfasserIn]
Worley, Jeremy [VerfasserIn]
Stein, Mark N [VerfasserIn]
Califano, Andrea [VerfasserIn]
Drake, Charles G [VerfasserIn]

Links:

Volltext

Themen:

ADT
Androgen Antagonists
Androgens
Anti-PD-1 therapy
Clinical translational science
Clinical trial
Hormone-sensitive
Immunotherapy
Journal Article
Metastatic prostate cancer
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Single cell RNA sequencing
Tumor microenvironment

Anmerkungen:

Date Completed 16.11.2023

Date Revised 22.11.2023

published: Print-Electronic

ClinicalTrials.gov: NCT03951831

Citation Status MEDLINE

doi:

10.1016/j.ccell.2023.10.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM364147628