Immune checkpoint inhibitor monotherapy is sufficient to promote microenvironmental normalization via the type I interferon pathway in PD-L1-expressing head and neck cancer

© 2024 The Authors. Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies..

Immune checkpoint blockers (ICBs) targeting programmed cell death protein 1 (PD-1) have been proven to be an effective first-line therapy against programmed cell death 1 ligand 1 (PD-L1; also known as CD274 molecule)-expressing head and neck squamous cell carcinoma (HNSCC) in recent KEYNOTE-048 trial. However, associated changes in the tumor microenvironment (TME) and underlying mechanisms remain elusive. Oral tumors in C57/BL6 mice were induced by administering 7,12-dimethylbenzanthracene into the buccal mucosa. Single-cell suspension was isolated from tumor tissue; proliferating cells were injected subcutaneously into the left flank of mice to establish Ajou oral cancer (AOC) cell lines. Subsequently, a syngeneic PD-L1-expressing HNSCC model was developed by injecting AOC cells into the buccal or tongue area. The model recapitulated human HNSCC molecular features and showed reliable in vivo tumorigenicity with significant PD-L1 expression. ICB monotherapy induced global changes in the TME, including vascular normalization. Furthermore, the antitumor effect of ICB monotherapy was superior to those of other therapeutic agents, including cisplatin and inhibitors of vascular endothelial growth factor receptor 2 (VEGFR2). The ICB-induced antitumorigenicity and TME normalization were alleviated by blocking the type I interferon pathway. In summary, ICB monotherapy is sufficient to induce TME normalization in the syngeneic model; the type I interferon pathway is indispensable in realizing the effects of ICBs. Furthermore, these results explain the underlying mechanism of the efficacy of ICB monotherapy against PD-L1-expressing HNSCC in the KEYNOTE-048 trial.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Molecular oncology - (2024) vom: 21. März

Sprache:

Englisch

Beteiligte Personen:

Jang, Jeon Yeob [VerfasserIn]
Lee, Bok-Soon [VerfasserIn]
Huang, Mei [VerfasserIn]
Seo, Chorong [VerfasserIn]
Choi, Ji-Hye [VerfasserIn]
Shin, Yoo Seob [VerfasserIn]
Woo, Hyun Goo [VerfasserIn]
Kim, Chul-Ho [VerfasserIn]

Links:

Volltext

Themen:

Head and neck squamous cells carcinoma
Immunotherapy
Journal Article
Programmed cell death 1 receptor
Syngeneic tumor model
Tumor microenvironment

Anmerkungen:

Date Revised 21.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1002/1878-0261.13633

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370008138