Anlotinib may enhance the efficacy of anti-PD1 therapy by inhibiting the AKT pathway and promoting the apoptosis of CAFs in lung adenocarcinoma

Copyright © 2024 Elsevier B.V. All rights reserved..

Although PD-1 inhibitors have revolutionized the treatment paradigm of non-small cell lung cancer (NSCLC), their efficacy in treating NSCLC has remained unsatisfactory. Targeting cancer-associated fibroblasts (CAFs) is a potential approach for improving the immunotherapy response. Multitarget antiangiogenic tyrosine kinase receptor inhibitors (TKIs) can enhance the efficacy of PD-1 inhibitors in NSCLC patients. However, the effects and mechanisms of antiangiogenic TKIs on CAFs have not been elucidated. In this study, we first compared anlotinib with other antiangiogenic TKIs and confirmed the superior efficacy of anlotinib. Furthermore, we established NSCLC-associated CAF models and found that anlotinib impaired CAF viability and migration capacity and contributed to CAF apoptosis and cell cycle arrest in the G2/M phase. Moreover, anlotinib treatment attenuated the capacity of CAFs to recruit lung cancer cells and macrophages. Experiments in animal models suggested that anlotinib could enhance the efficacy of anti-PD1 therapy in NSCLC and affect CAF proliferation and apoptosis. Anlotinib increased the abundance of tumor-infiltrating CD8 + T cells, and PD-1 inhibitor-induced cytotoxicity to tumor cells was achieved through the transformation of the tumor microenvironment (TME) caused by anlotinib, which may partly explain the synergistic antitumor effect of anlotinib and PD-1 inhibitors. Mechanistically, anlotinib affects CAF apoptosis and cell viability at least in part by inhibiting the AKT pathway. In conclusion, our study suggested that anlotinib could regulate the TME, inhibit the AKT pathway and promote CAF apoptosis, providing new insights into the antitumor effect of anlotinib and improving the efficacy of immunotherapy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:133

Enthalten in:

International immunopharmacology - 133(2024) vom: 12. Apr., Seite 112053

Sprache:

Englisch

Beteiligte Personen:

Tang, Hui [VerfasserIn]
You, Tingting [VerfasserIn]
Ge, Hui [VerfasserIn]
Gao, Jingxi [VerfasserIn]
Wang, Yingyi [VerfasserIn]
Bai, Chunmei [VerfasserIn]
Sun, Zhao [VerfasserIn]
Han, Qin [VerfasserIn]
Zhao, Robert Chunhua [VerfasserIn]

Links:

Volltext

Themen:

Apoptosis
Cancer-associated fibroblast
Immunotherapy
Journal Article
Non-small cell lung cancer
Tumor microenvironment

Anmerkungen:

Date Revised 14.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.intimp.2024.112053

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371047013