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Androgen receptor activity in T cells limits checkpoint blockade efficacy
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Androgen receptor activity in T cells limits checkpoint blockade efficacy
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Androgen receptor activity in T cells limits checkpoint blockade efficacy
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Androgen receptor activity in T cells limits checkpoint blockade efficacy
Androgen receptor activity in T cells limits checkpoint blockade efficacy
Journal Article

Androgen receptor activity in T cells limits checkpoint blockade efficacy

2022
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Overview
Immune checkpoint blockade has revolutionized the field of oncology, inducing durable anti-tumour immunity in solid tumours. In patients with advanced prostate cancer, immunotherapy treatments have largely failed 1 – 5 . Androgen deprivation therapy is classically administered in these patients to inhibit tumour cell growth, and we postulated that this therapy also affects tumour-associated T cells. Here we demonstrate that androgen receptor (AR) blockade sensitizes tumour-bearing hosts to effective checkpoint blockade by directly enhancing CD8 T cell function. Inhibition of AR activity in CD8 T cells prevented T cell exhaustion and improved responsiveness to PD-1 targeted therapy via increased IFNγ expression. AR bound directly to Ifng and eviction of AR with a small molecule significantly increased cytokine production in CD8 T cells. Together, our findings establish that T cell intrinsic AR activity represses IFNγ expression and represents a novel mechanism of immunotherapy resistance. . Androgen-receptor blockade can overcome immunotherapy resistance in prostate cancer by intrinsically enhancing T cell function and IFNγ responses.