Journal Article

TIGIT and PD-1 Immune Checkpoint Pathways Are Associated With Patient Outcome and Anti-Tumor Immunity in Glioblastoma

Zhai, Shuyan, Pollack, Ian F., Allen, Jordan, Bruno, Tullia C., Rajasundaram, Dhivyaa, Hu, Baoli, Agnihotri, Sameer, Sneiderman, Chaim T., Kohanbash, Gary, McCarl, Lauren H., Shoger, Karsen, Foster, Alexandra, Broniscer, Alberto, Diaz, Aaron A., Kumar, Rajeev, Campagna, Marissa Lynn, Raphael, Itay, Lieberman, Frank S., Castro, Brandyn A., Wang, Lin, Sandlesh, Poorva, Amankulor, Nduka M.

2021

Overview

Glioblastoma (GBM) remains an aggressive brain tumor with a high rate of mortality. Immune checkpoint (IC) molecules are expressed on tumor infiltrating lymphocytes (TILs) and promote T cell exhaustion upon binding to IC ligands expressed by the tumor cells. Interfering with IC pathways with immunotherapy has promoted reactivation of anti-tumor immunity and led to success in several malignancies. However, IC inhibitors have achieved limited success in GBM patients, suggesting that other checkpoint molecules may be involved with suppressing TIL responses. Numerous IC pathways have been described, with current testing of inhibitors underway in multiple clinical trials. Identification of the most promising checkpoint pathways may be useful to guide the future trials for GBM. Here, we analyzed the The Cancer Genome Atlas (TCGA) transcriptomic database and identified PD1 and TIGIT as top putative targets for GBM immunotherapy. Additionally, dual blockade of PD1 and TIGIT improved survival and augmented CD8 + TIL accumulation and functions in a murine GBM model compared with either single agent alone. Furthermore, we demonstrated that this combination immunotherapy affected granulocytic/polymorphonuclear (PMN) myeloid derived suppressor cells (MDSCs) but not monocytic (Mo) MDSCs in in our murine gliomas. Importantly, we showed that suppressive myeloid cells express PD1, PD-L1, and TIGIT-ligands in human GBM tissue, and demonstrated that antigen specific T cell proliferation that is inhibited by immunosuppressive myeloid cells can be restored by TIGIT/PD1 blockade. Our data provide new insights into mechanisms of GBM αPD1/αTIGIT immunotherapy.

• Publisher: Frontiers Media SA,Frontiers Media S.A
• Subject: Animals / Antibodies / B7-H1 Antigen - antagonists & inhibitors / B7-H1 Antigen - metabolism / Brain cancer / Brain Neoplasms - immunology / Brain tumors / Cancer therapies / CD8 antigen / CD8-Positive T-Lymphocytes - immunology / Cell Line, Tumor / Cell proliferation / Cell Proliferation - drug effects / Cells / Clinical trials / Cloning / Gene expression / Genomes / Glioblastoma / Glioblastoma - immunology / Glioma / Humans / Immune checkpoint / Immune Checkpoint Inhibitors - pharmacology / Immune Checkpoint Proteins - metabolism / Immune system / Immunity / Immunity (Disease) / Immunology / Immunotherapy / Immunotherapy - methods / Ligands / Lymphocytes / Lymphocytes T / Lymphocytes, Tumor-Infiltrating - metabolism / Malignancy / MDSCs / Mice / Mice, Inbred C57BL / Monocytes / Myeloid cells / myeloid suppressor cell / Myeloid-Derived Suppressor Cells - drug effects / Patients / PD-1 protein / PD-L1 protein / PD1 / Programmed Cell Death 1 Receptor - antagonists & inhibitors / Programmed Cell Death 1 Receptor - metabolism / Receptors, Immunologic - antagonists & inhibitors / Receptors, Immunologic - metabolism / Standard of care / Suppressor cells / Survival analysis / TIGIT / Transcriptomics / Tumor cells / Tumor Microenvironment - drug effects / Tumor Microenvironment - immunology