Established T cell–inflamed tumors rejected after adaptive resistance was reversed by combination STING activation and PD-1 pathway blockade

E Moore, PE Clavijo, R Davis, H Cash… - Cancer immunology …, 2016 - AACR
E Moore, PE Clavijo, R Davis, H Cash, C Van Waes, Y Kim, C Allen
Cancer immunology research, 2016AACR
Patients with head and neck squamous cell carcinoma harbor T cell–inflamed and non–T
cell–inflamed tumors. Despite this, only 20% of patients respond to checkpoint inhibitor
immunotherapy. Lack of induction of innate immunity through pattern-recognition receptors,
such as the stimulator of interferon (IFN) genes (STING) receptor, may represent a significant
barrier to the development of effective antitumor immunity. Here, we demonstrate robust
control of a T cell–inflamed (MOC1), but not non–T cell–inflamed (MOC2), model of head …
Abstract
Patients with head and neck squamous cell carcinoma harbor T cell–inflamed and non–T cell–inflamed tumors. Despite this, only 20% of patients respond to checkpoint inhibitor immunotherapy. Lack of induction of innate immunity through pattern-recognition receptors, such as the stimulator of interferon (IFN) genes (STING) receptor, may represent a significant barrier to the development of effective antitumor immunity. Here, we demonstrate robust control of a T cell–inflamed (MOC1), but not non–T cell–inflamed (MOC2), model of head and neck cancer by activation of the STING pathway with the synthetic cyclic dinucleotide RP,RP dithio-c-di-GMP. Rejection or durable tumor control of MOC1 tumors was dependent upon a functional STING receptor and CD8 T lymphocytes. STING activation resulted in increased tumor microenvironment type 1 and type 2 IFN and greater expression of PD-1 pathway components in vivo. Established MOC1 tumors were rejected and distant tumors abscopally controlled, after adaptive immune resistance had been reversed by the addition of PD-L1 mAb. These findings suggest that PD-1 pathway blockade may reverse adaptive immune resistance following cyclic dinucleotide treatment, enhancing both local and systemic antitumor immunity. Cancer Immunol Res; 4(12); 1061–71. ©2016 AACR.
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