Targeting IFNα to tumor by anti-PD-L1 creates feedforward antitumor responses to overcome checkpoint blockade resistance

Y Liang, H Tang, J Guo, X Qiu, Z Yang, Z Ren… - Nature …, 2018 - nature.com
Y Liang, H Tang, J Guo, X Qiu, Z Yang, Z Ren, Z Sun, Y Bian, L Xu, H Xu, J Shen, Y Han…
Nature communications, 2018nature.com
Many patients remain unresponsive to intensive PD-1/PD-L1 blockade therapy despite the
presence of tumor-infiltrating lymphocytes. We propose that impaired innate sensing might
limit the complete activation of tumor-specific T cells after PD-1/PD-L1 blockade. Local
delivery of type I interferons (IFNs) restores antigen presentation, but upregulates PD-L1,
dampening subsequent T-cell activation. Therefore, we armed anti-PD-L1 antibody with
IFNα (IFNα-anti-PD-L1) to create feedforward responses. Here, we find that a synergistic …
Abstract
Many patients remain unresponsive to intensive PD-1/PD-L1 blockade therapy despite the presence of tumor-infiltrating lymphocytes. We propose that impaired innate sensing might limit the complete activation of tumor-specific T cells after PD-1/PD-L1 blockade. Local delivery of type I interferons (IFNs) restores antigen presentation, but upregulates PD-L1, dampening subsequent T-cell activation. Therefore, we armed anti-PD-L1 antibody with IFNα (IFNα-anti-PD-L1) to create feedforward responses. Here, we find that a synergistic effect is achieved to overcome both type I IFN and checkpoint blockade therapy resistance with the least side effects in advanced tumors. Intriguingly, PD-L1 expressed in either tumor cells or tumor-associated host cells is sufficient for fusion protein targeting. IFNα-anti-PD-L1 activates IFNAR signaling in host cells, but not in tumor cells to initiate T-cell reactivation. Our data suggest that a next-generation PD-L1 antibody armed with IFNα improves tumor targeting and antigen presentation, while countering innate or T-cell-driven PD-L1 upregulation within tumor.
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