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Publication : Distinct immune microenvironment profiles of therapeutic responders emerge in combined TGFβ/PD-L1 blockade-treated squamous cell carcinoma.

First Author  Strait AA Year  2021
Journal  Commun Biol Volume  4
Issue  1 Pages  1005
PubMed ID  34433873 Mgi Jnum  J:314251
Mgi Id  MGI:6765869 Doi  10.1038/s42003-021-02522-2
Citation  Strait AA, et al. (2021) Distinct immune microenvironment profiles of therapeutic responders emerge in combined TGFbeta/PD-L1 blockade-treated squamous cell carcinoma. Commun Biol 4(1):1005
abstractText  Transforming growth factor beta (TGFbeta) and programmed death-ligand 1 (PD-L1) are often overproduced in refractory squamous cell carcinoma (SCC). We examined spatial patterns of PD-L1(+) cells in mouse and human SCCs and found that PD-L1 was primarily expressed on infiltrating leukocytes. Although combined TGFbeta and PD-L1 blockade are undergoing cancer clinical trials, there are no predictive markers for therapeutic responders. To address this, we used both a small molecule TGFbeta inhibitor in combination with anti-PD-L1 and a bifunctional fusion protein targeting both TGFbeta and PD-L1 to treat mouse SCCs and found TGFbeta inhibition enhanced PD-L1 blockade-induced tumor eradication in multiple tumor models. Furthermore, we identified distinct cell populations of responders and non-responders to bintrafusp alfa, with responders showing a shift toward a more immune-permissive microenvironment. The cellular and molecular signatures of responders versus non-responders to combined TGFbeta and PD-L1 blockade provide important insights into future personalized immunotherapy in SCC.
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