First Author | Bailey C | Year | 2023 |
Journal | Cell Rep Med | Volume | 4 |
Issue | 11 | Pages | 101236 |
PubMed ID | 37827154 | Mgi Jnum | J:350457 |
Mgi Id | MGI:7663304 | Doi | 10.1016/j.xcrm.2023.101236 |
Citation | Bailey C, et al. (2023) Genetic and pharmaceutical targeting of HIF1alpha allows combo-immunotherapy to boost graft vs. leukemia without exacerbation graft vs. host disease. Cell Rep Med 4(11):101236 |
abstractText | Despite potential impact on the graft vs. leukemia (GVL) effect, immunotherapy targeting CTLA-4 and/or PD-1 has not been successfully combined with bone marrow transplant (BMT) because it exacerbates graft vs. host disease (GVHD). Here, using models of GVHD and leukemia, we demonstrate that targeting hypoxia-inducible factor 1alpha (HIF1alpha) via pharmacological or genetic approaches reduces GVHD by inducing PDL1 expression on host tissue while selectively inhibiting PDL1 in leukemia cells to enhance the GVL effect. More importantly, combination of HIF1alpha inhibition with anti-CTLA-4 antibodies allows simultaneous inhibition of both PDL1 and CTLA-4 checkpoints to achieve better outcomes in models of mouse and human BMT-leukemia settings. These findings provide an approach to enhance the curative effect of BMT for leukemia and broaden the impact of cancer immunotherapy. |