Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy

Abstract Immune checkpoint inhibitors (ICIs) such as anti-PD-L1 antibodies are widely used to treat human cancers, and growing evidence suggests that ICIs are promising treatments for canine malignancies. However, only some canine oral malignant melanoma (OMM) cases respond to ICIs. To explore bioma...

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Main Authors: Naoya Maekawa, Satoru Konnai, Yumie Asano, Yamato Sajiki, Tatsuya Deguchi, Tomohiro Okagawa, Kei Watari, Hiroto Takeuchi, Satoshi Takagi, Kenji Hosoya, Sangho Kim, Hiroshi Ohta, Yukinari Kato, Yasuhiko Suzuki, Shiro Murata, Kazuhiko Ohashi
Format: Article
Language:English
Published: Nature Portfolio 2022-06-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-13484-8
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author Naoya Maekawa
Satoru Konnai
Yumie Asano
Yamato Sajiki
Tatsuya Deguchi
Tomohiro Okagawa
Kei Watari
Hiroto Takeuchi
Satoshi Takagi
Kenji Hosoya
Sangho Kim
Hiroshi Ohta
Yukinari Kato
Yasuhiko Suzuki
Shiro Murata
Kazuhiko Ohashi
author_facet Naoya Maekawa
Satoru Konnai
Yumie Asano
Yamato Sajiki
Tatsuya Deguchi
Tomohiro Okagawa
Kei Watari
Hiroto Takeuchi
Satoshi Takagi
Kenji Hosoya
Sangho Kim
Hiroshi Ohta
Yukinari Kato
Yasuhiko Suzuki
Shiro Murata
Kazuhiko Ohashi
author_sort Naoya Maekawa
collection DOAJ
description Abstract Immune checkpoint inhibitors (ICIs) such as anti-PD-L1 antibodies are widely used to treat human cancers, and growing evidence suggests that ICIs are promising treatments for canine malignancies. However, only some canine oral malignant melanoma (OMM) cases respond to ICIs. To explore biomarkers predictive of survival in dogs with pulmonary metastatic OMM receiving the anti-PD-L1 antibody c4G12 (n = 27), serum concentrations of prostaglandin E2 (PGE2), cytokines, chemokines, and growth factors were measured prior to treatment initiation. Among 12 factors tested, PGE2, interleukin (IL)-12p40, IL-8, monocyte chemotactic protein-1 (MCP-1), and stem cell factor (SCF) were higher in OMM dogs compared to healthy dogs (n = 8). Further, lower baseline serum PGE2, MCP-1, and vascular endothelial growth factor (VEGF)-A concentrations as well as higher IL-2, IL-12, and SCF concentrations predicted prolonged overall survival. These observations suggest that PGE2 confers resistance against anti-PD-L1 therapy through immunosuppression and thus is a candidate target for combination therapy. Indeed, PGE2 suppressed IL-2 and interferon (IFN)-γ production by stimulated canine peripheral blood mononuclear cells (PBMCs), while inhibition of PGE2 biosynthesis using the COX-2 inhibitor meloxicam in combination with c4G12 enhanced Th1 cytokine production by PBMCs. Thus, serum PGE2 may be predictive of c4G12 treatment response, and concomitant use of COX-2 inhibitors may enhance ICI antitumor efficacy.
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spelling doaj.art-9195edeb9fe7415f92cb3f8d09b03d7b2022-12-22T00:56:19ZengNature PortfolioScientific Reports2045-23222022-06-0112111110.1038/s41598-022-13484-8Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapyNaoya Maekawa0Satoru Konnai1Yumie Asano2Yamato Sajiki3Tatsuya Deguchi4Tomohiro Okagawa5Kei Watari6Hiroto Takeuchi7Satoshi Takagi8Kenji Hosoya9Sangho Kim10Hiroshi Ohta11Yukinari Kato12Yasuhiko Suzuki13Shiro Murata14Kazuhiko Ohashi15Department of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Disease Control, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Disease Control, Faculty of Veterinary Medicine, Hokkaido UniversityVeterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Disease Control, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Disease Control, Faculty of Veterinary Medicine, Hokkaido UniversityVeterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido UniversityVeterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido UniversityVeterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido UniversityVeterinary Teaching Hospital, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Antibody Drug Development, Tohoku University Graduate School of MedicineDepartment of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityDepartment of Advanced Pharmaceutics, Faculty of Veterinary Medicine, Hokkaido UniversityAbstract Immune checkpoint inhibitors (ICIs) such as anti-PD-L1 antibodies are widely used to treat human cancers, and growing evidence suggests that ICIs are promising treatments for canine malignancies. However, only some canine oral malignant melanoma (OMM) cases respond to ICIs. To explore biomarkers predictive of survival in dogs with pulmonary metastatic OMM receiving the anti-PD-L1 antibody c4G12 (n = 27), serum concentrations of prostaglandin E2 (PGE2), cytokines, chemokines, and growth factors were measured prior to treatment initiation. Among 12 factors tested, PGE2, interleukin (IL)-12p40, IL-8, monocyte chemotactic protein-1 (MCP-1), and stem cell factor (SCF) were higher in OMM dogs compared to healthy dogs (n = 8). Further, lower baseline serum PGE2, MCP-1, and vascular endothelial growth factor (VEGF)-A concentrations as well as higher IL-2, IL-12, and SCF concentrations predicted prolonged overall survival. These observations suggest that PGE2 confers resistance against anti-PD-L1 therapy through immunosuppression and thus is a candidate target for combination therapy. Indeed, PGE2 suppressed IL-2 and interferon (IFN)-γ production by stimulated canine peripheral blood mononuclear cells (PBMCs), while inhibition of PGE2 biosynthesis using the COX-2 inhibitor meloxicam in combination with c4G12 enhanced Th1 cytokine production by PBMCs. Thus, serum PGE2 may be predictive of c4G12 treatment response, and concomitant use of COX-2 inhibitors may enhance ICI antitumor efficacy.https://doi.org/10.1038/s41598-022-13484-8
spellingShingle Naoya Maekawa
Satoru Konnai
Yumie Asano
Yamato Sajiki
Tatsuya Deguchi
Tomohiro Okagawa
Kei Watari
Hiroto Takeuchi
Satoshi Takagi
Kenji Hosoya
Sangho Kim
Hiroshi Ohta
Yukinari Kato
Yasuhiko Suzuki
Shiro Murata
Kazuhiko Ohashi
Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
Scientific Reports
title Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
title_full Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
title_fullStr Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
title_full_unstemmed Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
title_short Exploration of serum biomarkers in dogs with malignant melanoma receiving anti-PD-L1 therapy and potential of COX-2 inhibition for combination therapy
title_sort exploration of serum biomarkers in dogs with malignant melanoma receiving anti pd l1 therapy and potential of cox 2 inhibition for combination therapy
url https://doi.org/10.1038/s41598-022-13484-8
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