Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner

This study aimed to enhance antitumor immune responses to pancreatic cancer via Ab-based blockade of IL-6 and cytotoxic T-lymphocyte–associated protein 4 (CTLA-4). Mice bearing s.c. or orthotopic pancreatic tumors were treated with blocking Abs to IL‑6 and/or CTLA-4. In both tumor models, dual IL-6...

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Main Authors: Michael Brandon Ware, Maggie Phillips, Christopher McQuinn, Mohammad Y. Zaidi, Hannah M. Knochelmann, Emily Greene, Brian Robinson, Cameron J. Herting, Thomas A. Mace, Zhengjia Chen, Chao Zhang, Matthew R. Farren, Amanda N. Ruggieri, Jacob S. Bowers, Reena Shakya, Alton B. Farris, Gregory Young, William E. Carson III, Bassel El-Rayes, Chrystal M. Paulos, Gregory B. Lesinski
Format: Article
Language:English
Published: American Society for Clinical investigation 2023-04-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.155006
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author Michael Brandon Ware
Maggie Phillips
Christopher McQuinn
Mohammad Y. Zaidi
Hannah M. Knochelmann
Emily Greene
Brian Robinson
Cameron J. Herting
Thomas A. Mace
Zhengjia Chen
Chao Zhang
Matthew R. Farren
Amanda N. Ruggieri
Jacob S. Bowers
Reena Shakya
Alton B. Farris
Gregory Young
William E. Carson III
Bassel El-Rayes
Chrystal M. Paulos
Gregory B. Lesinski
author_facet Michael Brandon Ware
Maggie Phillips
Christopher McQuinn
Mohammad Y. Zaidi
Hannah M. Knochelmann
Emily Greene
Brian Robinson
Cameron J. Herting
Thomas A. Mace
Zhengjia Chen
Chao Zhang
Matthew R. Farren
Amanda N. Ruggieri
Jacob S. Bowers
Reena Shakya
Alton B. Farris
Gregory Young
William E. Carson III
Bassel El-Rayes
Chrystal M. Paulos
Gregory B. Lesinski
author_sort Michael Brandon Ware
collection DOAJ
description This study aimed to enhance antitumor immune responses to pancreatic cancer via Ab-based blockade of IL-6 and cytotoxic T-lymphocyte–associated protein 4 (CTLA-4). Mice bearing s.c. or orthotopic pancreatic tumors were treated with blocking Abs to IL‑6 and/or CTLA-4. In both tumor models, dual IL-6 and CTLA-4 blockade significantly inhibited tumor growth. Additional investigations revealed that dual therapy induced an overwhelming infiltration of T cells into the tumor as well as changes in CD4+ T cell subsets. Dual blockade therapy elicited CD4+ T cells to secrete increased IFN-γ in vitro. Likewise, in vitro stimulation of pancreatic tumor cells with IFN-γ profoundly increased tumor cell production of CXCR3-specific chemokines, even in the presence of IL-6. In vivo blockade of CXCR3 prevented orthotopic tumor regression in the presence of the combination treatment, demonstrating a dependence on the CXCR3 axis for antitumor efficacy. Both CD4+ and CD8+ T cells were required for the antitumor activity of this combination therapy, as their in vivo depletion via Abs impaired outcomes. These data represent the first report to our knowledge of IL-6 and CTLA‑4 blockade as a means to regress pancreatic tumors with defined operative mechanisms of efficacy.
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spelling doaj.art-c9e661e36d174f30b84405ca8e2d56e42023-11-07T16:25:31ZengAmerican Society for Clinical investigationJCI Insight2379-37082023-04-0188Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent mannerMichael Brandon WareMaggie PhillipsChristopher McQuinnMohammad Y. ZaidiHannah M. KnochelmannEmily GreeneBrian RobinsonCameron J. HertingThomas A. MaceZhengjia ChenChao ZhangMatthew R. FarrenAmanda N. RuggieriJacob S. BowersReena ShakyaAlton B. FarrisGregory YoungWilliam E. Carson IIIBassel El-RayesChrystal M. PaulosGregory B. LesinskiThis study aimed to enhance antitumor immune responses to pancreatic cancer via Ab-based blockade of IL-6 and cytotoxic T-lymphocyte–associated protein 4 (CTLA-4). Mice bearing s.c. or orthotopic pancreatic tumors were treated with blocking Abs to IL‑6 and/or CTLA-4. In both tumor models, dual IL-6 and CTLA-4 blockade significantly inhibited tumor growth. Additional investigations revealed that dual therapy induced an overwhelming infiltration of T cells into the tumor as well as changes in CD4+ T cell subsets. Dual blockade therapy elicited CD4+ T cells to secrete increased IFN-γ in vitro. Likewise, in vitro stimulation of pancreatic tumor cells with IFN-γ profoundly increased tumor cell production of CXCR3-specific chemokines, even in the presence of IL-6. In vivo blockade of CXCR3 prevented orthotopic tumor regression in the presence of the combination treatment, demonstrating a dependence on the CXCR3 axis for antitumor efficacy. Both CD4+ and CD8+ T cells were required for the antitumor activity of this combination therapy, as their in vivo depletion via Abs impaired outcomes. These data represent the first report to our knowledge of IL-6 and CTLA‑4 blockade as a means to regress pancreatic tumors with defined operative mechanisms of efficacy.https://doi.org/10.1172/jci.insight.155006ImmunologyOncology
spellingShingle Michael Brandon Ware
Maggie Phillips
Christopher McQuinn
Mohammad Y. Zaidi
Hannah M. Knochelmann
Emily Greene
Brian Robinson
Cameron J. Herting
Thomas A. Mace
Zhengjia Chen
Chao Zhang
Matthew R. Farren
Amanda N. Ruggieri
Jacob S. Bowers
Reena Shakya
Alton B. Farris
Gregory Young
William E. Carson III
Bassel El-Rayes
Chrystal M. Paulos
Gregory B. Lesinski
Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
JCI Insight
Immunology
Oncology
title Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
title_full Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
title_fullStr Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
title_full_unstemmed Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
title_short Dual IL-6 and CTLA-4 blockade regresses pancreatic tumors in a T cell– and CXCR3-dependent manner
title_sort dual il 6 and ctla 4 blockade regresses pancreatic tumors in a t cell and cxcr3 dependent manner
topic Immunology
Oncology
url https://doi.org/10.1172/jci.insight.155006
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