[HTML][HTML] Irradiation and anti–PD-L1 treatment synergistically promote antitumor immunity in mice

L Deng, H Liang, B Burnette, M Beckett… - The Journal of …, 2014 - Am Soc Clin Investig
L Deng, H Liang, B Burnette, M Beckett, T Darga, RR Weichselbaum, YX Fu
The Journal of clinical investigation, 2014Am Soc Clin Investig
High-dose ionizing irradiation (IR) results in direct tumor cell death and augments tumor-
specific immunity, which enhances tumor control both locally and distantly. Unfortunately,
local relapses often occur following IR treatment, indicating that IR-induced responses are
inadequate to maintain antitumor immunity. Therapeutic blockade of the T cell negative
regulator programmed death–ligand 1 (PD-L1, also called B7-H1) can enhance T cell
effector function when PD-L1 is expressed in chronically inflamed tissues and tumors. Here …
High-dose ionizing irradiation (IR) results in direct tumor cell death and augments tumor-specific immunity, which enhances tumor control both locally and distantly. Unfortunately, local relapses often occur following IR treatment, indicating that IR-induced responses are inadequate to maintain antitumor immunity. Therapeutic blockade of the T cell negative regulator programmed death–ligand 1 (PD-L1, also called B7-H1) can enhance T cell effector function when PD-L1 is expressed in chronically inflamed tissues and tumors. Here, we demonstrate that PD-L1 was upregulated in the tumor microenvironment after IR. Administration of anti–PD-L1 enhanced the efficacy of IR through a cytotoxic T cell–dependent mechanism. Concomitant with IR-mediated tumor regression, we observed that IR and anti–PD-L1 synergistically reduced the local accumulation of tumor-infiltrating myeloid-derived suppressor cells (MDSCs), which suppress T cells and alter the tumor immune microenvironment. Furthermore, activation of cytotoxic T cells with combination therapy mediated the reduction of MDSCs in tumors through the cytotoxic actions of TNF. Our data provide evidence for a close interaction between IR, T cells, and the PD-L1/PD-1 axis and establish a basis for the rational design of combination therapy with immune modulators and radiotherapy.
The Journal of Clinical Investigation