机构:[1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.中山大学附属第二医院[2]Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA, USA.[3]Department of Hearing and Speech Science, Guangzhou Xinhua University, Guangzhou, China.[4]University of Hawaii Cancer Center, Honolulu, HI, USA.[5]Department of Infectious Diseases, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.[6]Key Laboratory of Biorheological Science and Technology, Ministry of Education, College of Bioengineering, Chongqing University, Chongqing, China.[7]Department of Liver Surgery, Center of Liver Transplantation, West China Hospital of Sichuan University, Chengdu, China.四川大学华西医院[8]Department of Medicine, Medical College of Georgia, Augusta University, GA, USA.[9]Department of General, Visceral and Transplantation Surgery, RWTH University Hospital, Aachen, Germany.[10]Department of Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.[11]Institute of Pathology, University of Regensburg, Regensburg, Germany.
Many hepatocellular carcinoma (HCC) patients do not respond to the first-line immune checkpoint inhibitor treatment. Immunization with effective cancer vaccines is an attractive alternative approach to immunotherapy. However, its efficacy remains insufficiently evaluated in preclinical studies. Here, we investigated HCC-associated self/tumor antigen, α-fetoprotein (AFP) based vaccine immunization for treating AFP (+) HCC mouse models. We found that AFP immunization effectively induced AFP-specific CD8+ T cells in vivo. However, these CD8+ T cells expressed exhaustion markers, including PD1, LAG3, and Tim3. Furthermore, the AFP vaccine effectively prevented c-MYC/Mcl1 HCC initiation when administrated before tumor formation, while it was ineffective against full-blown c-MYC/Mcl1 tumors. Similarly, anti-PD1 and anti-PD-L1 monotherapy showed no efficacy in this murine HCC model. In striking contrast, AFP immunization combined with anti-PD-L1 treatment triggered significant inhibition of HCC progression in most liver tumor nodules, while combining with anti-PD1 induced slower tumor progression. Mechanistically, we demonstrated that HCC intrinsic PD-L1 expression was the primary target of anti-PD-L1 in this combination therapy. Notably, the combination therapy had a similar therapeutic effect in the cMet/β-Catenin mouse HCC model. These findings suggest that combining the AFP vaccine and immune checkpoint inhibitors may be effective for AFP (+) HCC treatment.
基金:
NIH grant R01CA239251 to XC; NCI/NIH grant CA235159 to Dr.
Yukai He; P30DK026743 for UCSF Liver Center; National Natural Science Foundation of
China (82202981) to XL. In addition
第一作者机构:[1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
共同第一作者:
通讯作者:
通讯机构:[1]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.[2]Department of Bioengineering and Therapeutic Sciences, University of California, San Francisco, CA, USA.[4]University of Hawaii Cancer Center, Honolulu, HI, USA.[*1]University of Hawaii Cancer Center, Honolulu, HI 96813, USA[*2]Department of Biliary-Pancreatic Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 510120 Guangzhou, China
推荐引用方式(GB/T 7714):
Lu Xinjun,Deng Shanshan,Xu Jiejie,et al.Combination of AFP vaccine and immune checkpoint inhibitors slows hepatocellular carcinoma progression in preclinical models[J].JOURNAL OF CLINICAL INVESTIGATION.2023,133(11):doi:10.1172/JCI163291.
APA:
Lu Xinjun,Deng Shanshan,Xu Jiejie,Green Benjamin L,Zhang Honghua...&Chen Xin.(2023).Combination of AFP vaccine and immune checkpoint inhibitors slows hepatocellular carcinoma progression in preclinical models.JOURNAL OF CLINICAL INVESTIGATION,133,(11)
MLA:
Lu Xinjun,et al."Combination of AFP vaccine and immune checkpoint inhibitors slows hepatocellular carcinoma progression in preclinical models".JOURNAL OF CLINICAL INVESTIGATION 133..11(2023)