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Overcome the challenge for intratumoral injection of STING agonist for pancreatic cancer by systemic administration

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机构: [1]Sichuan Univ, West China Hosp, Dept Gen Surg, Div Pancreat Surg, Chengdu 610041, Sichuan, Peoples R China [2]Sichuan Univ, West China Hosp, Dept Gen Surg, Div Biliary Surg, Chengdu 610041, Sichuan, Peoples R China [3]Johns Hopkins Univ, Dept Oncol, Sch Med, Baltimore, MD 21287 USA [4]Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Sch Med, Baltimore, MD 21287 USA [5]Johns Hopkins Univ, Sch Med, Pancreat Canc Precis Med Ctr Excellence Program, Baltimore, MD 21287 USA [6]Johns Hopkins Univ, Sch Med, Bloomberg Kimmel Inst Canc Immunotherapy, Baltimore, MD 21287 USA [7]Zhejiang Prov Peoples Hosp, Hangzhou, Zhejiang, Peoples R China [8]Zhejiang Univ, Affiliated Hosp 1, Hangzhou, Zhejiang, Peoples R China [9]Lake Erie Coll Osteopath Med, Erie, PA 16509 USA [10]Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21287 USA [11]Johns Hopkins Univ, Sch Med, Sidney Kimmel Comprehens Canc Ctr, Multidisciplinary Gastrointestinal Canc Labs Progr, Baltimore, MD 21287 USA [12]Cedars Sinai Med Ctr, Los Angeles, CA 90048 USA [13]Peking Univ, Hosp 3, Dept Gen Surg, Beijing, Peoples R China [14]Bristol Myers Squibb Co, Princeton, NJ 08648 USA [15]Johns Hopkins Kimmel Canc Ctr, 1650 Orleans St,CRB1 Room 351, Baltimore, MD 21231 USA
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关键词: Pancreatic ductal adenocarcinoma Stimulator of interferon genes Tumor microenvironment Immune checkpoint inhibitor Immunotherapy

摘要:
Due to the challenge for intratumoral administration, innate agonists have not made it beyond preclinical studies for efficacy testing in most tumor types. Pancreatic ductal adenocarcinoma (PDAC) has a hostile tumor microenvironment that renders T cells dysfunctional. Innate agonist treatments may serve as a T cell priming mechanism to sensitize PDACs to anti-PD-1 antibody (a-PD-1) treatment. Using a transplant mouse model with spontaneously formed liver metastasis, a genetically engineered KPC mouse model that spontaneously develops PDAC, and a human patient-derived xenograft model, we compared the antitumor efficacy between intrahepatic/intratumoral and intramuscular systemic administration of BMS-986301, a next-generation STING agonist. Flow cytometry, Nanostring, and cytokine assays were used to evaluate local and systemic immune responses. This study demonstrated that administration of STING agonist systemically via intramuscular injection is equivalent to its intratumoral injection in inducing both effector T cell response and antitumor efficacy. Compared to intratumoral administration, T cell exhaustion and immunosuppressive signals induced by systemic administration were attenuated. Nonetheless, either intratumoral or systemic treatment of STING agonist was associated with increased expression of CTLA-4 on tumor-infiltrating T cells. However, the combination of a-PD-1 and anti-CTLA-4 antibody with systemic STING agonist demonstrated the antitumor efficacy in the KPC mouse spontaneous PDAC model. The mouse pancreatic and liver orthotopic model of human patient-derived xenograft reconstituted with PBMC also showed that antitumor and abscopal effects of both intratumoral and intramuscular STING agonist are equivalent. Taken together, this study supports the clinical development of innate agonists via systemic administration for treating PDAC.

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出版当年[2023]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 血液学 1 区 肿瘤学
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出版当年[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY
最新[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2023版]

第一作者:
第一作者机构: [1]Sichuan Univ, West China Hosp, Dept Gen Surg, Div Pancreat Surg, Chengdu 610041, Sichuan, Peoples R China [3]Johns Hopkins Univ, Dept Oncol, Sch Med, Baltimore, MD 21287 USA [4]Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Sch Med, Baltimore, MD 21287 USA [5]Johns Hopkins Univ, Sch Med, Pancreat Canc Precis Med Ctr Excellence Program, Baltimore, MD 21287 USA [6]Johns Hopkins Univ, Sch Med, Bloomberg Kimmel Inst Canc Immunotherapy, Baltimore, MD 21287 USA
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通讯机构: [3]Johns Hopkins Univ, Dept Oncol, Sch Med, Baltimore, MD 21287 USA [4]Johns Hopkins Univ, Sidney Kimmel Comprehens Canc Ctr, Sch Med, Baltimore, MD 21287 USA [5]Johns Hopkins Univ, Sch Med, Pancreat Canc Precis Med Ctr Excellence Program, Baltimore, MD 21287 USA [6]Johns Hopkins Univ, Sch Med, Bloomberg Kimmel Inst Canc Immunotherapy, Baltimore, MD 21287 USA [10]Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21287 USA [11]Johns Hopkins Univ, Sch Med, Sidney Kimmel Comprehens Canc Ctr, Multidisciplinary Gastrointestinal Canc Labs Progr, Baltimore, MD 21287 USA [15]Johns Hopkins Kimmel Canc Ctr, 1650 Orleans St,CRB1 Room 351, Baltimore, MD 21231 USA
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