Added by | mollevi |
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Last modified by | jacques.colinge |
Group name | EquipeJC |
Item Type | Journal Article |
Title | Rapalogs efficacy relies on the modulation of antitumor T cell immunity |
Creator | Beziaud et al. |
Author | L. Beziaud |
Author | L. Mansi |
Author | P. Ravel |
Author | E. Lauret Marie-Joseph |
Author | C. Laheurte |
Author | L. Rangan |
Author | F. Bonnefoy |
Author | J. R. Pallandre |
Author | L. Boullerot |
Author | C. Gamonet |
Author | S. Vrecko |
Author | L. Queiroz |
Author | T. Maurina |
Author | G. Mouillet |
Author | T. Nguyen Tan Hon |
Author | E. Curtit |
Author | B. Royer |
Author | B. Gaugler |
Author | J. Bayry |
Author | E. Tartour |
Author | A. Thierry-Vuillemin |
Author | X. Pivot |
Author | C. Borg |
Author | Y. Godet |
Author | O. Adotevi |
Abstract | The rapalogs everolimus and temsirolimus that inhibit mTOR signaling are used as anti-proliferative drugs in several cancers. Here we investigated the influence of rapalogs-mediated immune modulation on their antitumor efficacy. Studies in metastatic renal cell carcinoma (mRCC) patients showed that everolimus promoted high expansion of FoxP3+Helios+Ki67+ regulatory CD4 T cells (Tregs). In these patients, rapalogs strongly enhanced the suppressive functions of Tregs, mainly in a contact-dependent manner. Paradoxically, a concurrent activation of spontaneous tumor-specific Th1 immunity also occurred. Furthermore, high rate of Eomes+CD8+ T cells was detected in patients after a long-term mTOR inhibition. We found that early changes in the Tregs/antitumor Th1 balance can differentially shape the treatment efficacy. Patients presenting a shift towards decreased Tregs levels and high expansion of antitumor Th1 cells showed better clinical responses. Studies conducted in tumor-bearing mice confirmed the deleterious effect of rapalogs-induced Tregs via a mechanism involving the inhibition of antitumor T cells immunity. Consequently, the combination of temsirolimus plus CCR4 antagonist, a receptor highly expressed on rapalogs-exposed Tregs, was more effective than monotherapy. Altogether, our results describe for the first time a dual impact of host adaptive antitumor T cell immunity on the clinical effectiveness of rapalogs and prompt their association with immunotherapies. |
Publication | Cancer Res |
Date | May 17 2016 |
Journal Abbr | Cancer research |
DOI | 10.1158/0008-5472.CAN-15-2452 |
ISSN | 1538-7445 (Electronic) 0008-5472 (Linking) |
Tags | original |
Date Added | 2018/11/14 - 11:48:35 |
Date Modified | 2019/05/14 - 21:00:27 |
Notes and Attachments | (Note) (Note) 27197194 (Attachment) |