[PDF][PDF] MAP kinase inhibition promotes T cell and anti-tumor activity in combination with PD-L1 checkpoint blockade

PJR Ebert, J Cheung, Y Yang, E McNamara, R Hong… - Immunity, 2016 - cell.com
PJR Ebert, J Cheung, Y Yang, E McNamara, R Hong, M Moskalenko, SE Gould, H Maecker…
Immunity, 2016cell.com
Targeted inhibition of mitogen-activated protein kinase (MAPK) kinase (MEK) can induce
regression of tumors bearing activating mutations in the Ras pathway but rarely leads to
tumor eradication. Although combining MEK inhibition with T-cell-directed immunotherapy
might lead to more durable efficacy, T cell responses are themselves at least partially
dependent on MEK activity. We show here that MEK inhibition did profoundly block naive
CD8+ T cell priming in tumor-bearing mice, but actually increased the number of effector …
Summary
Targeted inhibition of mitogen-activated protein kinase (MAPK) kinase (MEK) can induce regression of tumors bearing activating mutations in the Ras pathway but rarely leads to tumor eradication. Although combining MEK inhibition with T-cell-directed immunotherapy might lead to more durable efficacy, T cell responses are themselves at least partially dependent on MEK activity. We show here that MEK inhibition did profoundly block naive CD8+ T cell priming in tumor-bearing mice, but actually increased the number of effector-phenotype antigen-specific CD8+ T cells within the tumor. MEK inhibition protected tumor-infiltrating CD8+ T cells from death driven by chronic TCR stimulation while sparing cytotoxic activity. Combining MEK inhibition with anti-programmed death-ligand 1 (PD-L1) resulted in synergistic and durable tumor regression even where either agent alone was only modestly effective. Thus, despite the central importance of the MAP kinase pathway in some aspects of T cell function, MEK-targeted agents can be compatible with T-cell-dependent immunotherapy.
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