Galectin-1–driven T cell exclusion in the tumor endothelium promotes immunotherapy resistance

DK Nambiar, T Aguilera, H Cao, S Kwok… - The Journal of …, 2019 - Am Soc Clin Investig
DK Nambiar, T Aguilera, H Cao, S Kwok, C Kong, J Bloomstein, Z Wang, VS Rangan…
The Journal of clinical investigation, 2019Am Soc Clin Investig
Immune checkpoint inhibitors (ICIs), although promising, have variable benefit in head and
neck cancer (HNC). We noted that tumor galectin-1 (Gal1) levels were inversely correlated
with treatment response and survival in patients with HNC who were treated with ICIs. Using
multiple HNC mouse models, we show that tumor-secreted Gal1 mediates immune evasion
by preventing T cell migration into the tumor. Mechanistically, Gal1 reprograms the tumor
endothelium to upregulate cell-surface programmed death ligand 1 (PD-L1) and galectin-9 …
Immune checkpoint inhibitors (ICIs), although promising, have variable benefit in head and neck cancer (HNC). We noted that tumor galectin-1 (Gal1) levels were inversely correlated with treatment response and survival in patients with HNC who were treated with ICIs. Using multiple HNC mouse models, we show that tumor-secreted Gal1 mediates immune evasion by preventing T cell migration into the tumor. Mechanistically, Gal1 reprograms the tumor endothelium to upregulate cell-surface programmed death ligand 1 (PD-L1) and galectin-9. Using genetic and pharmacological approaches, we show that Gal1 blockade increases intratumoral T cell infiltration, leading to a better response to anti-PD1 therapy with or without radiotherapy. Our study reveals the function of Gal1 in transforming the tumor endothelium into an immune-suppressive barrier and that its inhibition synergizes with ICIs.
The Journal of Clinical Investigation