4.3 Article

Combining BRAF inhibitor and anti PD-L1 antibody dramatically improves tumor regression and anti tumor immunity in an immunocompetent murine model of anaplastic thyroid cancer

Journal

ONCOTARGET
Volume 7, Issue 13, Pages 17194-17211

Publisher

IMPACT JOURNALS LLC
DOI: 10.18632/oncotarget.7839

Keywords

anaplastic thyroid cancer; programmed cell death-1; programmed cell death-ligand 1; BRAF inhibitor; MEK inhibitor

Funding

  1. National Institution of Health [R01 1R01CA149738-01A1]
  2. ENDOCRINE TISSUE BANK Ruane Fund
  3. NCI [P50CA101942]
  4. NIH [P01AI054456]
  5. Clair and Emanuel G. Rosenblatt Fund
  6. American Healthcare Professionals and Friends for Medicine in Israel

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The interaction of programmed cell death-1 and its ligand is widely studied in cancer. Monoclonal antibodies blocking these molecules have had great success but little is known about them in thyroid cancer. We investigated the role of PD-L1 in thyroid cancer with respect to BRAF mutation and MAP kinase pathway activity and the effect of anti PD-L1 antibody therapy on tumor regression and intra-tumoral immune response alone or in combination with BRAF inhibitor (BRAFi). BRAF(V600E) cells showed significantly higher baseline expression of PD-L1 at mRNA and protein levels compared to BRAF(WT) cells. MEK inhibitor treatment resulted in a decrease of PD-L1 expression across all cell lines. BRAFi treatment decreased PD-L1 expression in BRAF(V600E) cells, but paradoxically increased its expression in BRAF(WT) cells. BRAF(V600E) mutated patients samples had a higher level of PD-L1 mRNA compared to BRAF(WT) (p=0.015). Immunocompetent mice (B6129SF1/J) implanted with syngeneic 3747 BRAF(V600E/WT) P53(-/-) murine tumor cells were randomized to control, PLX4720, anti PD-L1 antibody and their combination. In this model of aggressive thyroid cancer, control tumor volume reached 782.3 +/- 174.6mm(3) at two weeks. The combination dramatically reduced tumor volume to 147.3 +/- 60.8, compared to PLX4720 (439.3 +/- 188.4 mm(3), P=0.023) or PD-L1 antibody (716.7 +/- 62.1, P<0.001) alone. Immunohistochemistry analysis revealed intense CD8(+) CTL infiltration and cytotoxicity and favorable CD8(+): Treg ratio compared to each individual treatment. Our results show anti PD-L1 treatment potentiates the effect of BRAFi on tumor regression and intensifies anti tumor immune response in an immunocompetent model of ATC. Clinical trials of this therapeutic combination may be of benefit in patients with ATC.

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