[HTML][HTML] Synergy of radiotherapy and PD-1 blockade in Kras-mutant lung cancer

GS Herter-Sprie, S Koyama, H Korideck, J Hai, J Deng… - JCI insight, 2016 - ncbi.nlm.nih.gov
GS Herter-Sprie, S Koyama, H Korideck, J Hai, J Deng, YY Li, KA Buczkowski, AK Grant…
JCI insight, 2016ncbi.nlm.nih.gov
Radiation therapy (RT), a critical modality in the treatment of lung cancer, induces direct
tumor cell death and augments tumor-specific immunity. However, despite initial tumor
control, most patients suffer from locoregional relapse and/or metastatic disease following
RT. The use of immunotherapy in non–small-cell lung cancer (NSCLC) could potentially
change this outcome by enhancing the effects of RT. Here, we report significant (up to 70%
volume reduction of the target lesion) and durable (up to 12 weeks) tumor regressions in …
Abstract
Radiation therapy (RT), a critical modality in the treatment of lung cancer, induces direct tumor cell death and augments tumor-specific immunity. However, despite initial tumor control, most patients suffer from locoregional relapse and/or metastatic disease following RT. The use of immunotherapy in non–small-cell lung cancer (NSCLC) could potentially change this outcome by enhancing the effects of RT. Here, we report significant (up to 70% volume reduction of the target lesion) and durable (up to 12 weeks) tumor regressions in conditional Kras-driven genetically engineered mouse models (GEMMs) of NSCLC treated with radiotherapy and a programmed cell death 1 antibody (αPD-1). However, while αPD-1 therapy was beneficial when combined with RT in radiation-naive tumors, αPD-1 therapy had no antineoplastic efficacy in RT-relapsed tumors and further induced T cell inhibitory markers in this setting. Furthermore, there was differential efficacy of αPD-1 plus RT among Kras-driven GEMMs, with additional loss of the tumor suppressor serine/threonine kinase 11/liver kinase B1 (Stk11/Lkb1) resulting in no synergistic efficacy. Taken together, our data provide evidence for a close interaction among RT, T cells, and the PD-1/PD-L1 axis and underscore the rationale for clinical combinatorial therapy with immune modulators and radiotherapy.
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