[PDF][PDF] Suppression of exosomal PD-L1 induces systemic anti-tumor immunity and memory

M Poggio, T Hu, CC Pai, B Chu, CD Belair, A Chang… - Cell, 2019 - cell.com
M Poggio, T Hu, CC Pai, B Chu, CD Belair, A Chang, E Montabana, UE Lang, Q Fu, L Fong
Cell, 2019cell.com
PD-L1 on the surface of tumor cells binds its receptor PD-1 on effector T cells, thereby
suppressing their activity. Antibody blockade of PD-L1 can activate an anti-tumor immune
response leading to durable remissions in a subset of cancer patients. Here, we describe an
alternative mechanism of PD-L1 activity involving its secretion in tumor-derived exosomes.
Removal of exosomal PD-L1 inhibits tumor growth, even in models resistant to anti-PD-L1
antibodies. Exosomal PD-L1 from the tumor suppresses T cell activation in the draining …
Summary
PD-L1 on the surface of tumor cells binds its receptor PD-1 on effector T cells, thereby suppressing their activity. Antibody blockade of PD-L1 can activate an anti-tumor immune response leading to durable remissions in a subset of cancer patients. Here, we describe an alternative mechanism of PD-L1 activity involving its secretion in tumor-derived exosomes. Removal of exosomal PD-L1 inhibits tumor growth, even in models resistant to anti-PD-L1 antibodies. Exosomal PD-L1 from the tumor suppresses T cell activation in the draining lymph node. Systemically introduced exosomal PD-L1 rescues growth of tumors unable to secrete their own. Exposure to exosomal PD-L1-deficient tumor cells suppresses growth of wild-type tumor cells injected at a distant site, simultaneously or months later. Anti-PD-L1 antibodies work additively, not redundantly, with exosomal PD-L1 blockade to suppress tumor growth. Together, these findings show that exosomal PD-L1 represents an unexplored therapeutic target, which could overcome resistance to current antibody approaches.
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