Targeting CXCL12 from FAP-expressing carcinoma-associated fibroblasts synergizes with anti–PD-L1 immunotherapy in pancreatic cancer

Targeting CXCL12 from FAP-expressing carcinoma-associated fibroblasts synergizes with anti–PD-L1 immunotherapy in pancreatic cancer

December 10, 2013 | vol. 110 | no. 50 | Christine Feig, James O. Jones, Matthew Kraman, Richard J. B. Wells, Andrew Deonarine, Derek S. Chan, Claire M. Connell, Edward W. Roberts, Qi Zhao, Otavia L. Caballero, Sarah A. Teichmann, Tobias Janowitz, Duncan I. Jodrell, David A. Tuveson, and Douglas T. Fearon
The study investigates the mechanisms behind the ineffectiveness of immunotherapy in pancreatic ductal adenocarcinoma (PDA) and explores potential synergistic effects with anti-PD-L1 immunotherapy. Using an autochthonous PDA model, the researchers found that while PDA-bearing mice had cancer cell-specific FAP+ cells, they did not respond to anti-CTLA-4 and anti-PD-L1 immunotherapy, similar to human PDA patients. Depleting carcinoma-associated fibroblasts (CAFs) that express fibroblast activation protein (FAP) allowed immune control of tumor growth and revealed the efficacy of these immunotherapeutic antibodies. The FAP+ CAFs were the primary source of CXCL12, a chemokine that excluded T cells from regions containing cancer cells. Inhibiting CXCL12 receptor CXCR4 with AMD3100 synergized with anti-PD-L1 to significantly reduce cancer cell numbers, leading to a residual tumor composed only of premalignant epithelial cells and inflammatory cells. This study highlights the role of CXCL12 in tumor immune evasion and suggests that targeting CXCL12 from FAP+ CAFs may enhance the effectiveness of immunotherapy in PDA.The study investigates the mechanisms behind the ineffectiveness of immunotherapy in pancreatic ductal adenocarcinoma (PDA) and explores potential synergistic effects with anti-PD-L1 immunotherapy. Using an autochthonous PDA model, the researchers found that while PDA-bearing mice had cancer cell-specific FAP+ cells, they did not respond to anti-CTLA-4 and anti-PD-L1 immunotherapy, similar to human PDA patients. Depleting carcinoma-associated fibroblasts (CAFs) that express fibroblast activation protein (FAP) allowed immune control of tumor growth and revealed the efficacy of these immunotherapeutic antibodies. The FAP+ CAFs were the primary source of CXCL12, a chemokine that excluded T cells from regions containing cancer cells. Inhibiting CXCL12 receptor CXCR4 with AMD3100 synergized with anti-PD-L1 to significantly reduce cancer cell numbers, leading to a residual tumor composed only of premalignant epithelial cells and inflammatory cells. This study highlights the role of CXCL12 in tumor immune evasion and suggests that targeting CXCL12 from FAP+ CAFs may enhance the effectiveness of immunotherapy in PDA.
Reach us at info@study.space
[slides] Targeting CXCL12 from FAP-expressing carcinoma-associated fibroblasts synergizes with anti%E2%80%93PD-L1 immunotherapy in pancreatic cancer | StudySpace