GITR pathway activation abrogates tumor immune suppression through loss of regulatory T-cell lineage stability Journal Article


Authors: Schaer, D. A.; Budhu, S.; Liu, C.; Bryson, C.; Malandro, N.; Cohen, A.; Zhong, H.; Yang, X.; Houghton, A. N.; Merghoub, T.; Wolchok, J. D.
Article Title: GITR pathway activation abrogates tumor immune suppression through loss of regulatory T-cell lineage stability
Abstract: Ligation of GITR (glucocorticoid-induced TNF receptor-related gene, or TNFRSF18) by agonist antibody has recently entered into early-phase clinical trials for the treatment of advanced malignancies. Although the ability of GITR modulation to induce tumor regression is well documented in preclinical studies, the underlying mechanisms of action, particularly its effects on CD4(+)Foxp3(+) regulatory T cells (Treg), have not been fully elucidated. We have previously shown that GITR ligation in vivo by agonist antibody DTA-1 causes more than 50% reduction of intratumor Tregs with down modulation of Foxp3 expression. Here, we show that the loss of Foxp3 is tumor dependent. Adoptively transferred Foxp3(+) Tregs from tumor-bearing animals lose Foxp3 expression in the host when treated with DTA-1, whereas Tregs from naive mice maintain Foxp3 expression. GITR ligation also alters the expression of various transcription factors and cytokines important for Treg function. Complete Foxp3 loss in intratumor Tregs correlates with a dramatic decrease in Helios expression and is associated with the upregulation of transcription factors, T-Bet and Eomes. Changes in Helios correspond with a reduction in interleukin (IL)-10 and an increase in IFN-gamma expression in DTA-1-treated Tregs. Together, these data show that GITR agonist antibody alters Treg lineage stability inducing an inflammatory effector T-cell phenotype. The resultant loss of lineage stability causes Tregs to lose their intratumor immune-suppressive function, making the tumor susceptible to killing by tumor-specific effector CD8(+) T cells. (C) 2013 AACR.
Keywords: melanoma; in-vivo; safety; antibody; neuropilin 1; expression; cancer-immunotherapy; responses; induced tnf receptor; helios
Journal Title: Cancer Immunology Research
Volume: 1
Issue: 5
ISSN: 2326-6066
Publisher: American Association for Cancer Research  
Date Published: 2013-11-01
Start Page: 320
End Page: 331
Language: English
ACCESSION: WOS:000340030400008
DOI: 10.1158/2326-6066.cir-13-0086
PROVIDER: wos
PMCID: PMC3885345
PUBMED: 24416730
Notes: Article -- Source: Wos
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MSK Authors
  1. Jedd D Wolchok
    898 Wolchok
  2. Taha Merghoub
    358 Merghoub
  3. Cailian Liu
    60 Liu
  4. David A Schaer
    25 Schaer
  5. Alan N Houghton
    352 Houghton
  6. Sadna Budhu
    86 Budhu
  7. Xia Yang
    17 Yang
  8. Hong Zhong
    29 Zhong