[HTML][HTML] Selective inhibition of TGF-β1 produced by GARP-expressing Tregs overcomes resistance to PD-1/PD-L1 blockade in cancer

G de Streel, C Bertrand, N Chalon, S Liénart… - Nature …, 2020 - nature.com
G de Streel, C Bertrand, N Chalon, S Liénart, O Bricard, S Lecomte, J Devreux, M Gaignage…
Nature communications, 2020nature.com
Abstract TGF-β1, β2 and β3 bind a common receptor to exert vastly diverse effects in cancer,
supporting either tumor progression by favoring metastases and inhibiting anti-tumor
immunity, or tumor suppression by inhibiting malignant cell proliferation. Global TGF-β
inhibition thus bears the risk of undesired tumor-promoting effects. We show that selective
blockade of TGF-β1 production by Tregs with antibodies against GARP: TGF-β1 complexes
induces regressions of mouse tumors otherwise resistant to anti-PD-1 immunotherapy …
Abstract
TGF-β1, β2 and β3 bind a common receptor to exert vastly diverse effects in cancer, supporting either tumor progression by favoring metastases and inhibiting anti-tumor immunity, or tumor suppression by inhibiting malignant cell proliferation. Global TGF-β inhibition thus bears the risk of undesired tumor-promoting effects. We show that selective blockade of TGF-β1 production by Tregs with antibodies against GARP:TGF-β1 complexes induces regressions of mouse tumors otherwise resistant to anti-PD-1 immunotherapy. Effects of combined GARP:TGF-β1/PD-1 blockade are immune-mediated, do not require FcγR-dependent functions and increase effector functions of anti-tumor CD8+ T cells without augmenting immune cell infiltration or depleting Tregs within tumors. We find GARP-expressing Tregs and evidence that they produce TGF-β1 in one third of human melanoma metastases. Our results suggest that anti-GARP:TGF-β1 mAbs, by selectively blocking a single TGF-β isoform emanating from a restricted cellular source exerting tumor-promoting activity, may overcome resistance to PD-1/PD-L1 blockade in patients with cancer.
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