Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report

<p dir="ltr">Targeting the programmed cell death protein-1 (PD-1)/PD-1 ligand (PD-L1) pathway has been shown to enhance T cell-mediated antitumor immunity. Clinical responses are limited to subgroups of patients. The search for biomarkers of response is a strategy to predict response...

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Main Author: Maysaloun Merhi (4246147) (author)
Other Authors: Afsheen Raza (492657) (author), Varghese Philipose Inchakalody (14153292) (author), Abdulqadir Jeprel Japer Nashwan (18090526) (author), Niloofar Allahverdi (14557403) (author), Roopesh Krishnankutty (1297770) (author), Shahab Uddin (154400) (author), Abdul Rehman Zar Gul (14777347) (author), Mohammed Ussama Al Homsi (15263542) (author), Said Dermime (79420) (author)
Published: 2018
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_version_ 1864513525966176256
author Maysaloun Merhi (4246147)
author2 Afsheen Raza (492657)
Varghese Philipose Inchakalody (14153292)
Abdulqadir Jeprel Japer Nashwan (18090526)
Niloofar Allahverdi (14557403)
Roopesh Krishnankutty (1297770)
Shahab Uddin (154400)
Abdul Rehman Zar Gul (14777347)
Mohammed Ussama Al Homsi (15263542)
Said Dermime (79420)
author2_role author
author
author
author
author
author
author
author
author
author_facet Maysaloun Merhi (4246147)
Afsheen Raza (492657)
Varghese Philipose Inchakalody (14153292)
Abdulqadir Jeprel Japer Nashwan (18090526)
Niloofar Allahverdi (14557403)
Roopesh Krishnankutty (1297770)
Shahab Uddin (154400)
Abdul Rehman Zar Gul (14777347)
Mohammed Ussama Al Homsi (15263542)
Said Dermime (79420)
author_role author
dc.creator.none.fl_str_mv Maysaloun Merhi (4246147)
Afsheen Raza (492657)
Varghese Philipose Inchakalody (14153292)
Abdulqadir Jeprel Japer Nashwan (18090526)
Niloofar Allahverdi (14557403)
Roopesh Krishnankutty (1297770)
Shahab Uddin (154400)
Abdul Rehman Zar Gul (14777347)
Mohammed Ussama Al Homsi (15263542)
Said Dermime (79420)
dc.date.none.fl_str_mv 2018-07-30T03:00:00Z
dc.identifier.none.fl_str_mv 10.3389/fimmu.2018.01769
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Squamous_Cell_Carcinomas_of_the_Head_and_Neck_Cancer_Response_to_Programmed_Cell_Death_Protein-1_Targeting_and_Differential_Expression_of_Immunological_Markers_A_Case_Report/25330948
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Immunology
head and neck squamous cell carcinoma
programmed cell death protein-1
nivolumab
NY-ESO-1 antibody
NY-ESO-1-specific T cells
cytokine profile
dc.title.none.fl_str_mv Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Targeting the programmed cell death protein-1 (PD-1)/PD-1 ligand (PD-L1) pathway has been shown to enhance T cell-mediated antitumor immunity. Clinical responses are limited to subgroups of patients. The search for biomarkers of response is a strategy to predict response and outcome of PD-1/PD-L1 checkpoint intervention. The NY-ESO-1 cancer testis antigen has been considered as a biomarker in head and neck squamous cell carcinoma (HNSCC) patients and can induce both specific NY-ESO-1 antibody and T cells responses. Here, we correlated clinical responsiveness to anti-PD-1 (nivolumab) treatment with immunity to NY-ESO-1 in a patient with recurrent HNSCC. The patient was treated with second-line treatment of nivolumab and had a stable disease for over 7 months. His NY-ESO-1 antibody was found to be lower after the third (****p < 0.0001) and the fifth (****p < 0.0001) cycles of treatment compared to base line, and this was in line with the stability of the disease. The NY-ESO-1-specific T cells response of the patient was found to be increased after the third and the fifth (**p = 0.002) cycles of treatment but had a significant decline after progression (**p = 0.0028). The PD-1 expression by the patient’s T cells was reduced 15-folds after nivolumab treatment and was uniquely restricted to the CD8+ T cells population. Several cytokines/chemokines involved in immune activation were upregulated after nivolumab treatment; two biomarkers were reduced at progression [interleukin (IL)-10: ****p < 0.0001 and CX3CL1: ****p < 0.0001]. On the other hand, some cytokines/chemokines contributing to immune inhibition were downregulated after nivolumab treatment; two biomarkers were increased at progression (IL-6: ****p < 0.0001 and IL-8: ****p < 0.0001). This data support the notion that the presence of anti-NY-ESO-1 integrated immunity and some cytokines/chemokines profile may potentially identify a response to PD-1 blockade in HNSCC patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Immunology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fimmu.2018.01769" target="_blank">https://dx.doi.org/10.3389/fimmu.2018.01769</a></p>
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oai_identifier_str oai:figshare.com:article/25330948
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spelling Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case ReportMaysaloun Merhi (4246147)Afsheen Raza (492657)Varghese Philipose Inchakalody (14153292)Abdulqadir Jeprel Japer Nashwan (18090526)Niloofar Allahverdi (14557403)Roopesh Krishnankutty (1297770)Shahab Uddin (154400)Abdul Rehman Zar Gul (14777347)Mohammed Ussama Al Homsi (15263542)Said Dermime (79420)Biomedical and clinical sciencesImmunologyhead and neck squamous cell carcinomaprogrammed cell death protein-1nivolumabNY-ESO-1 antibodyNY-ESO-1-specific T cellscytokine profile<p dir="ltr">Targeting the programmed cell death protein-1 (PD-1)/PD-1 ligand (PD-L1) pathway has been shown to enhance T cell-mediated antitumor immunity. Clinical responses are limited to subgroups of patients. The search for biomarkers of response is a strategy to predict response and outcome of PD-1/PD-L1 checkpoint intervention. The NY-ESO-1 cancer testis antigen has been considered as a biomarker in head and neck squamous cell carcinoma (HNSCC) patients and can induce both specific NY-ESO-1 antibody and T cells responses. Here, we correlated clinical responsiveness to anti-PD-1 (nivolumab) treatment with immunity to NY-ESO-1 in a patient with recurrent HNSCC. The patient was treated with second-line treatment of nivolumab and had a stable disease for over 7 months. His NY-ESO-1 antibody was found to be lower after the third (****p < 0.0001) and the fifth (****p < 0.0001) cycles of treatment compared to base line, and this was in line with the stability of the disease. The NY-ESO-1-specific T cells response of the patient was found to be increased after the third and the fifth (**p = 0.002) cycles of treatment but had a significant decline after progression (**p = 0.0028). The PD-1 expression by the patient’s T cells was reduced 15-folds after nivolumab treatment and was uniquely restricted to the CD8+ T cells population. Several cytokines/chemokines involved in immune activation were upregulated after nivolumab treatment; two biomarkers were reduced at progression [interleukin (IL)-10: ****p < 0.0001 and CX3CL1: ****p < 0.0001]. On the other hand, some cytokines/chemokines contributing to immune inhibition were downregulated after nivolumab treatment; two biomarkers were increased at progression (IL-6: ****p < 0.0001 and IL-8: ****p < 0.0001). This data support the notion that the presence of anti-NY-ESO-1 integrated immunity and some cytokines/chemokines profile may potentially identify a response to PD-1 blockade in HNSCC patients.</p><h2>Other Information</h2><p dir="ltr">Published in: Frontiers in Immunology<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3389/fimmu.2018.01769" target="_blank">https://dx.doi.org/10.3389/fimmu.2018.01769</a></p>2018-07-30T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3389/fimmu.2018.01769https://figshare.com/articles/journal_contribution/Squamous_Cell_Carcinomas_of_the_Head_and_Neck_Cancer_Response_to_Programmed_Cell_Death_Protein-1_Targeting_and_Differential_Expression_of_Immunological_Markers_A_Case_Report/25330948CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/253309482018-07-30T03:00:00Z
spellingShingle Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
Maysaloun Merhi (4246147)
Biomedical and clinical sciences
Immunology
head and neck squamous cell carcinoma
programmed cell death protein-1
nivolumab
NY-ESO-1 antibody
NY-ESO-1-specific T cells
cytokine profile
status_str publishedVersion
title Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
title_full Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
title_fullStr Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
title_full_unstemmed Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
title_short Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
title_sort Squamous Cell Carcinomas of the Head and Neck Cancer Response to Programmed Cell Death Protein-1 Targeting and Differential Expression of Immunological Markers: A Case Report
topic Biomedical and clinical sciences
Immunology
head and neck squamous cell carcinoma
programmed cell death protein-1
nivolumab
NY-ESO-1 antibody
NY-ESO-1-specific T cells
cytokine profile