Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells

<p dir="ltr">Triple negative breast cancer (TNBC) is the most aggressive breast cancer subtype, and it exhibits resistance to common breast cancer therapies. Immune checkpoint inhibitors (ICIs) targeting programmed cell death 1 (PD-1) and its ligand, PD-L1, have been approved to trea...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Reem Saleh (3513056) (author)
مؤلفون آخرون: Salman M Toor (9279953) (author), Sarah Khalaf (16555642) (author), Eyad Elkord (5396390) (author)
منشور في: 2019
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author Reem Saleh (3513056)
author2 Salman M Toor (9279953)
Sarah Khalaf (16555642)
Eyad Elkord (5396390)
author2_role author
author
author
author_facet Reem Saleh (3513056)
Salman M Toor (9279953)
Sarah Khalaf (16555642)
Eyad Elkord (5396390)
author_role author
dc.creator.none.fl_str_mv Reem Saleh (3513056)
Salman M Toor (9279953)
Sarah Khalaf (16555642)
Eyad Elkord (5396390)
dc.date.none.fl_str_mv 2019-10-12T03:00:00Z
dc.identifier.none.fl_str_mv 10.3390/vaccines7040149
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Breast_Cancer_Cells_and_PD-1_PD-L1_Blockade_Upregulate_the_Expression_of_PD-1_CTLA-4_TIM-3_and_LAG-3_Immune_Checkpoints_in_CD4_T_Cells/27003565
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
Oncology and carcinogenesis
breast cancer
anti-PD-1
anti-PD-L1
Tregs
immune checkpoints
dc.title.none.fl_str_mv Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Triple negative breast cancer (TNBC) is the most aggressive breast cancer subtype, and it exhibits resistance to common breast cancer therapies. Immune checkpoint inhibitors (ICIs) targeting programmed cell death 1 (PD-1) and its ligand, PD-L1, have been approved to treat various cancers. However, the therapeutic efficacy of targeting PD-1/PD-L1 axis in breast cancer is under clinical investigation. In addition, the mechanisms of action of drugs targeting PD-1 and PD-L1 have not been fully elucidated. In this study, we investigated the effect of human TNBC cell lines, MDA-MB-231 and MDA-MB-468, and the non-TNBC cell line, MCF-7, on the expression of immune checkpoints (ICs) on CD4<sup>+</sup> T cell subsets, including regulatory T cells (Tregs), using a co-culture system. We also examined the effect of blocking PD-1 or PD-L1 separately and in combination on IC expression by CD4<sup>+</sup> T cell subsets. We found that breast cancer cells upregulate the expression of ICs including PD-1, cytotoxic T lymphocyte-associated antigen-4 (CTLA-4), T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3) and lymphocyte activation gene-3 (LAG-3) in CD4<sup>+</sup> T cell subsets. We also found that the co-blockade of PD-1 and PD-L1 further upregulates the co-expression of TIM-3 and LAG-3 on CD4<sup>+</sup>CD25<sup>+</sup> T cells and CD4<sup>+</sup>CD25<sup>+</sup>FoxP3<sup>+</sup>Helios<sup>+</sup> Tregs in the presence of TNBC cells, but not in non-TNBC cells. Our results indicate the emergence of compensatory inhibitory mechanisms, most likely mediated by Tregs and activated non-Tregs, which could lead to the development of TNBC resistance against PD-1/PD-L1 blockade.</p><h2>Other Information</h2><p dir="ltr">Published in: Vaccines<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/10.3390/vaccines7040149" target="_blank">https://dx.doi.org/10.3390/vaccines7040149</a></p>
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spelling Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T CellsReem Saleh (3513056)Salman M Toor (9279953)Sarah Khalaf (16555642)Eyad Elkord (5396390)Biomedical and clinical sciencesImmunologyOncology and carcinogenesisbreast canceranti-PD-1anti-PD-L1Tregsimmune checkpoints<p dir="ltr">Triple negative breast cancer (TNBC) is the most aggressive breast cancer subtype, and it exhibits resistance to common breast cancer therapies. Immune checkpoint inhibitors (ICIs) targeting programmed cell death 1 (PD-1) and its ligand, PD-L1, have been approved to treat various cancers. However, the therapeutic efficacy of targeting PD-1/PD-L1 axis in breast cancer is under clinical investigation. In addition, the mechanisms of action of drugs targeting PD-1 and PD-L1 have not been fully elucidated. In this study, we investigated the effect of human TNBC cell lines, MDA-MB-231 and MDA-MB-468, and the non-TNBC cell line, MCF-7, on the expression of immune checkpoints (ICs) on CD4<sup>+</sup> T cell subsets, including regulatory T cells (Tregs), using a co-culture system. We also examined the effect of blocking PD-1 or PD-L1 separately and in combination on IC expression by CD4<sup>+</sup> T cell subsets. We found that breast cancer cells upregulate the expression of ICs including PD-1, cytotoxic T lymphocyte-associated antigen-4 (CTLA-4), T cell immunoglobulin and mucin domain-containing protein 3 (TIM-3) and lymphocyte activation gene-3 (LAG-3) in CD4<sup>+</sup> T cell subsets. We also found that the co-blockade of PD-1 and PD-L1 further upregulates the co-expression of TIM-3 and LAG-3 on CD4<sup>+</sup>CD25<sup>+</sup> T cells and CD4<sup>+</sup>CD25<sup>+</sup>FoxP3<sup>+</sup>Helios<sup>+</sup> Tregs in the presence of TNBC cells, but not in non-TNBC cells. Our results indicate the emergence of compensatory inhibitory mechanisms, most likely mediated by Tregs and activated non-Tregs, which could lead to the development of TNBC resistance against PD-1/PD-L1 blockade.</p><h2>Other Information</h2><p dir="ltr">Published in: Vaccines<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/10.3390/vaccines7040149" target="_blank">https://dx.doi.org/10.3390/vaccines7040149</a></p>2019-10-12T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.3390/vaccines7040149https://figshare.com/articles/journal_contribution/Breast_Cancer_Cells_and_PD-1_PD-L1_Blockade_Upregulate_the_Expression_of_PD-1_CTLA-4_TIM-3_and_LAG-3_Immune_Checkpoints_in_CD4_T_Cells/27003565CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/270035652019-10-12T03:00:00Z
spellingShingle Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
Reem Saleh (3513056)
Biomedical and clinical sciences
Immunology
Oncology and carcinogenesis
breast cancer
anti-PD-1
anti-PD-L1
Tregs
immune checkpoints
status_str publishedVersion
title Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
title_full Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
title_fullStr Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
title_full_unstemmed Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
title_short Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
title_sort Breast Cancer Cells and PD-1/PD-L1 Blockade Upregulate the Expression of PD-1, CTLA-4, TIM-3 and LAG-3 Immune Checkpoints in CD4+ T Cells
topic Biomedical and clinical sciences
Immunology
Oncology and carcinogenesis
breast cancer
anti-PD-1
anti-PD-L1
Tregs
immune checkpoints