De novo induction of intratumoral lymphoid structures and vessel normalization enhances immunotherapy in resistant tumors

A Johansson-Percival, B He, ZJ Li, A Kjellén… - Nature …, 2017 - nature.com
A Johansson-Percival, B He, ZJ Li, A Kjellén, K Russell, J Li, I Larma, R Ganss
Nature immunology, 2017nature.com
The tumor microenvironment confers profound resistance to anti-cancer immunotherapy. By
targeting LIGHT, a member of the TNF superfamily of cytokines, to tumor vessels via a
vascular targeting peptide (VTP), we developed a reagent with the dual ability to modulate
the angiogenic vasculature and to induce tertiary lymphoid structures (TLSs). LIGHT-VTP
triggered the influx of endogenous T cells into autochthonous or syngeneic tumors, which
are resistant to immunotherapy. LIGHT-VTP in combination with checkpoint inhibition …
Abstract
The tumor microenvironment confers profound resistance to anti-cancer immunotherapy. By targeting LIGHT, a member of the TNF superfamily of cytokines, to tumor vessels via a vascular targeting peptide (VTP), we developed a reagent with the dual ability to modulate the angiogenic vasculature and to induce tertiary lymphoid structures (TLSs). LIGHT-VTP triggered the influx of endogenous T cells into autochthonous or syngeneic tumors, which are resistant to immunotherapy. LIGHT-VTP in combination with checkpoint inhibition generated a large number of intratumoral effector and memory T cells with ensuing survival benefits, while the addition of anti-tumor vaccination achieved maximal therapeutic efficacy. Thus, the combination treatments stimulated the trafficking of pre-existing endogenous effector T cells as well as their intratumoral activation and were more successful than current immunotherapies, which fail due to tumor-intrinsic resistance mechanisms.
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