Targeting IFNα to tumor by anti-PD-L1 creates feedforward antitumor responses to overcome checkpoint blockade resistance

Nat Commun. 2018 Nov 2;9(1):4586. doi: 10.1038/s41467-018-06890-y.

Abstract

Many patients remain unresponsive to intensive PD-1/PD-L1 blockade therapy despite the presence of tumor-infiltrating lymphocytes. We propose that impaired innate sensing might limit the complete activation of tumor-specific T cells after PD-1/PD-L1 blockade. Local delivery of type I interferons (IFNs) restores antigen presentation, but upregulates PD-L1, dampening subsequent T-cell activation. Therefore, we armed anti-PD-L1 antibody with IFNα (IFNα-anti-PD-L1) to create feedforward responses. Here, we find that a synergistic effect is achieved to overcome both type I IFN and checkpoint blockade therapy resistance with the least side effects in advanced tumors. Intriguingly, PD-L1 expressed in either tumor cells or tumor-associated host cells is sufficient for fusion protein targeting. IFNα-anti-PD-L1 activates IFNAR signaling in host cells, but not in tumor cells to initiate T-cell reactivation. Our data suggest that a next-generation PD-L1 antibody armed with IFNα improves tumor targeting and antigen presentation, while countering innate or T-cell-driven PD-L1 upregulation within tumor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies / pharmacology*
  • Antineoplastic Agents / pharmacology*
  • B7-H1 Antigen / metabolism*
  • Female
  • Immunotherapy*
  • Interferon-alpha / pharmacology*
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Neoplasms / pathology
  • Neoplasms / therapy*
  • Receptor, Interferon alpha-beta / metabolism
  • Signal Transduction

Substances

  • Antibodies
  • Antineoplastic Agents
  • B7-H1 Antigen
  • CD274 protein, human
  • Ifnar1 protein, mouse
  • Interferon-alpha
  • Receptor, Interferon alpha-beta