Title
RAS/MAPK activation is associated with reduced tumor-infiltrating lymphocytes in triple-negative breast cancer: Therapeutic cooperation between MEK and PD-1/PD-L1 immune checkpoint inhibitors
Date Issued
15 March 2016
Access level
open access
Resource Type
journal article
Author(s)
Loi S.
Dushyanthen S.
Beavis P.A.
Salgado R.
Denkert C.
Savas P.
Combs S.
Rimm D.L.
Giltnane J.M.
Estrada M.V.
Sánchez V.
Sanders M.E.
Cook R.S.
Pilkinton M.A.
Mallal S.A.
Wang K.
Miller V.A.
Stephens P.J.
Yelensky R.
Ryzhov S.V.
Darcy P.K.
Arteaga C.L.
Balko J.M.
Publisher(s)
American Association for Cancer Research Inc.
Abstract
Purpose: Tumor-infiltrating lymphocytes (TIL) in the residual disease (RD) of triple-negative breast cancers (TNBC) after neoadjuvant chemotherapy (NAC) are associated with improved survival, but insight into tumor cell-autonomous molecular pathways affecting these features are lacking. Experimental Design: We analyzed TILs in the RD of clinically and molecularly characterized TNBCs after NAC and explored therapeutic strategies targeting combinations of MEK inhibitors with PD-1/PD-L1-targeted immunotherapy in mouse models of breast cancer. Results: Presence of TILs in the RD was significantly associated with improved prognosis. Genetic or transcriptomic alterations in Ras-MAPK signaling were significantly correlated with lower TILs. MEK inhibition upregulated cell surface MHC expression and PD-L1 in TNBC cells both in vivo and in vitro. Moreover, combined MEK and PD-L1/PD-1 inhibition enhanced antitumor immune responses in mouse models of breast cancer. Conclusions: These data suggest the possibility that Ras-MAPK pathway activation promotes immune-evasion in TNBC, and support clinical trials combining MEK- and PDL1-targeted therapies. Furthermore, Ras/MAPK activation andMHC expression may be predictive biomarkers of response to immune checkpoint inhibitors. Clin Cancer Res; 22(6); 1499-509.
Start page
1499
End page
1509
Volume
22
Issue
6
Language
English
OCDE Knowledge area
Oncología
Obstetricia, Ginecología
Scopus EID
2-s2.0-84962301039
PubMed ID
Source
Clinical Cancer Research
ISSN of the container
10780432
Sponsor(s)
Grant Support J.M. Balko was supported by the Inflammatory Breast Cancer (IBC) Network Foundation, Susan G. Komen for the Cure Foundation CCR14299052, the NIH/NCI (1K99CA181491), the Breast Cancer Specialized Program of Research Excellence (SPORE) P50 CA098131, Vanderbilt-Ingram Cancer Center Support Grant P30 CA68485. C.L. Arteaga is also supported by Susan G. Komen for the Cure Foundation grant SAC100013. S. Loi, S. Dushyanthen, P.A. Beavis, P. Savas, and P.K. Darcy are supported by the National Breast Cancer Foundation of Australia. S. Loi is also supported by Cancer Council Victoria, Australia. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Sources of information:
Directorio de Producción Científica
Scopus