CDK4/6 Inhibition Augments Antitumor Immunity by Enhancing T-cell Activation
Jiehui Deng1,2, Eric S Wang3, Russell W Jenkins1,4
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Abstract:
Immune checkpoint blockade, exemplified by antibodies targeting the PD-1 receptor, can induce durable tumor regressions in some patients. To enhance the efficacy of existing immunotherapies, we screened for small molecules capable of increasing the activity of T cells suppressed by PD-1. Here, we show that short-term exposure to small-molecule inhibitors of cyclin-dependent kinases 4 and 6 (CDK4/6) significantly enhances T-cell activation, contributing to antitumor effects in vivo, due in part to the derepression of NFAT family proteins and their target genes, critical regulators of T-cell function. Although CDK4/6 inhibitors decrease T-cell proliferation, they increase tumor infiltration and activation of effector T cells. Moreover, CDK4/6 inhibition augments the response to PD-1 blockade in a novel ex vivo organotypic tumor spheroid culture system and in multiple in vivo murine syngeneic models, thereby providing a rationale for combining CDK4/6 inhibitors and immunotherapies.Significance: Our results define previously unrecognized immunomodulatory functions of CDK4/6 and suggest that combining CDK4/6 inhibitors with immune checkpoint blockade may increase treatment efficacy in patients. Furthermore, our study highlights the critical importance of identifying complementary strategies to improve the efficacy of immunotherapy for patients with cancer. Cancer Discov; 8(2); 216-33. ©2017 AACR.See related commentary by Balko and Sosman, p. 143See related article by Jenkins et al., p. 196This article is highlighted in the In This Issue feature, p. 127.
Insights
Small-molecule inhibitors of cyclin-dependent kinases 4 and 6 (CDK4/6) enhance T-cell activation and antitumor effects. Combining CDK4/6 inhibitors with PD-1 blockade may improve cancer immunotherapy efficacy.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Immune checkpoint blockade, such as PD-1 targeting, shows promise in cancer treatment.
- Enhancing T-cell activity is crucial for improving immunotherapy outcomes.
- Identifying novel therapeutic targets is essential for overcoming treatment resistance.
Purpose of the Study:
- To screen for small molecules that enhance T-cell activity suppressed by PD-1.
- To investigate the immunomodulatory effects of cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors.
- To evaluate the potential of combining CDK4/6 inhibitors with PD-1 blockade for cancer therapy.
Main Methods:
- Screening for small molecules that increase T-cell activity.
- Utilizing short-term exposure to CDK4/6 inhibitors.
- Assessing T-cell activation, proliferation, and tumor infiltration.
- Employing ex vivo organotypic tumor spheroid and in vivo murine syngeneic models.
- Evaluating the combination of CDK4/6 inhibitors with PD-1 blockade.
Main Results:
- Short-term CDK4/6 inhibition significantly enhances T-cell activation and antitumor effects.
- CDK4/6 inhibitors lead to derepression of NFAT proteins, crucial for T-cell function.
- While decreasing T-cell proliferation, CDK4/6 inhibitors increase effector T-cell infiltration and activation.
- Combination therapy augmented responses in both ex vivo and in vivo models.
Conclusions:
- CDK4/6 inhibitors possess previously unrecognized immunomodulatory functions.
- Combining CDK4/6 inhibitors with immune checkpoint blockade offers a promising strategy to enhance cancer treatment efficacy.
- This study highlights the importance of developing complementary approaches to improve immunotherapy outcomes for cancer patients.
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