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Published on: June 7, 2017
MEK inhibition suppresses B regulatory cells and augments anti-tumor immunity
Mark Yarchoan1, Aditya A Mohan1, Lauren Dennison1
1Bloomberg-Kimmel Institute for Cancer Immunotherapy, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
Abstract:
Mitogen-activated protein kinase (MAPK) kinase (MEK) is an integral component of the RAS pathway and a therapeutic target in RAS-driven cancers. Although tumor responses to MEK inhibition are rarely durable, MEK inhibitors have shown substantial activity and durable tumor regressions when combined with systemic immunotherapies in preclinical models of RAS-driven tumors. MEK inhibitors have been shown to potentiate anti-tumor T cell immunity, but little is known about the effects of MEK inhibition on other immune subsets, including B cells. We show here that treatment with a MEK inhibitor reduces B regulatory cells (Bregs) in vitro, and reduces the number of Bregs in tumor draining lymph nodes in a colorectal cancer model in vivo. MEK inhibition does not impede anti-tumor humoral immunity, and B cells contribute meaningfully to anti-tumor immunity in the context of MEK inhibitor therapy. Treatment with a MEK inhibitor is associated with improved T cell infiltration and an enhanced response to anti-PD1 immunotherapy. Together these data indicate that MEK inhibition may reduce Bregs while sparing anti-tumor B cell function, resulting in enhanced anti-tumor immunity.
Insights
Mitogen-activated protein kinase kinase (MEK) inhibitors reduce regulatory B cells (Bregs) in cancer models. This reduction spares anti-tumor B cell function, enhancing T cell infiltration and immunotherapy response.
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Mitogen-activated protein kinase kinase (MEK) is a key target in RAS-driven cancers.
- MEK inhibitors show promise when combined with immunotherapy, but their effects on B cells are unclear.
Purpose of the Study:
- To investigate the impact of MEK inhibition on B cell subsets, particularly regulatory B cells (Bregs).
- To assess how MEK inhibition affects anti-tumor immunity and immunotherapy response.
Main Methods:
- In vitro and in vivo studies using MEK inhibitors.
- Analysis of B regulatory cells (Bregs) in colorectal cancer models.
- Evaluation of T cell infiltration and response to anti-PD1 immunotherapy.
Main Results:
- MEK inhibition reduced B regulatory cells (Bregs) in vitro and in tumor-draining lymph nodes.
- MEK inhibition did not impair anti-tumor humoral immunity.
- B cells contributed to anti-tumor immunity during MEK inhibitor therapy.
- MEK inhibition enhanced T cell infiltration and anti-PD1 immunotherapy response.
Conclusions:
- MEK inhibition may decrease immunosuppressive B regulatory cells (Bregs).
- MEK inhibition spares beneficial anti-tumor B cell functions.
- Combined MEK inhibition and immunotherapy can enhance anti-tumor immunity.
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