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Pharmacologic Inhibition of FGFR Modulates the Metastatic Immune Microenvironment and Promotes Response to Immune
Saeed S Akhand1, Zian Liu1, Stephen C Purdy1
1Department of Medicinal Chemistry and Molecular Pharmacology, Purdue University, West Lafayette, Indiana.
Abstract:
The effectiveness of immunotherapy as a treatment for metastatic breast cancer is limited due to low numbers of infiltrating lymphocytes in metastatic lesions. Herein, we demonstrated that adjuvant therapy using FIIN4, a covalent inhibitor of fibroblast growth factor receptor (FGFR), dramatically delayed the growth of pulmonary metastases in syngeneic models of metastatic breast cancer. In addition, we demonstrated in a syngeneic model of systemic tumor dormancy that targeting of FGFR enhanced the immunogenicity of the pulmonary tumor microenvironment through increased infiltration of CD8+ lymphocytes and reduced presence of myeloid suppressor cells. Similar impacts on immune cell infiltration were observed upon genetic depletion of FGFR1 in tumor cells, which suggested a direct influence of FGFR signaling on lymphocyte trafficking. Suppression of CD8+ lymphocyte infiltration was consistent with FGFR-mediated inhibition of the T-cell chemoattractant CXCL16. Initial attempts to concomitantly administer FIIN4 with immune checkpoint blockade failed due to inhibition of immune-mediated tumor cell killing via blockade of T-cell receptor signaling by FIIN4. However, this was overcome by using a sequential dosing protocol that consisted of FIIN4 treatment followed by anti-PD-L1. These data illustrate the complexities of combining kinase inhibitors with immunotherapy and provide support for further assessment of FGFR targeting as an approach to enhance antitumor immunity and improve immunotherapy response rates in patients with metastatic breast cancer.
Insights
Fibroblast growth factor receptor (FGFR) inhibition with FIIN4 delayed metastatic breast cancer growth. Targeting FGFR enhances anti-tumor immunity by increasing CD8+ T-cell infiltration, improving immunotherapy response.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Immunotherapy efficacy in metastatic breast cancer is limited by low tumor-infiltrating lymphocytes.
- Fibroblast growth factor receptor (FGFR) signaling plays a role in cancer progression and immune evasion.
Purpose of the Study:
- To investigate the impact of FGFR inhibition on the tumor immune microenvironment and metastatic breast cancer growth.
- To evaluate the combination of FGFR inhibitors with immune checkpoint blockade.
Main Methods:
- Utilized syngeneic models of metastatic breast cancer and systemic tumor dormancy.
- Administered FIIN4, a covalent FGFR inhibitor, as monotherapy and in combination with anti-PD-L1.
- Assessed immune cell infiltration (CD8+ lymphocytes, myeloid suppressor cells) and tumor growth.
- Investigated the role of FGFR1 in lymphocyte trafficking and CXCL16 expression.
Main Results:
- FIIN4 treatment significantly delayed pulmonary metastases growth and enhanced tumor immunogenicity.
- FGFR inhibition increased CD8+ T-cell infiltration and decreased myeloid suppressor cells in the tumor microenvironment.
- Genetic FGFR1 depletion mimicked FIIN4 effects, indicating FGFR signaling influences lymphocyte trafficking.
- Sequential dosing of FIIN4 followed by anti-PD-L1 overcame initial combination therapy failures.
Conclusions:
- Targeting FGFR with FIIN4 can enhance antitumor immunity and delay metastatic breast cancer progression.
- Sequential administration of FGFR inhibitors and immunotherapy represents a promising strategy for improving treatment outcomes.
- Further research is warranted to explore FGFR inhibition in combination with immunotherapy for metastatic breast cancer.
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