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Updated: Nov 28, 2025

Tumor Transplantation for Assessing the Dynamics of Tumor-Infiltrating CD8+ T Cells in Mice
Published on: June 12, 2021
Inhibition of the CCL2 receptor, CCR2, enhances tumor response to immune checkpoint therapy
Megan M Tu1, Hany A Abdel-Hafiz2,3, Robert T Jones4
1Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Abstract:
Immunotherapies targeting the PD-1/PD-L1 axis are now a mainstay in the clinical management of multiple cancer types, however, many tumors still fail to respond. CCL2 is highly expressed in various cancer types and has been shown to be associated with poor prognosis. Inhibition or blockade of the CCL2/CCR2 signaling axis has thus been an area of interest for cancer therapy. Here we show across multiple murine tumor and metastasis models that CCR2 antagonism in combination with anti-PD-1 therapy leads to sensitization and enhanced tumor response over anti-PD-1 monotherapy. We show that enhanced treatment response correlates with enhanced CD8+ T cell recruitment and activation and a concomitant decrease in CD4+ regulatory T cell. These results provide strong preclinical rationale for further clinical exploration of combining CCR2 antagonism with PD-1/PD-L1-directed immunotherapies across multiple tumor types especially given the availability of small molecule CCR2 inhibitors and antibodies.
Insights
Combining CCR2 antagonism with PD-1 blockade enhances anti-tumor immunity and response in preclinical models. This combination therapy shows promise for overcoming resistance to current immunotherapies in diverse cancer types.
Area of Science:
- Oncology
- Immunology
- Cancer Therapy
Background:
- Immune checkpoint inhibitors targeting the PD-1/PD-L1 axis are standard cancer treatments.
- Many tumors exhibit resistance to PD-1/PD-L1 blockade.
- CCL2 is upregulated in cancers and linked to poor prognosis, making its signaling axis a therapeutic target.
Purpose of the Study:
- To investigate the efficacy of combining CCR2 antagonism with anti-PD-1 therapy.
- To determine if this combination overcomes resistance to anti-PD-1 monotherapy in preclinical cancer models.
Main Methods:
- Utilized multiple murine tumor and metastasis models.
- Administered CCR2 antagonism in combination with anti-PD-1 therapy.
- Assessed tumor response, CD8+ T cell recruitment and activation, and CD4+ regulatory T cell populations.
Main Results:
- Combination therapy demonstrated enhanced tumor response compared to anti-PD-1 monotherapy.
- Improved treatment response correlated with increased CD8+ T cell infiltration and activation.
- Observed a decrease in CD4+ regulatory T cells in tumors treated with the combination therapy.
Conclusions:
- CCR2 antagonism synergizes with anti-PD-1 therapy to improve anti-tumor immune responses.
- This combination strategy offers a promising approach for overcoming resistance to PD-1/PD-L1 immunotherapies.
- Preclinical data support clinical trials combining CCR2 inhibitors with PD-1/PD-L1 agents for various cancers.
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