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Tumor Transplantation for Assessing the Dynamics of Tumor-Infiltrating CD8+ T Cells in Mice
Published on: June 12, 2021
Targeting Axl favors an antitumorigenic microenvironment that enhances immunotherapy responses by decreasing Hif-1α
Marie-Anne Goyette1,2, Islam E Elkholi1,2, Chloé Apcher1,2
1Cytoskeletal Organization and Cell Migration, Montreal Clinical Research Institute, Montréal, QC H2W 1R7, Canada.
Abstract:
Hypoxia is an important phenomenon in solid tumors that contributes to metastasis, tumor microenvironment (TME) deregulation, and resistance to therapies. The receptor tyrosine kinase AXL is an HIF target, but its roles during hypoxic stress leading to the TME deregulation are not well defined. We report here that the mammary gland-specific deletion of Axl in a HER2+ mouse model of breast cancer leads to a normalization of the blood vessels, a proinflammatory TME, and a reduction of lung metastases by dampening the hypoxic response in tumor cells. During hypoxia, interfering with AXL reduces HIF-1α levels altering the hypoxic response leading to a reduction of hypoxia-induced epithelial-to-mesenchymal transition (EMT), invasion, and production of key cytokines for macrophages behaviors. These observations suggest that inhibition of Axl generates a suitable setting to increase immunotherapy. Accordingly, combining pharmacological inhibition of Axl with anti-PD-1 in a preclinical model of HER2+ breast cancer reduces the primary tumor and metastatic burdens, suggesting a potential therapeutic approach to manage HER2+ patients whose tumors present high hypoxic features.
Insights
Targeting AXL in HER2+ breast cancer dampens hypoxia, normalizes tumor blood vessels, and reduces metastasis. Combining AXL inhibition with anti-PD-1 immunotherapy shows promise for treating hypoxic tumors.
Area of Science:
- Oncology
- Cancer Biology
- Immunotherapy
Background:
- Hypoxia is a key driver of tumor progression, metastasis, and therapy resistance.
- The receptor tyrosine kinase AXL is implicated in tumor biology, but its role in hypoxia-induced tumor microenvironment (TME) deregulation is unclear.
Purpose of the Study:
- To investigate the role of AXL in hypoxia-driven TME deregulation and metastasis in HER2+ breast cancer.
- To evaluate the therapeutic potential of AXL inhibition, alone and in combination with anti-PD-1 immunotherapy.
Main Methods:
- Mammary gland-specific deletion of AXL in a HER2+ mouse model.
- Assessment of tumor vasculature, TME, and metastatic burden.
- Pharmacological inhibition of AXL combined with anti-PD-1 therapy.
Main Results:
- AXL deletion normalized tumor vasculature and induced a proinflammatory TME.
- Interfering with AXL reduced hypoxia-induced HIF-1α levels, epithelial-to-mesenchymal transition (EMT), and invasion.
- Combined AXL inhibition and anti-PD-1 therapy reduced primary tumor and metastatic burdens.
Conclusions:
- AXL inhibition mitigates hypoxia-driven tumor progression and metastasis in HER2+ breast cancer.
- Targeting AXL creates a favorable environment for immunotherapy, offering a potential therapeutic strategy for hypoxic HER2+ tumors.
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