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Anti-Tumor Necrosis Factor Receptor 2 Antibody Combined With Anti-PD-L1 Therapy Exerts Robust Antitumor Effects in
Qiang Fu1, Qian Shen1, Jin Tong2
1Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Abstract:
Breast cancer is a leading type of malignant tumor in women; however, the immunotherapy in breast cancer is still underappreciated. In this study, we demonstrated that tumor necrosis factor receptor 2 (TNFR2) is highly expressed in both breast tumor tissue and tumor-infiltrating immunosuppressive CD4+Foxp3+ regulatory T cells (Tregs). We found that TNFR2 antagonistic antibody reduced Foxp3 expression and the proliferation of Tregs and impaired the inhibitory effect of Tregs on CD4+CD25- effector T (Teff) cells in a dose-dependent manner. The treatment of anti-TNFR2 antibody not only inhibited the proliferation of breast tumor cells in vitro but also suppressed the tumorigenesis of murine mammary carcinoma 4T1 cells in vivo. Mice recovered from tumor growth also developed 4T1-specific immunity. Furthermore, we demonstrated that anti-TNFR2 antibody in combination with anti-PD-L1 exhibited augmented antitumor effects than monotherapy. Anti-TNFR2 treatment also tended to increase the expression of proinflammatory cytokines in tumor tissues. In conclusion, our study suggests that TNFR2 antagonist could potentially offer a clinical benefit as a single agent or in combination with immune checkpoint blockade treatment for breast cancer immunotherapy.
Insights
Targeting tumor necrosis factor receptor 2 (TNFR2) with an antagonistic antibody shows promise for breast cancer immunotherapy. This approach reduces immunosuppressive regulatory T cells (Tregs) and inhibits tumor growth, offering potential clinical benefits alone or with checkpoint inhibitors.
Area of Science:
- Immunology
- Oncology
- Cancer Research
Background:
- Breast cancer immunotherapy remains underutilized despite its potential.
- Tumor necrosis factor receptor 2 (TNFR2) is highly expressed in breast tumors and on immunosuppressive regulatory T cells (Tregs).
Purpose of the Study:
- To investigate the therapeutic potential of targeting TNFR2 in breast cancer.
- To evaluate the effects of TNFR2 antagonism on regulatory T cells and tumor growth.
Main Methods:
- Treatment with a TNFR2 antagonistic antibody in vitro and in vivo.
- Analysis of regulatory T cell (Treg) Foxp3 expression and proliferation.
- Assessment of effector T cell (Teff) function and tumor cell proliferation.
- Combination therapy with anti-PD-L1 antibody.
Main Results:
- Anti-TNFR2 antibody reduced Treg proliferation and Foxp3 expression, restoring Teff cell function.
- Inhibition of breast tumor cell proliferation in vitro and suppressed tumor growth in vivo.
- Combination therapy with anti-PD-L1 demonstrated augmented antitumor effects.
- Treatment increased proinflammatory cytokines and induced tumor-specific immunity in recovered mice.
Conclusions:
- TNFR2 antagonism is a promising strategy for breast cancer immunotherapy.
- Anti-TNFR2 antibody can overcome tumor-induced immunosuppression by targeting Tregs.
- This approach offers potential as a monotherapy or in combination with immune checkpoint inhibitors.
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