Immune checkpoint inhibitor treatment does not impair ovarian or endocrine function in a mouse model of triple

Payton De La Cruz1,2, Morgan F Woodman-Sousa2,3, Julia N McAdams2

  • 1Brown University, Pathobiology Graduate Program, Providence, RI, 02906.

Abstract

Insights

Triple negative breast cancer (TNBC) treatments using immunotherapy targeting PD-1, LAG-3, and TIM-3 did not impact ovarian function or hormonal balance in mice. This suggests immunotherapy may support fertility preservation in cancer patients.

Area of Science:

  • Oncology
  • Reproductive Endocrinology
  • Immunology

Background:

  • Triple negative breast cancer (TNBC) affects 15-20% of breast cancer patients, disproportionately impacting reproductive-age women.
  • TNBC is associated with higher metastasis and recurrence rates, and current treatments often lead to infertility and endocrine disruption.
  • The effects of novel immunotherapies, such as immune checkpoint inhibitors, on reproductive and endocrine function remain largely unknown.

Purpose of the Study:

  • To investigate the impact of immunotherapies targeting PD-1, LAG-3, and TIM-3 on ovarian function and hormonal homeostasis in a triple negative breast cancer mouse model.
  • To assess the effects of PD-1 blockade on ovarian architecture, follicle abundance, estrus cyclicity, and ovulatory efficiency in tumor-free mice.

Main Methods:

  • Utilized a syngeneic triple negative breast cancer mouse model to evaluate the effects of multi-target immunotherapies (PD-1, LAG-3, TIM-3).
  • Employed a tumor-free mouse model to specifically assess the impact of PD-1 blockade on reproductive parameters.
  • Monitored ovarian follicle quality and abundance, estrus cyclicity, and hormonal homeostasis in both models.

Main Results:

  • Therapeutic immunotherapies targeting PD-1, LAG-3, and TIM-3 demonstrated no adverse effects on ovarian follicle quality or abundance in the TNBC mouse model.
  • Estrus cyclicity and hormonal homeostasis were unaffected by the tested immunotherapies in both TNBC and tumor-free mouse models.
  • PD-1 blockade alone did not alter ovarian architecture, follicle abundance, estrus cyclicity, or ovulatory efficiency in tumor-free mice.

Conclusions:

  • Immunotherapy targeting PD-1, LAG-3, and TIM-3 appears to preserve ovarian function and hormonal homeostasis.
  • These findings suggest that immunotherapy could be a viable component of fertility-sparing treatment strategies for TNBC patients.
  • Further research is warranted to confirm the fertility-sparing potential of immunotherapies in clinical settings.