Co-Targeting PD-1 and IL-33/ST2 Pathways for Enhanced Acquired Anti-Tumor Immunity in Breast Cancer

Marina Z Jovanović1,2, Milena Jurišević1,3, Milan Jovanović4,5

  • 1Center for Molecular Medicine and Stem Cell Research, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

Insights

Dual blockade of Interleukin-33/ST2 and Programmed death-1/Programmed death-ligand (PD-1/PD-L) pathways enhances anti-tumor immunity in breast cancer. This immunotherapy approach boosts T cell and M1 macrophage activity, offering a new strategy for treatment.

Area of Science:

  • Immunology
  • Oncology
  • Cancer Research

Background:

  • Breast cancer immunotherapy faces challenges despite advancements.
  • Previous work demonstrated combined blockade of IL-33/ST2 and PD-1/PD-L pathways enhances natural killer (NK) cell antitumor capacity.
  • The precise impact of this dual blockade on T lymphocytes and macrophages requires further elucidation.

Purpose of the Study:

  • To investigate the specific effects of combined IL-33/ST2 and PD-1/PD-L pathway blockade on T lymphocyte and macrophage populations in a breast cancer model.
  • To analyze changes in immune cell populations and activation markers within the tumor microenvironment and spleen.

Main Methods:

  • A 4T1 breast cancer model was established in BALB/C and BALB/C ST2-/- mice.
  • Mice received anti-PD-1 antibody treatment.
  • Flow cytometry was used to analyze T cells and macrophages post-sacrifice, assessing markers like M1 macrophage percentage, CD86, TNFα, Interleukin-17, CD69, NKG2D, FasL, Interleukin-10, and FoxP3.

Main Results:

  • Dual blockade significantly increased the proportion of M1 macrophages in the tumor microenvironment, with elevated CD86 and TNFα expression.
  • Significant T cell accumulation was observed in both the spleen and tumor microenvironment.
  • T cells exhibited increased activation markers (Interleukin-17, CD69, NKG2D, FasL) and decreased regulatory markers (Interleukin-10, FoxP3).

Conclusions:

  • Combined blockade of PD-1/PD-L and IL-33/ST2 axes effectively re-establishes an anti-tumor immune response in breast cancer.
  • This dual immunotherapy strategy shows promise for improving treatment outcomes in breast carcinoma by modulating T cell and macrophage functions.

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