Macrophages and CD8+ T Cells Mediate the Antitumor Efficacy of Combined CD40 Ligation and Imatinib Therapy in Gastrointestinal Stromal Tumors

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Jennifer Q Zhang - , Memorial Sloan-Kettering Cancer Center (Author)
  • Shan Zeng - , Memorial Sloan-Kettering Cancer Center (Author)
  • Gerardo A Vitiello - , Memorial Sloan-Kettering Cancer Center (Author)
  • Adrian M Seifert - , Department of Visceral, Thoracic and Vascular Surgery, National Center for Tumor Diseases (Partners: UKD, MFD, HZDR, DKFZ), Memorial Sloan-Kettering Cancer Center (Author)
  • Benjamin D Medina - , Memorial Sloan-Kettering Cancer Center (Author)
  • Michael J Beckman - , Memorial Sloan-Kettering Cancer Center (Author)
  • Jennifer K Loo - , Memorial Sloan-Kettering Cancer Center (Author)
  • Juan Santamaria-Barria - , Memorial Sloan-Kettering Cancer Center (Author)
  • Joanna H Maltbaek - , Memorial Sloan-Kettering Cancer Center (Author)
  • Nesteene J Param - , Memorial Sloan-Kettering Cancer Center (Author)
  • John A Moral - , Memorial Sloan-Kettering Cancer Center (Author)
  • Julia N Zhao - , Memorial Sloan-Kettering Cancer Center (Author)
  • Vinod Balachandran - , Memorial Sloan-Kettering Cancer Center (Author)
  • Ferdinand Rossi - , Memorial Sloan-Kettering Cancer Center (Author)
  • Cristina R Antonescu - , Memorial Sloan-Kettering Cancer Center (Author)
  • Ronald P DeMatteo - , Memorial Sloan-Kettering Cancer Center (Author)

Abstract

Tyrosine kinase inhibition of gastrointestinal stromal tumors (GIST) is effective but typically culminates in resistance and is rarely curative. Immunotherapy has potential application to GIST, as we previously showed that T-cell checkpoint blockade increases the antitumor effects of imatinib. Here, we showed that ligation of CD40 using an agonistic antibody (anti-CD40) activated tumor-associated macrophages (TAMs) in vivo in a knock-in mouse model of GIST harboring a germline mutation in Kit exon 11. Activated TAMs had greater TNFα production and NFκB signaling and directly inhibited tumor cells in vitro Anti-CD40 required concomitant therapy with imatinib for efficacy and depended on TAMs, and to a lesser extent CD8+ T cells, but not on CD4+ T cells or B cells. In an analysis of 50 human GIST specimens by flow cytometry, we found that CD40 was expressed on human TAMs and tumor cells yet was downregulated after response to imatinib. CD40 ligation did not have a direct inhibitory effect on human GIST cells. Our findings provide the rationale for combining anti-CD40 and tyrosine kinase inhibition to treat human GIST. Cancer Immunol Res; 6(4); 434-47. ©2018 AACR.

Details

Original languageEnglish
Pages (from-to)434-447
Number of pages14
JournalCancer immunology research
Volume6
Issue number4
Publication statusPublished - Apr 2018
Peer-reviewedYes

External IDs

PubMedCentral PMC6203303
Scopus 85048143072
ORCID /0000-0002-5329-3164/work/147141100

Keywords

Sustainable Development Goals

Keywords

  • Animals, Biomarkers, CD40 Antigens/antagonists & inhibitors, CD8-Positive T-Lymphocytes/drug effects, Cell Line, Tumor, Chemotaxis, Leukocyte/drug effects, Disease Models, Animal, Drug Synergism, Gastrointestinal Stromal Tumors/drug therapy, Gene Expression, Humans, Imatinib Mesylate/pharmacology, Immunophenotyping, Immunotherapy, Macrophages/drug effects, Mice, Monocytes/drug effects, Protein Kinase Inhibitors/pharmacology, Proto-Oncogene Proteins c-kit/antagonists & inhibitors, Tumor Burden, Xenograft Model Antitumor Assays