CD73 expression on effector T cells sustained by TGF-β facilitates tumor resistance to anti-4-1BB/CD137 therapy

Nat Commun. 2019 Jan 11;10(1):150. doi: 10.1038/s41467-018-08123-8.

Abstract

Agonist antibodies (Ab) directed against costimulatory molecules on the surface of antigen-primed T cells are in various stages of pre-clinical and clinical trials, albeit with limited therapeutic benefit as single agents. The underlying mechanisms of action remain incompletely understood. Here, we demonstrate an inhibitory role of ecto-enzyme CD73 for agonistic anti-4-1BB/CD137 Ab therapy. In particular, anti-4-1BB treatment preferentially drives CD73- effector T cell response for tumor inhibition. Anti-CD73 neutralizing Ab further improves anti-4-1BB therapy associated with enhanced anti-tumor T cell immunity. However, the TGF-β-rich tumor milieu confers resistance to anti-4-1BB therapy by sustaining CD73 expression primarily on infiltrating CD8+ T cells across several tumor models. TGF-β blockade results in downregulation of CD73 expression on infiltrating T cells and sensitizes resistant tumors to agonistic anti-4-1BB therapy. Thus, our findings identify a mechanism of action for more effective clinical targeting of 4-1BB or likely other costimulatory molecules.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 4-1BB Ligand / immunology*
  • 5'-Nucleotidase / antagonists & inhibitors*
  • 5'-Nucleotidase / genetics
  • 5'-Nucleotidase / immunology
  • Animals
  • Antibodies, Neutralizing / immunology*
  • CD8-Positive T-Lymphocytes / immunology*
  • Cell Line, Tumor
  • Cytotoxicity, Immunologic
  • Gene Expression Regulation / immunology
  • Glucocorticoid-Induced TNFR-Related Protein / immunology*
  • Immunotherapy / methods
  • Melanoma, Experimental / immunology
  • Melanoma, Experimental / pathology
  • Melanoma, Experimental / therapy*
  • Membrane Glycoproteins / immunology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • OX40 Ligand
  • Transforming Growth Factor beta1 / metabolism
  • Tumor Necrosis Factors / immunology

Substances

  • 4-1BB Ligand
  • Antibodies, Neutralizing
  • Glucocorticoid-Induced TNFR-Related Protein
  • Membrane Glycoproteins
  • OX40 Ligand
  • Tgfb1 protein, mouse
  • Tnfrsf18 protein, mouse
  • Tnfsf4 protein, mouse
  • Tnfsf9 protein, mouse
  • Transforming Growth Factor beta1
  • Tumor Necrosis Factors
  • 5'-Nucleotidase