A prime/boost vaccine platform efficiently identifies CD27 agonism and depletion of myeloid-derived suppressor cells as therapies that rationally combine with checkpoint blockade in ovarian cancer
Open accessAbstract
Cancer immunotherapies have generated remarkable clinical responses for some patients with advanced/metastatic disease, prompting exploration of rational combination therapies to bolster anti-tumor immunity in patients with limited response or those who experience tumor progression following an initial response to immunotherapy. In contrast to other tumor indications, objective response rates to single-agent PD-1/PD-L1 blockade in ovarian cancer are limited, suggesting a need to identify combinatorial approaches that lead to tumor regression in a setting where checkpoint blockade alone is ineffective. Using a pre-clinical model of aggressive intraperitoneal ovarian cancer, we have previously reported on a heterologous prime/boost cancer vaccine that elicits robust anti-tumor immunity, prolongs survival of tumor-bearing mice, and which is further improved when combined with checkpoint blockade. As tumor control in this model is CD8 + T cell dependent, we reasoned that the prime/boost vaccine platform could be used to explore additional treatment combinations intended to bolster the effects of CD8 + T cells. Using whole tumor transcriptomic data, we identified candidate therapeutic targets anticipated to rationally combine with prime/boost vaccination. In the context of a highly effective cancer vaccine, CD27 agonism or antibody-mediated depletion of granulocytic cells each modestly increased tumor control following vaccination, with anti-PD-1 therapy further improving treatment efficacy. These findings support the use of immunotherapies with well-defined mechanisms(s) of action as a valuable platform for identifying candidate combination approaches for further therapeutic testing in ovarian cancer.
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A series of preclinical studies showed that co-stimulatory molecule agonists improved α-PD-1/PD-L1 efficacy.
“A series of preclinical studies showed that co-stimulatory molecule agonists improved α-PD-1/PD-L1 efficacy [170–176].”
From Combination strategies with PD-1/PD-L1 blockade: current advances and future directions (2022) · cites this paper as [170]
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- Authors
- McGray, A. J. R., Eppolito, C., Miliotto, A., Singel, K. L., Stephenson, K., Lugade, A., Segal, B. H., Keler, T., Webster, G., Lichty, B., Kozbor, D., & Odunsi, K.
- Affiliations
- Roswell Park Comprehensive Cancer Center (US)
- McMaster University (CA)
- Celldex Therapeutics (United States) (US)
- Corresponding author
- Odunsi, K.
- Venue
- Cancer Immunology, Immunotherapy
- Published
- 2021-04-20
- Volume
- 70
- Issue
- 12
- Pages
- 3451-3460
- ISSN
- 0340-7004 (ISSN-L)
- 1432-0851
- PMC
- PMC8057655
- OpenAlex
- W3155027568
- Cited by
- 12
- References
- 22
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 4 · 2022: 4
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Immunology Immunotherapy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ovarian Cancer Research Fund (326870)
- Roswell Park Cancer Institute
- National Institutes of Health (P50CA159981-01A1, UO1 CA233085-01A1, R01CA188900, P30CA016056, R03CA223623)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Reproductive Medicine › Ovarian cancer diagnosis and treatment
- Keywords
- ovarian cancer, myeloid-derived suppressor cells, PD-1/PD-L1 blockade, combination immunotherapy, CD8+ T cells, cancer transcriptomics, drug target identification
- MeSH terms
- Myeloid-Derived Suppressor Cells, Immune Checkpoint Inhibitors, Animals, Combined Modality Therapy, Female, Immunotherapy, Ovarian Neoplasms, Tumor Necrosis Factor Receptor Superfamily, Member 7, CD8-Positive T-Lymphocytes, Cancer Vaccines, Mice, Programmed Cell Death 1 Receptor
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