Successful Anti-PD-1 Cancer Immunotherapy Requires T Cell-Dendritic Cell Crosstalk Involving the Cytokines IFN-γ and IL-12
Open accessAbstract
&NA; Anti‐PD‐1 immune checkpoint blockers can induce sustained clinical responses in cancer but how they function in vivo remains incompletely understood. Here, we combined intravital real‐time imaging with single‐cell RNA sequencing analysis and mouse models to uncover anti‐PD‐1 pharmacodynamics directly within tumors. We showed that effective antitumor responses required a subset of tumor‐infiltrating dendritic cells (DCs), which produced interleukin 12 (IL‐12). These DCs did not bind anti‐PD‐1 but produced IL‐12 upon sensing interferon &ggr; (IFN‐&ggr;) that was released from neighboring T cells. In turn, DC‐derived IL‐12 stimulated antitumor T cell immunity. These findings suggest that full‐fledged activation of antitumor T cells by anti‐PD‐1 is not direct, but rather involves T cell:DC crosstalk and is licensed by IFN‐&ggr; and IL‐12. Furthermore, we found that activating the non‐canonical NF‐&kgr;B transcription factor pathway amplified IL‐12‐producing DCs and sensitized tumors to anti‐PD‐1 treatment, suggesting a therapeutic strategy to improve responses to checkpoint blockade. Graphical Abstract Figure. No caption available. HighlightsEffective anti‐PD‐1 anti‐tumor responses require IL‐12‐producing dendritic cellsAnti‐PD‐1 indirectly activates IL‐12 through IFN‐&ggr; produced from CD8+ T cellsAgonizing the non‐canonical NF‐&kgr;B pathway enhances dendritic cell IL‐12 productionCombining aPD‐1 with non‐canonical NF‐&kgr;B agonism enhances checkpoint immunotherapy &NA; Anti‐PD‐1 mAbs can induce sustained clinical responses in cancer but how they function in vivo remains incompletely understood. Garris et al. show that effective anti‐PD‐1 immunotherapy requires intratumoral dendritic cells (DCs) producing IL‐12. Anti‐PD‐1 indirectly activates DCs through IFN‐&ggr; released from drug‐activated T cells. Furthermore, agonizing the non‐canonical NF‐&kgr;B pathway activates DCs and enhances aPD‐1 therapy in an IL‐12‐dependent manner.
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- Findingown data
Stimulated CD8+ T cells from MC38 tumors produced substantially more IFN-γ in the presence of IL-12.
“Stimulated CD8+ T cells substantially increased IFN-γ production in the presence of IL-12 (Figure 4C)”
Quote in the paperSubstantial claim - Findingown data
Anti-PD-1 did not induce detectable IFN-γ or IL-12 in the local draining lymph node.
“we did not find evidence of IFN-γ or IL-12 induction by aPD-1 in the local draining lymph node (Figure S4A and B)”
Quote in the paperSubstantial claim - Findingown data
Flow cytometry showed the IL-12+ DC-like cells were MHC class II+ and F4/80-.
“Flow cytometry analysis confirmed these cells to be MHC class II+ F4/80– (Figure S1D)”
Quote in the paperSubstantial claim - Findingown data
IL-12p40-eYFP+ cells had a branched morphology with a mean circularity index of 0.54 ± 0.4.
“IL-12p40-eYFP+ cells displayed a branched morphology (mean circularity index: 0.54 ± 0.4), suggesting they were DCs.”
Quote in the paperNot a substantial claim - Findingown data
Parabiosis of tumor-bearing mice indicated that IL-12+ DC-like cells could arise from a blood-circulating precursor.
“parabiosis of tumor-bearing mice indicated that these cells could derive from a blood circulating precursor (Figure S1E).”
Quote in the paperNot a substantial claim
- Findingown data
Intratumoral IL-12 expanded IFN-γ-eYFP+ cells about 5.9-fold by day four in IFN-γ reporter mice without anti-PD-1.
“We found that intratumoral IL-12 substantially expanded IFN-γ-eYFP+ cells (5.9 ± 0.7 fold increase by day four; Figure 4A).”
Quote in the paperSubstantial claim - Findingown data
scRNAseq indicated anti-PD-1 triggered proliferation of tumor-infiltrating CD8+ T cells.
“scRNAseq data indicated that aPD-1 treatment triggered the proliferation of tumor-infiltrating CD8+ T cells (Figure S4C).”
Quote in the paperNot a substantial claim - Findingown data
Tumors in mice with DC-specific IFN-γ receptor deletion were unresponsive to anti-PD-1.
“and were unresponsive to aPD-1 treatment (Figure 3F)”
Quote in the paperSubstantial claim - Findingown data
Blocking lymphocyte recirculation with FTY720 did not affect the antitumor response to anti-PD-1.
“blocking lymphocyte recirculation through treatment with the trafficking inhibitor FTY 720 did not affect the antitumor response to aPD-1 treatment (Figure S4D and E).”
Quote in the paperSubstantial claim - Findingown data
IL-12+ DCs expressed CD103 in lung tumor models.
“we found that IL-12+ DCs expressed CD103 in lung tumor models (Figure S2D).”
Quote in the paperNot a substantial claim - Findingown data
IL-12+ DCs failed to bind anti-PD-1 early after drug administration, before TAM uptake.
“The DCs also failed to bind aPD-1 early after drug administration, i.e. before uptake by TAMs (Figure S3C).”
Quote in the paperSubstantial claim - Findingown data
Mice depleted of DCs via Zbtb46-DTR after tumor establishment failed to reject tumors in response to anti-PD-1.
“Mice lacking DCs failed to reject tumors in response to aPD-1 (Figure 2H), indicating that these cells were required at the time when aPD-1-mediated tumor rejection occurs.”
Quote in the paperSubstantial claim - Findingown data
scRNAseq confirmed expansion of IL-12+ DCs after anti-PD-1.
“scRNAseq analysis confirmed the expansion of IL-12+ DCs after aPD-1 treatment (Figure S2E).”
Quote in the paperSubstantial claim - Findingown data
IL-12+ DCs in MC38 tumors did not express Itgae (CD103).
“IL-12+ DCs in MC38 tumors did not express Itgae (the gene encoding the integrin CD103) (Figure S2C)”
Quote in the paperNot a substantial claim - Findingown data
Anti-PD-1 accumulated in TAMs but not in IL-12+ DCs 24 hours after administration.
“we confirmed aPD-1 accumulation in TAMs but not in IL-12+ DCs 24 hours after aPD-1 administration (Figure 3B and Figure S3B).”
Quote in the paperSubstantial claim - Findingown data
In DC-sufficient MC38 tumor-bearing mice, neutralizing IL-12 with mAbs caused failure to reject tumors after anti-PD-1.
“Mice in which IL-12 was neutralized failed to reject tumors, indicating that IL-12 production following aPD-1 treatment was necessary for achieving tumor control (Figure 2I).”
Quote in the paperSubstantial claim - Findingown data
IL-12+ DCs did not express PD-1 receptor at transcript or protein levels.
“both flow cytometry and scRNAseq analyses indicated that IL-12+ DCs did not express the PD-1 receptor at both transcript (Figure S2A) and protein (Figure 3A) levels.”
Quote in the paperSubstantial claim - Findingown data
IL-12p40 (IL12b) expression was restricted to the DC1 population.
“IL-12p40 (also known as IL12b) expression was contained exclusively within the DC1 population (Figure 2F).”
Quote in the paperSubstantial claim - Findingown data
In mice with DC-specific IFN-γ receptor deletion (Itgax-cre x Ifngr1fl/fl), tumors had impaired IL-12p40 production.
“Tumors from these mice showed impaired IL-12p40 production (Fig. 3E)”
Quote in the paperSubstantial claim - Findingown data
IL-12+ DCs did not express detectable FcγR transcripts, unlike TAMs.
“However, IL-12+ DCs did not express detectable levels of FcγR transcripts, in contrast to TAMs (Figure S3A).”
Quote in the paperSubstantial claim - Findingcitation
IL-12 administration to MC38 tumors produced robust antitumor responses.
“Consistent with previous reports (Nastala et al., 1994), IL-12 administration to MC38 tumors produced robust antitumor responses (Figure 4B).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Nastala et al., 1994 source
Not checked in the free run.
- Findingown data
DC1s were enriched for Cd80, Cd83, Cd86, and Icam1.
“Additionally , DC1s were enriched for the T cell co-stimulatory factors Cd80, Cd83, Cd86 and Icam1 (Figure 2D)”
Quote in the paperNot a substantial claim - Findingown data
IFN-γ blockade prevented anti-PD-1-mediated MC38 tumor control.
“Consequently , IFN-γ blockade prevented aPD-1-mediated MC38 tumor control (Figure S3G).”
Quote in the paperSubstantial claim - Findingown data
The IFN-γ-eYFP+ cells that accumulated in the tumor stroma after anti-PD-1 were predominantly CD8+ T cells.
“IFN-γ-eYFP+ cells accumulated within the tumor stroma and were mostly CD8+ T cells (Figure S1B).”
Quote in the paperNot a substantial claim - Findingown data
After anti-PD-1, IL-12+ cells accumulated in deeper tumor regions and closer to vessels than the few IL-12+ cells present before treatment.
“In comparison to the few IL-12+ cells detected before aPD-1 treatment, those present after treatment accumulated in deeper regions of the tumor (Figure 1D, E) and closer to vessels (Figure 1F).”
Quote in the paperNot a substantial claim - Findingown data
Depleting CD8+ T cells before anti-PD-1 abrogated IL-12 production.
“Absence of CD8+ T cells abrogated IL-12 production (Figure 3C).”
Quote in the paperSubstantial claim - Findingown data
IFN-γ blockade during anti-PD-1 reduced IL-12 production in the tumor microenvironment.
“We found that IFN-γ blockade reduced IL-12 production within the tumor microenvironment (Figure 3D).”
Quote in the paperSubstantial claim - Findingown data
DC1s were enriched in IL-12-related production factors such as Cd40 and Irf8.
“we found that DC1s were enriched in IL-12-related production factors such as Cd40 and Irf8 (Figure 2G).”
Quote in the paperSubstantial claim - Findingown data
Combination therapy that restores the IFN-γ/IL-12 positive feedback loop allows tumor control in cancer models that are harder to treat.
“recapitulation of IFN-γ /IL-12 positive feedback mechanisms, through combination therapy, enables tumor control in harder-to-treat cancer models.”
Quote in the paperSubstantial claim - Findingown data
Non-canonical NFkB pathway genes Cd40, Birc2, Map3k14, Nfkb2, and Relb were selectively up-regulated in the IL-12+ tumor-infiltrating DC subset.
“key non-canonical NFkB pathway genes, namely Cd40, Birc2 (Ciap1), Map3k14 (Nik), Nfkb2 (p100) and Relb, were all selectively up-regulated in the IL-12+ tumor-infiltrating DC subset (Figure 6A).”
Quote in the paperSubstantial claim - Findingown data
IL-12 increased IFN-γ production by CD8+ T cells in five of six cancer patients.
“The presence of IL-12 increased IFN-γ production by CD8+ T cells in five out of six patients (Figure 5D).”
Quote in the paperSubstantial claim - Findingown data
Tumor control after anti-CD40 or AZD5582 was lost when IL-12 was neutralized.
“tumor control was lost in animals receiving IL-12 neutralizing mAbs (Figure 7B).”
Quote in the paperSubstantial claim - Findingown data
In melanoma patients, intratumoral IL-12 delivery enhanced expression of core cytolytic genes within tumors.
“Comparison of pre- and post-treatment samples revealed that IL-12 delivery enhanced expression of core cytolytic genes (Rooney et al., 2015) within tumors (Figure 5A, B).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Rooney et al., 2015 source
Not checked in the free run.
- Findingown data
Anti-CD40 treatment induced a 6.6 ± 1.2-fold increase of tumor-infiltrating IL-12+ cells.
“but further identified that the treatment induced a 6.6 ± 1.2-fold increase of tumor-infiltrating IL-12+ cells (Figure 6C).”
Quote in the paperSubstantial claim - Findingown data
Blocking IL-12 signaling prevented the therapeutic activity of the anti-PD-1 + anti-CD40 combination in B16F10-bearing mice.
“blocking IL-12 signaling prevented the combination treatment’s therapeutic activity (Figure 7G and Figure S7G).”
Quote in the paperSubstantial claim - Findingown data
Mice that received the combination treatment resisted tumor re-challenge 8 weeks after primary tumor rejection.
“Mice that received combination treatment further resisted tumor re-challenge 8 weeks after the primary tumor rejection (Figure S7D)”
Quote in the paperSubstantial claim - Findingown data
Stimulating Flt3L-derived bone marrow DCs with AZD5582 enhanced IL-12 production in vitro.
“stimulation of Flt3L- derived bone marrow DCs with AZD5582 potently enhanced IL-12 production in vitro (Figure S6C).”
Quote in the paperSubstantial claim - Findingown data
Enhanced cytolytic gene signature was positively associated with therapeutic response in these patients.
“we observed a positive association between enhanced cytolytic gene signature and therapeutic response in these patients (Figure 5C).”
Quote in the paperSubstantial claim - Findingown data
These mice resisted secondary tumor challenge.
“these mice resisted secondary tumor challenge (Figure 7E)”
Quote in the paperSubstantial claim - Findingown data
NIK-deficient bone marrow chimeras failed to respond to anti-PD-1.
“NIK chimeras failed to respond to aPD-1 (Figure S7A).”
Quote in the paperSubstantial claim - Findingown data
Drugs targeting non-canonical NFkB depend on IL-12 to mediate their antitumor activity.
“our studies indicated that non-canonical NFkB-targeting drugs depend upon IL-12 for mediating antitumor activity”
Quote in the paperSubstantial claim - Findingown data
The combination treatment rejected tumors in 50% (6 of 12) B16F10-bearing mice.
“The combination treatment rejected tumors in 50% (6 of 12) mice”
Quote in the paperSubstantial claim - Findingown data
Recombinant IL-12 administered to B16F10 melanoma-bearing mice produced a substantial antitumor effect.
“recombinant IL-12 administered to B16F10 melanoma-bearing mice also produced a substantial antitumor effect (Figure 7F)”
Quote in the paperSubstantial claim - Findingown data
In the authors' data, dendritic cells that produced IL-12 did not always express CD103.
“We found that IL-12+ DCs do not alway s express the marker CD103 (encoded by Itgae), which is often used to define antitumor DCs.”
Quote in the paperSubstantial claim - Findingown data
IL-12 is necessary for immunotherapy efficacy.
“IL-12 is required for immunotherapy efficacy”
Quote in the paperSubstantial claim - Findingown data
Agonistic anti-CD40 mAbs interacted directly with IL-12+ tumor-infiltrating cells and some macrophages in vivo.
“This imaging approach not only showed the drug’s ability to interact directly with IL-12+ tumor-infiltrating cells, and some macrophages, in vivo (Figure 6B)”
Quote in the paperNot a substantial claim - Findingown data
Flow cytometry indicated that after anti-CD40, IL-12 was produced by DCs but not TAMs.
“Flow cy tometry measurements indicated that IL-12 was produced by DCs but not TAMs (Figure 6D, E).”
Quote in the paperSubstantial claim - Findingown data
AZD5582 induced a 4.0 ± 1.3-fold increase of IL-12+ tumor-infiltrating cells.
“Treating tumors with the cIAP antagonist AZD5582 induced a 4.0 ± 1.3-fold increase of IL-12+ tumor-infiltrating cells (Figure 6C)”
Quote in the paperSubstantial claim - Findingown data
IL-12-producing dendritic cells can arise from circulating precursor cells.
“Our data further indicate that IL-12-producing DCs can be generated by circulating precursors”
Quote in the paperNot a substantial claim - Findingown data
Activating the non-canonical NFkB pathway in intratumoral dendritic cells, via CD40 agonism or cIAP inhibition, can strongly improve anti-PD-1-mediated tumor control.
“our analysis demonstrated that activating the non-canonical NFkB pathway in intratumoral DCs through either CD40 agonism or cIAP inhibition, can potently enhance aPD-1-mediated tumor control.”
Quote in the paperSubstantial claim - Findingown data
IL-12-producing dendritic cells share many characteristics with cross-presenting DC1 cells, including expression of Batf3, Irf8, Flt3, and Ly75 (DEC205).
“IL-12+ DCs share many features with cross-presenting DC1 cells, including expression of Batf3, Irf8, Flt3, and Ly 75 (DEC205)”
Quote in the paperSubstantial claim - Interpretationown data
IL-12 production after anti-PD-1 is necessary for tumor control.
“indicating that IL-12 production following aPD-1 treatment was necessary for achieving tumor control (Figure 2I).”
Quote in the paperSubstantial claim - Interpretationown data
It is unlikely that anti-PD-1 binds and directly activates IL-12+ DCs.
“Based on these data we concluded that it was unlikely for aPD-1 to bind and activate IL-12+ DCs directly .”
Quote in the paperSubstantial claim - Interpretationown data
DCs are required at the time of anti-PD-1-mediated tumor rejection.
“indicating that these cells were required at the time when aPD-1-mediated tumor rejection occurs.”
Quote in the paperSubstantial claim - Interpretationown data
IFN-γ sensing by DCs, and potentially other CD11c-expressing cells, is important during anti-PD-1 therapy.
“underscoring the importance of IFN-y sensing by DCs, and potentially other CD11c expressing cells, during aPD-1 therapy .”
Quote in the paperSubstantial claim - Interpretationown data
The data demonstrate a distinct population of IL-12-producing DCs in the tumor microenvironment.
“Collectively , these data demonstrate a distinct population of IL-12-producing DCs in the tumor microenvironment.”
Quote in the paperSubstantial claim - Interpretationown data
Tumor-infiltrating T cells can respond directly to IL-12.
“indicating that tumor-infiltrating T cells can respond to IL-12 directly.”
Quote in the paperSubstantial claim - Interpretationown data
Pre-existing tumor-infiltrating T cells are sufficient to drive the anti-PD-1 response, at least in this model.
“These data suggest that pre-existing tumor-infiltrating T cells are sufficient for driving the response to aPD-1 at least in this model.”
Quote in the paperSubstantial claim - Interpretationown data
The checkpoint blockade response occurs within tumors.
“suggesting that the checkpoint blockade response occurs within tumors.”
Quote in the paperSubstantial claim - Interpretationown data
IL-12 can induce cytolytic activity in human tumors.
“These observations indicated that IL-12 can induce cytolytic activity in human tumors.”
Quote in the paperSubstantial claim - Interpretationown data
The treatment triggered antitumor memory in the B16F10 model.
“indicating that the treatment had also triggered antitumor memory in this model.”
Quote in the paperSubstantial claim - Premisecitation
Earlier efforts to develop IL-12 therapies for humans caused severe toxicity, probably because of systemic administration.
“Previous attempts to develop IL-12-based therapies for human use had severely toxic consequences (Lasek et al., 2014) likely due to systemic administration routes.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Lasek et al., 2014 source
Not checked in the free run.
- Interpretationown data
IL-12 signals provided by dendritic cells inside tumors help antitumor immunity.
“The findings presented here show that IL-12 cy tokine signals supplied by intratumoral DCs assist antitumor immunity.”
Quote in the paperSubstantial claim - Interpretationown data
Patient data recapitulate mouse observations that IL-12 can directly stimulate tumor-infiltrating T cell antitumor activity.
“Collectively, these patient data recapitulate our observations in mice that IL-12 can directly stimulate tumor-infiltrating T cell antitumor activity.”
Quote in the paperSubstantial claim - Interpretationown data
The data support an IL-12-driven licensing model of anti-PD-1 therapy in which anti-PD-1 targeting of T cells leads to tumor elimination only after successful crosstalk between T cells and DCs.
“These data support an IL-12-driven “licensing” model of aPD-1 therapy , in which aPD-1 mAb targeting of T cells leads to tumor elimination only after successful crosstalk between these T cells and DCs.”
Quote in the paperSubstantial claim - Interpretationown data
Triggering the non-canonical NFkB pathway through CD40 agonism or cIAP inhibition can amplify IL-12+ tumor-infiltrating DCs.
“indicate that triggering the non-canonical NFkB pathway , through CD40 agonism or cIAP inhibition, can amplify IL-12+ tumor-infiltrating DCs.”
Quote in the paperSubstantial claim - Interpretationown data
IL-12 induction is a primary mechanism for anti-CD40 and AZD5582 treatments.
“These studies showed that IL-12 induction was a primary mechanism for these treatments because tumor control was lost in animals receiving IL-12 neutralizing mAbs (Figure 7B).”
Quote in the paperSubstantial claim - Interpretationown data
The combination treatment triggered antitumor memory.
“this indicated that the treatment had triggered antitumor memory .”
Quote in the paperSubstantial claim - Interpretationown data
IFN-γ induction by anti-CD40 likely occurred indirectly because T cells did not express CD40.
“The IFN-γ induction by aCD40 likely occurred indirectly as T cells did not express CD40 (Figure 6A).”
Quote in the paperNot a substantial claim - Interpretationown data
B cells are not necessary for anti-CD40 treatment in this experimental model.
“suggesting that B cells are not necessary for aCD40 treatment in this experimental model”
Quote in the paperNot a substantial claim- Rests on an assumption: B cell depletion did not affect anti-CD40 therapy in this experimental model.
- Premisecitation
The cDC1 subset of dendritic cells seems necessary for T cell-mediated antitumor immunity.
“appears essential for T cell-driven antitumor immunity (Hildner et al., 2008)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Hildner et al., 2008 source
Not checked in the free run.
- Interpretationown data
The antitumor cytokines IFN-γ and IL-12 were mutually induced by immunotherapy.
“We found that the antitumor cytokines IFN-γ and IL-12 were mutually induced by immunotherapy”
Quote in the paperSubstantial claim - Interpretationreasoning
Triggering T cell:DC crosstalk through non-canonical NFkB agonism combined with anti-PD-1 could potently enhance antitumor immunity.
“Furthermore, triggering the T cell:DC crosstalk through non-canonical NFkB agonism in combination with aPD1 treatment could potently enhance antitumor immunity .”
Quote in the paperSubstantial claim
- May combine two claims. 32
- Classified as probably not a substantial claim. 21
- The quote only partly states this claim. 1
May combine two claims.
Findingown dataIn MC38 tumor-bearing mice, a single anti-PD-1 injection expanded tumor IFN-γ-eYFP+ cells about 6.0-fold one day later, and this increase lasted up to three days.
“Intravital imaging of the tumor microenvironment revealed a 6.0 ± 1.1 (mean ± SEM) fold expansion of IFN-γ- eYFP+ cells one day after a single aPD-1 injection; this increase was sustained for up to 3 days post treatment (Figure 1B and S1A).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIL-12+ cells were motile one day after anti-PD-1 with a motility coefficient around 10 μm2/min, and were much less motile on day five (<1 μm2/min).
“The ability for IL-12+ cells to accumulate within tumors was supported by the real-time imaging observation that these cells were motile one day after aPD-1 treatment (motility coefficient: ~10 µm2/min; Figure 1G-H and Supplemental Video 1) and much less so on day five (<1 µm2/min; Figure 1G-H and Supplemental Video 2).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataBoth DC subsets were largely negative for Csf1r, though some DC2s expressed it, similar to a previously reported intratumoral DC subset.
“Both DC subsets were largely negative for the macrophage colony-stimulating factor receptor Csf1r (Figure 2C), although some DC2s expressed this receptor (Figure S2A), similarly to a subset of intratumoral DCs previously reported (Broz et al., 2014).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Broz et al., 2014 source
Not checked in the free run.
May combine two claims.
Findingown dataBoth DC1 and DC2 expressed Batf3, Flt3, H2-Dmb2, and Zbtb46; DC1 expressed Fscn1 and Ly75, while DC2 expressed CD209a, Mgl2, and Cd24a.
“Both DC1s and DC2s expressed the DC markers Batf3, Flt3, H2-Dmb2 and Zbtb46 (Meredith et al., 2012; Hildner et al., 2008;); DC1 expressed Fscn1 and Ly 75 (DEC-205) whereas DC2s expressed CD209a (DC- SIGN), Mgl2 (CD301b) and Cd24a (Figure 2B and Figure S2B).”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataDC1s and DC2s expressed distinct chemokines and chemokine receptors.
“and DC1s and DC2s expressed distinct chemokines and chemokine receptors (Figure 2E).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe reduction in IL-12 after IFN-γ blockade involved both decreased IL-12 production per DC and decreased numbers of IL-12+ DCs.
“Decreased IL-12 production by DCs (Figure S3D) and decreased numbers of IL-12+ DCs (Figure S3E, F) both contributed to this reduction.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataAnti-PD-1 treatment increased IL-12p40-eYFP+ cells in MC38 tumors about 12.1-fold at day one, and the increase persisted for at least five days.
“Intravital imaging further revealed a 12.1 ± 3.7 fold increase of IL-12p40-eYFP+ cells on day one post treatment, which persisted for at least five days (Figure 1C and S1C).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDC1s had higher Csf2rb expression than DC2s, and neither DC1s nor DC2s expressed Csf3r.
“DC1s had higher expression of the granulocyte/macrophage colony-stimulating factor receptor Csf2rb compared to DC2s, and neither DC1s nor DC2s expressed the granulocyte colony-stimulating factor receptor Csf3r (Figure 2C).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn this study's experimental setups, CD8+ T cells and DCs were the primary producers of IFN-γ and IL-12, respectively.
“in the experimental setups used in this study we found that CD8+ T cells and DCs are the primary producers of IFN-γ and IL-12, respectively”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIL-12+ cells had more surface CD40 than IL-12- counterparts, and IL-12+ DCs had more CD40 than TAMs.
“We confirmed that IL-12+ cells had more cell surface CD40 than their IL-12– counterparts (Figure S6A) and that IL-12+ DCs expressed more CD40 than tumor-associated macrophages (Figure S6B).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataTreatment with agonistic anti-CD40 mAbs or AZD5582 provided antitumor effects in vivo.
“treatment with either agonistic aCD40 mAbs or AZD5582 provided antitumor effects in vivo (Figure 7B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCombining anti-PD-1 with anti-CD40 controlled B16F10 tumor growth and increased survival compared to monotherapies.
“We found that combining aPD-1 with aCD40 mAbs controlled B16F10 tumor growth (Figure S7E and F) and resulted in increased mouse survival (Figure 7D), when compared to aPD-1 or aCD40 monotherapies.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingnone givenIL-12-positive dendritic cells express the highest amounts of CD80 and CD86, the costimulatory ligands for CD28.
“since IL-12+ DCs express the highest levels of CD28’s co-stimulatory ligands, CD80 and CD86”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataIn the single-cell RNA sequencing, 4095 cells passed quality control and were sequenced.
“In total, 4095 cells (1154 untreated and 2941 aPD-1 treated cells) passed QC and were sequenced.”
Quote in the paperNot a substantial claimMay combine two claims.
FindingcitationIFNG was not detectably increased in post-treatment samples, which is expected from tissue collection timing and rapid IFN-γ on/off cycling.
“IFNG was not detectably increased in the post-treatment samples, which is expected from the timing of tissue collection and rapid on/off cycling of IFN-γ production by T cells (Slifka et al., 1999).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Slifka et al., 1999 source
Not checked in the free run.
May combine two claims.
Findingown dataAnti-PD-1 and anti-CD40 monotherapies incompletely controlled MC38 tumor growth, whereas the combination produced a complete, durable response in most animals.
“We found that monotherapies incompletely controlled tumor growth, whereas the combination treatment produced a complete, durable response in most animals treated (Figure 7C and Figure S7B and C).”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataAnti-PD-1 affects at least two non-overlapping tumor cell populations: CD8+ T cells that activate IFN-γ signaling and DC-like cells that turn on IL-12.
“These findings indicate that aPD-1 delivery to tumors functionally impacts at least two non-overlapping cell populations, which respond differently to treatment: CD8+ T cells that activate the IFN- γ signaling pathway , and DC-like cells that turn on IL-12 production.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThe difference in CD103 expression between MC38 and lung tumors may be due to tissue location.
“This discrepancy may be due to tissue location, as we found that IL-12+ DCs expressed CD103 in lung tumor models (Figure S2D).”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationThe need for both T cell co-stimulation and IL-12 for maximal IFN-γ response likely reflects a requirement for CD28 to rescue exhausted CD8+ T cells and possibly PD-1 limiting CD28 co-stimulation.
“The requirement for both T cell co-stimulation and IL-12 to achieve maximal IFN-γ response likely reflected the need of CD28 to rescue exhausted CD8+ T cells, and possibly also the role of PD-1 in limiting CD28-mediated co-stimulation (Kamphorst et al., 2017; Hui et al., 2017).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
Interpretationown dataAnti-PD-1 has an indirect effect on DCs that is mediated through IFN-γ and is critical for IL-12 induction and treatment response.
“Together, we find an indirect aPD-1 effect on DCs; this effect was mediated through IFN-γ and is critical for IL-12 induction and, consequently , treatment response.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataAnti-PD-1 treatment induces IL-12 production by DCs, and both DCs and IL-12 critically regulate anti-PD-1 treatment potency.
“Collectively , these data indicate that aPD-1 treatment induces IL-12 production by DCs, and that both DCs and IL-12 critically regulate aPD-1 treatment potency .”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe melanoma biopsy study from the ImmunoPulse IL-12 trial was approved by each participating organization's institutional review board.
“All biopsies were from University of California, San Francisco Medical Center-Mt. Zion, San Francisco, and Huntsman Cancer Institute, Salt Lake City , Utah, and were approved by each organization’s institutional review board.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataIL-12 production required DC sensing of IFN-γ and licensed effector T cell responses in mice and cancer patients.
“IL-12 production required DC sensing of IFN-γ , and, in turn, licensed effector T cell responses in both mice and cancer patients.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationIntratumoral delivery of IL-12-encoding plasmids is safe and has shown antitumor efficacy as a single agent.
“targeted intratumoral delivery of IL-12 encoding plasmids is safe and has already demonstrated antitumor efficacy as monotherapy (Daud et al., 2008).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Daud et al., 2008 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenStarting tumor volumes were normalized across treatment groups.
“starting tumor volumes were normalized between treatment groups.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningResponses to immunotherapy can be improved through rational drug combinations that accentuate crosstalk between lymphoid and myeloid immune compartments.
“We suggest further that responses to immunotherapy can be improved through rational drug combinations that accentuate the crosstalk between lymphoid and myeloid immune compartments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDendritic cells play a critical role in priming T cells within lymph nodes.
“besides their critical role for priming T cells in lymph nodes (Martin-Fontecha et al., 2003)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Martin-Fontecha et al., 2003 source
Not checked in the free run.
May combine two claims.
Interpretationown dataIL-12 may serve as both a marker and a functional property of immunostimulatory tumor dendritic cells.
“IL-12 may be both a marker and functional feature of immunostimulatory tumor DCs, based on our findings that i) IL-12+ DCs share many features with cross-presenting DC1 cells, including expression of Batf3, Irf8, Flt3, and Ly 75 (DEC205), and ii) IL-12 is required for immunotherapy efficacy”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Interpretationnone givenDistribution and effector functions of antibodies may differ between species and antibody compositions.
“Caveats still exist with this imaging approach however as distribution and effector functions of antibodies may differ between species and antibody compositions.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe Basel human tumor study was approved by the local ethical review board.
“The study was approved by the local Ethical Review Board (Ethikkommission Nordwestschweiz) and University Hospital Basel, Switzerland.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataThe data link the non-canonical NFkB pathway to antitumor intratumoral DCs and to anti-PD-1 treatment efficacy, and indicate that targeting non-canonical NFkB components can be therapeutic in cancer.
“Taken together, these data linked the non-canonical NFkB pathway to antitumor intratumoral DCs and to aPD-1 treatment efficacy , and indicated that targeting non-canonical NFkB components can be therapeutic in cancer.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). The quote only partly states this claim.
Study design and conductown dataBlood from FTY720-treated mice was used to confirm defects in lymphocyte trafficking.
“Blood from mice was used to confirm lymphocyte trafficking defects.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningAntitumor immune functions may not necessarily be cell type-dependent.
“antitumor immune functions may not necessarily be cell type-dependent”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataDC targeting can augment immunotherapy efficacy and sensitize tumors to anti-PD-1 treatment in an IL-12-dependent manner.
“These data indicate that DC targeting can augment immunotherapy efficacy and sensitize tumors to aPD-1 treatment in an IL-12-dependent manner.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataAll patients in the Basel study gave written consent for analysis of their tumor samples.
“All patients consented in writing to the analysis of their tumor samples.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningUnder different experimental contexts, NK cells may also produce IFN-γ and macrophages may also produce IL-12.
“under different experimental contexts it is possible that NK cells may also produce IFN-γ and macrophages may also produce IL-12.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe current study's results support the idea that dendritic cells within tumors can perform important antitumor functions and can promote anti-PD-1 immunotherapy.
“The findings presented here align with the notion that intratumoral DCs can exhibit key antitumor functions and promote aPD-1 immunotherapy.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenMouse tumors were allowed to reach a maximum diameter of 2 cm or to ulcerate, and these conditions were used as survival-study endpoints under MGH IACUC rules.
“Mouse tumors were allowed to grow to a maximum of 2 cm in diameter, or until tumor ulceration occurred. These were considered as endpoints for survival experiments in accordance with MGH IACUC regulations.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationCombinations of CD40 agonists with PD-1 pathway inhibitors and of cIAP inhibitors with anti-PD-L1 are currently being tested in clinical trials.
“Treatments combining CD40 agonists with PD-1 pathway inhibitors (NCT03123783, NCT02376699), and cIAP inhibitors with aPD-L1 (NCT03270176), are currently in clinical trials.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites NCT03123783
Not checked in the free run.
- cites NCT02376699
Not checked in the free run.
- cites NCT03270176
Not checked in the free run.
May combine two claims.
InterpretationreasoningBoth the CD40 agonist/PD-1 inhibitor and cIAP inhibitor/anti-PD-L1 strategies may depend on the non-canonical NFkB pathway and dendritic cells.
“We suggest that both treatment strategies may rely upon the non-canonical NFkB pathway and DCs.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataIL-12-producing DCs were enriched for non-canonical NFkB signaling components; NIK was required for anti-PD-1 response; agonism of non-canonical NFkB produced an IL-12-dependent antitumor response.
“We also showed that IL-12-producing DCs were enriched for non-canonical NFkB signaling pathway components, that the critical non-canonical NFkB kinase NIK was required for aPD-1 response, and that agonism of the non-canonical NFkB pathway in a therapeutic setting produced an IL-12-dependent antitumor response.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCross-presenting tumor dendritic cells have increased IL-12 expression.
“prior evidence that cross- presenting tumor DCs have elevated IL-12 expression (Broz et al., 2014; Ruffell et al., 2014)”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe cDC1 subset of dendritic cells is skilled at cross-presenting antigens.
“the cDC1 subtype of DCs, which resembles the DC1 subtype presented here, is adept at cross- presenting antigens (Schlitzer and Ginhoux, 2014)”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Schlitzer and Ginhoux, 2014
Not checked in the free run.
May combine two claims.
PremisecitationDendritic cells occur inside tumors, where they attract T cells and locally stimulate responses against tumor antigens.
“recent studies demonstrated that DCs can be found in tumors, where they recruit T cells and stimulate tumor-reactive T cell responses locally (Spranger et al., 2014; de Mingo Pulido et al., 2018)”
Quote in the paperSubstantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationReal-time in vivo imaging can identify primary targets of immunotherapeutics and how the tumor microenvironment responds to treatment.
“Real-time in vivo imaging allows one to identify not only primary targets of immunotherapeutics (drug pharmacokinetics) (Arlauckas et al., 2017) but also how the tumor microenvironment responds to treatment (drug pharmacody namics).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Arlauckas et al., 2017 source
Not checked in the free run.
May combine two claims.
Interpretationown dataAnti-PD-1 directly induced IFN-γ production by activated T cells but indirectly induced IL-12 production by a subset of intratumoral DCs.
“Principally , we identified that aPD-1 directly induced IFN-γ production by activated T cells, but indirectly induced IL-12 production by a subset of intratumoral DCs.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenAnimal experiments were approved by the MGH Institutional Animal Care and Use Committee and followed its regulations.
“Experiments were approved by the MGH Institutional Animal Care and Use Committee (IACUC) and were performed in accordance with MGH IACUC regulations.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
B cell depletion did not affect anti-CD40 therapy in this experimental model.
“We found that B cell depletion had no effect on aCD40 therapy , suggesting that B cells are not necessary for aCD40 treatment in this experimental model (data not shown).”
The paper relies on this without support.
The MC38 tumor model responds to anti-PD-1 treatment.
“Here, we initially used the MC38 mouse tumor model because it is sensitive to aPD-1 treatment and thus is relevant to define mechanisms dictating treatment success.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
IFN-γ is important for initiating and maintaining antitumor responses by promoting CD8+ cytotoxic T cell activity, Th1 skewing, antiproliferative/proapoptotic effects, and MHC I upregulation on tumor cells.
“Interferon-γ (IFN-γ) is an important cytokine for initiating and maintaining a potent antitumor response not only through promoting CD8 + cytotoxic T cell activity and skewing toward a Th1 response but also through exerting antiproliferative, proapoptotic effects and inducing major histocompatibility complex class I (MHC I) upregulation in tumor cells (90,91).”
From Immune Checkpoint Inhibitors for the Treatment of Cancer: Clinical Impact and Mechanisms of Response and Resistance (2021) · cites this paper as [91]
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Targeting NF-κB-Inducing Kinase (NIK) in Immunity, Inflammation, and Cancer
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Cancer cells impair monocyte-mediated T cell stimulation to evade immunity
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- Authors
- Garris, C. S., Arlauckas, S. P., Kohler, R. H., Trefny, M. P., Garren, S., Piot, C., Engblom, C., Pfirschke, C., Siwicki, M., Gungabeesoon, J., Freeman, G. J., Warren, S. E., Ong, S., Browning, E., Twitty, C. G., Pierce, R. H., Le, M. H., Algazi, A. P., Daud, A. I., Pai, S. I., Zippelius, A., Weissleder, R., & Pittet, M. J.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- University Hospital of Basel (CH)
- Nanostring Technologies (United States) (US)
- University of California, San Francisco (US)
- ORCID
- Venue
- Immunity
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 49
- Issue
- 6
- Pages
- 1148-1161.e7
- ISSN
- 1074-7613 (ISSN-L)
- PMC
- PMC6301092
- OpenAlex
- W2904099327
- Semantic Scholar
- 1209b0cd82a4fa3c176fbcbc8f01817d21cdace6
- Cited by
- 966
- References
- 62
- Citations by year
- 2026: 101 · 2025: 118 · 2024: 130 · 2023: 138 · 2022: 146 · 2021: 150 · 2020: 124 · 2019: 57 · 2018: 1 · 2012: 1
- FWCI
- 30.99
- Type
- journal article
- Language
- en
- Update notices
- erratum (2022-09-13)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Immunity (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (acceptedVersion, other-oa)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Funders
- Samana Cay MGH Research Scholar Fund
- Robert Wenner Award from the Swiss Cancer League
- NIH (R01-AI084880, R01-CA218579, R01-AI123349, R01-CA206890, R33-CA202064, U01CA206997, P01 AI056299, P50CA101942, F31-CA196035, T32-CA79443)
- Swiss National Cancer Foundation (320030_162575)
- MGH ECOR Tosteson Postdoctoral Fellowship
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- anti-PD-1 therapy, immune checkpoint blockade, tumor-infiltrating dendritic cells, IL-12, interferon-gamma, T cell-mediated antitumor immunity, NF-κB signaling, intravital imaging, single-cell RNA sequencing, pharmacodynamics, cancer immunotherapy
- MeSH terms
- Adult, Aged, Aged, 80 and over, Animals, Antibodies, Monoclonal, Dendritic Cells, Female, Humans, Immunotherapy, Interferon-gamma, Male, Mice, Inbred C57BL, Mice, Transgenic, Middle Aged, Neoplasms, T-Lymphocytes, Signal Transduction, NF-kappa B, Interleukin-12, Programmed Cell Death 1 Receptor
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.
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