作者
Douglas V Faget, Xianmin Luo, Matthew J Inkman, Qihao Ren, Xinming Su, Kai Ding, Michael R Waters, Ganesh Kumar Raut, Gaurav Pandey, Paarth B Dodhiawala, Renata Ramalho-Oliveira, Jiayu Ye, Thomas Cole, Bhavna Murali, Alexander Zheleznyak, Monica Shokeen, Kurt R Weiss, Joseph B Monahan, Carl J DeSelm, Adrian V Lee, Steffi Oesterreich, Katherine N Weilbaecher, Jin Zhang, David G DeNardo, Sheila A Stewart
发表日期
2023/6/2
期刊
Cancer discovery
卷号
13
期号
6
页码范围
1454-1477
出版商
American Association for Cancer Research
简介
Metastatic breast cancer is an intractable disease that responds poorly to immunotherapy. We show that p38MAPKα inhibition (p38i) limits tumor growth by reprogramming the metastatic tumor microenvironment in a CD4+ T cell-, IFNγ-, and macrophage-dependent manner. To identify targets that further increased p38i efficacy, we utilized a stromal labeling approach and single-cell RNA sequencing. Thus, we combined p38i and an OX40 agonist that synergistically reduced metastatic growth and increased overall survival. Intriguingly, patients with a p38i metastatic stromal signature had better overall survival that was further improved by the presence of an increased mutational load, leading us to ask if our approach would be effective in antigenic breast cancer. The combination of p38i, anti-OX40, and cytotoxic T-cell engagement cured mice of metastatic disease and produced long-term …
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