Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy

Background The use of immune checkpoint inhibitors (CPIs) has become a dominant regimen in modern cancer therapy, however immune resistance induced by tumor-associated macrophages (TAMs) with immune suppressive and evasion properties limits responses. Therefore, the rational design of immune modulat...

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Main Authors: Yue Wang, Kevin Chang, Aslan Mansurov, Jun Ishihara, Seounghun Kang, Trevin Kurtanich, Hye Rin Chun, Anna J Slezak, Lisa R Volpatti, Thomas Wang, Aaron T Alpar, Kirsten C Refvik, O Isabella Hansen, Gustavo J Borjas, Brendan T K Berg, Ha-Na Shim, Kevin T Hultgren, Suzana Gomes, Ani Solanki, Melody A Swartz, Jeffrey A Hubbell
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/12/12/e009541.full
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author Yue Wang
Kevin Chang
Aslan Mansurov
Jun Ishihara
Seounghun Kang
Trevin Kurtanich
Hye Rin Chun
Anna J Slezak
Lisa R Volpatti
Thomas Wang
Aaron T Alpar
Kirsten C Refvik
O Isabella Hansen
Gustavo J Borjas
Brendan T K Berg
Ha-Na Shim
Kevin T Hultgren
Suzana Gomes
Ani Solanki
Melody A Swartz
Jeffrey A Hubbell
author_facet Yue Wang
Kevin Chang
Aslan Mansurov
Jun Ishihara
Seounghun Kang
Trevin Kurtanich
Hye Rin Chun
Anna J Slezak
Lisa R Volpatti
Thomas Wang
Aaron T Alpar
Kirsten C Refvik
O Isabella Hansen
Gustavo J Borjas
Brendan T K Berg
Ha-Na Shim
Kevin T Hultgren
Suzana Gomes
Ani Solanki
Melody A Swartz
Jeffrey A Hubbell
author_sort Yue Wang
collection DOAJ
description Background The use of immune checkpoint inhibitors (CPIs) has become a dominant regimen in modern cancer therapy, however immune resistance induced by tumor-associated macrophages (TAMs) with immune suppressive and evasion properties limits responses. Therefore, the rational design of immune modulators that can control the immune suppressive properties of TAMs and polarize them, as well as dendritic cells (DCs), toward a more proinflammatory phenotype is a principal objective in cancer immunotherapy.Methods Here, using a protein engineering approach to enhance cytokine residence in the tumor microenvironment, we examined combined stimulation of the myeloid compartment via tumor stroma-binding granulocyte–macrophage colony-stimulating factor (GM-CSF) to enhance responses in both DCs and T cells via stroma-binding interleukin-12 (IL-12). We evaluated tumor responses at the levels of outcome, cellular responses, and cytokine responses in both the tumors and the tumor-draining lymph nodes. We further investigated the potentiation of DC response to IL-12 by GM-CSF stimulation ex vivo.Results Engineered GM-CSF restored an antitumorigenic tumor myeloid microenvironment otherwise suppressed by TAMs, while engineered IL-12 provided effector signals to T cells, thereby boosting both tumor-resident antitumor macrophage and CD8+ T cell populations. Furthermore, engineered GM-CSF potentiated DC response to IL-12, upregulating DC expression of IL-12 receptor and enhancing their expression of proinflammatory cytokines and chemokines on IL-12 exposure. This resulted in remarkable synergistic efficacy in multiple solid tumor models treated with the dual cytokine combination. The combination therapy also improved the efficacy of CPI in a CPI-resistant genetically-engineered melanoma model and exhibited synergistic antitumor efficacy in a pulmonary metastasis model.Conclusion Our strategy provides a rational design for combination immunotherapy targeting both myeloid and lymphoid compartments through complementary mechanisms.
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spelling doaj-art-c8bb8c47c7c94894ab8b085ac5129c0d2025-01-14T20:50:09ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262024-12-01121210.1136/jitc-2024-009541Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapyYue Wang0Kevin Chang1Aslan Mansurov2Jun Ishihara3Seounghun Kang4Trevin Kurtanich5Hye Rin Chun6Anna J Slezak7Lisa R Volpatti8Thomas Wang9Aaron T Alpar10Kirsten C Refvik11O Isabella Hansen12Gustavo J Borjas13Brendan T K Berg14Ha-Na Shim15Kevin T Hultgren16Suzana Gomes17Ani Solanki18Melody A Swartz19Jeffrey A Hubbell20Pritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USADepartment of Bioengineering, Imperial College London, London, UKPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USACommittee on Immunology, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAAnimal Resource Center, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USAPritzker School of Molecular Engineering, The University of Chicago, Chicago, Illinois, USABackground The use of immune checkpoint inhibitors (CPIs) has become a dominant regimen in modern cancer therapy, however immune resistance induced by tumor-associated macrophages (TAMs) with immune suppressive and evasion properties limits responses. Therefore, the rational design of immune modulators that can control the immune suppressive properties of TAMs and polarize them, as well as dendritic cells (DCs), toward a more proinflammatory phenotype is a principal objective in cancer immunotherapy.Methods Here, using a protein engineering approach to enhance cytokine residence in the tumor microenvironment, we examined combined stimulation of the myeloid compartment via tumor stroma-binding granulocyte–macrophage colony-stimulating factor (GM-CSF) to enhance responses in both DCs and T cells via stroma-binding interleukin-12 (IL-12). We evaluated tumor responses at the levels of outcome, cellular responses, and cytokine responses in both the tumors and the tumor-draining lymph nodes. We further investigated the potentiation of DC response to IL-12 by GM-CSF stimulation ex vivo.Results Engineered GM-CSF restored an antitumorigenic tumor myeloid microenvironment otherwise suppressed by TAMs, while engineered IL-12 provided effector signals to T cells, thereby boosting both tumor-resident antitumor macrophage and CD8+ T cell populations. Furthermore, engineered GM-CSF potentiated DC response to IL-12, upregulating DC expression of IL-12 receptor and enhancing their expression of proinflammatory cytokines and chemokines on IL-12 exposure. This resulted in remarkable synergistic efficacy in multiple solid tumor models treated with the dual cytokine combination. The combination therapy also improved the efficacy of CPI in a CPI-resistant genetically-engineered melanoma model and exhibited synergistic antitumor efficacy in a pulmonary metastasis model.Conclusion Our strategy provides a rational design for combination immunotherapy targeting both myeloid and lymphoid compartments through complementary mechanisms.https://jitc.bmj.com/content/12/12/e009541.full
spellingShingle Yue Wang
Kevin Chang
Aslan Mansurov
Jun Ishihara
Seounghun Kang
Trevin Kurtanich
Hye Rin Chun
Anna J Slezak
Lisa R Volpatti
Thomas Wang
Aaron T Alpar
Kirsten C Refvik
O Isabella Hansen
Gustavo J Borjas
Brendan T K Berg
Ha-Na Shim
Kevin T Hultgren
Suzana Gomes
Ani Solanki
Melody A Swartz
Jeffrey A Hubbell
Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
Journal for ImmunoTherapy of Cancer
title Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
title_full Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
title_fullStr Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
title_full_unstemmed Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
title_short Engineered GM-CSF polarizes protumorigenic tumor-associated macrophages to an antitumorigenic phenotype and potently synergizes with IL-12 immunotherapy
title_sort engineered gm csf polarizes protumorigenic tumor associated macrophages to an antitumorigenic phenotype and potently synergizes with il 12 immunotherapy
url https://jitc.bmj.com/content/12/12/e009541.full
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