Ex Vivo Profiling of PD-1 Blockade Using Organotypic Tumor Spheroids

  • Cancer Discov. 2018 Feb;8(2):196-215. doi: 10.1158/2159-8290.CD-17-0833.
Russell W Jenkins  1  2 ,  Amir R Aref  1  3 ,  Patrick H Lizotte  1  3 ,  Elena Ivanova  1  3 ,  Susanna Stinson  4 ,  Chensheng W Zhou  1  5 ,  Michaela Bowden  1  5 ,  Jiehui Deng  1 ,  Hongye Liu  1  3  6 ,  Diana Miao  1  7 ,  Meng Xiao He  1  7  8 ,  William Walker  1  3 ,  Gao Zhang  9 ,  Tian Tian  10 ,  Chaoran Cheng  10 ,  Zhi Wei  10 ,  Sangeetha Palakurthi  1  3 ,  Mark Bittinger  1  3 ,  Hans Vitzthum  2 ,  Jong Wook Kim  1  7 ,  Ashley Merlino  1 ,  Max Quinn  1 ,  Chandrasekar Venkataramani  4 ,  Joshua A Kaplan  4 ,  Andrew Portell  1  3 ,  Prafulla C Gokhale  1  3 ,  Bart Phillips  4 ,  Alicia Smart  1  7 ,  Asaf Rotem  1 ,  Robert E Jones  1  3 ,  Lauren Keogh  1  3 ,  Maria Anguiano  11 ,  Lance Stapleton  4 ,  Zhiheng Jia  4 ,  Michal Barzily-Rokni  2 ,  Israel Cañadas  1 ,  Tran C Thai  1 ,  Marc R Hammond  2 ,  Raven Vlahos  1  5 ,  Eric S Wang  12 ,  Hua Zhang  1 ,  Shuai Li  1 ,  Glenn J Hanna  1 ,  Wei Huang  1  3 ,  Mai P Hoang  13 ,  Adriano Piris  14 ,  Jean-Pierre Eliane  13 ,  Anat O Stemmer-Rachamimov  13 ,  Lisa Cameron  15 ,  Mei-Ju Su  1 ,  Parin Shah  1 ,  Benjamin Izar  1  7 ,  Manisha Thakuria  1  16 ,  Nicole R LeBoeuf  1  16 ,  Guilherme Rabinowits  1 ,  Viswanath Gunda  17 ,  Sareh Parangi  17 ,  James M Cleary  1 ,  Brian C Miller  1 ,  Shunsuke Kitajima  1 ,  Rohit Thummalapalli  1 ,  Benchun Miao  2 ,  Thanh U Barbie  18 ,  Vivek Sivathanu  19 ,  Joshua Wong  1 ,  William G Richards  20 ,  Raphael Bueno  20 ,  Charles H Yoon  18 ,  Juan Miret  1  3 ,  Meenhard Herlyn  9 ,  Levi A Garraway  1 ,  Eliezer M Van Allen  1  7 ,  Gordon J Freeman  1 ,  Paul T Kirschmeier  1  3 ,  Jochen H Lorch  1 ,  Patrick A Ott  1 ,  F Stephen Hodi  1 ,  Keith T Flaherty  2 ,  Roger D Kamm  19  21 ,  Genevieve M Boland  17 ,  Kwok-Kin Wong  1  3 ,  David Dornan  22 ,  Cloud Peter Paweletz  23  3 ,  David A Barbie  23
Affiliations
  • 1. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 2. Division of Medical Oncology, Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts.
  • 3. Belfer Center for Applied Cancer Science, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 4. Gilead Sciences, Foster City, California.
  • 5. Center for Molecular Oncologic Pathology, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 6. Laboratory of Systems Pharmacology, Harvard Medical School, Boston, Massachusetts.
  • 7. Broad Institute of Harvard and MIT, Cambridge, Massachusetts.
  • 8. Harvard Graduate Program in Biophysics, Boston, Massachusetts.
  • 9. Melanoma Research Center and Molecular and Cellular Oncogenesis Program, The Wistar Institute, Philadelphia, Pennsylvania.
  • 10. Department of Computer Science, New Jersey Institute of Technology, Newark, New Jersey.
  • 11. Center for Applied Medical Research, University of Navarra, Pamplona, Spain.
  • 12. Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 13. Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • 14. Department of Pathology, Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts.
  • 15. Confocal and Light Microscopy Core Facility, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 16. Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • 17. Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
  • 18. Department of Surgical Oncology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • 19. Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
  • 20. Division of Thoracic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
  • 21. Department of Biological Engineering, Massachusetts Institute of Technology, Cambridge, Massachusetts.
  • 22. Gilead Sciences, Foster City, California. [email protected] [email protected] [email protected].
  • 23. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts. [email protected] [email protected] [email protected].
Abstract

Ex vivo systems that incorporate features of the tumor microenvironment and model the dynamic response to immune checkpoint blockade (ICB) may facilitate efforts in precision immuno-oncology and the development of effective combination therapies. Here, we demonstrate the ability to interrogate ex vivo response to ICB using murine- and patient-derived organotypic tumor spheroids (MDOTS/PDOTS). MDOTS/PDOTS isolated from mouse and human Tumors retain autologous lymphoid and myeloid cell populations and respond to ICB in short-term three-dimensional microfluidic culture. Response and resistance to ICB was recapitulated using MDOTS derived from established immunocompetent mouse tumor models. MDOTS profiling demonstrated that TBK1/IKKε inhibition enhanced response to PD-1 blockade, which effectively predicted tumor response in vivo Systematic profiling of secreted cytokines in PDOTS captured key features associated with response and resistance to PD-1 blockade. Thus, MDOTS/PDOTS profiling represents a novel platform to evaluate ICB using established murine models as well as clinically relevant patient specimens.Significance: Resistance to PD-1 blockade remains a challenge for many patients, and biomarkers to guide treatment are lacking. Here, we demonstrate feasibility of ex vivo profiling of PD-1 blockade to interrogate the tumor immune microenvironment, develop therapeutic combinations, and facilitate precision immuno-oncology efforts. Cancer Discov; 8(2); 196-215. ©2017 AACR.See related commentary by Balko and Sosman, p. 143See related article by Deng et al., p. 216This article is highlighted in the In This Issue feature, p. 127.

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