Neutralizing IL-8 potentiates immune checkpoint blockade efficacy for glioma

  • Cancer Cell. 2023 Mar 20;S1535-6108(23)00077-6. doi: 10.1016/j.ccell.2023.03.004.
Haofei Liu  1 ,  Qiwen Zhao  2 ,  Leyong Tan  2 ,  Xin Wu  2 ,  Rui Huang  2 ,  Yonglin Zuo  2 ,  Longjuan Chen  2 ,  Jigui Yang  2 ,  Zuo-Xin Zhang  3 ,  Wenchen Ruan  4 ,  Jiayang Wu  4 ,  Fei He  5 ,  Yiliang Fang  2 ,  Fangyuan Mao  2 ,  Peipei Zhang  2 ,  Xiaoning Zhang  2 ,  Peidi Yin  2 ,  Zexuan Yan  2 ,  Wenwen Xu  2 ,  Huimin Lu  2 ,  Qingrui Li  2 ,  Mei Liang  2 ,  Yanjun Jia  6 ,  Cong Chen  2 ,  Senlin Xu  2 ,  Yu Shi  2 ,  Yi-Fang Ping  2 ,  Guang-Jie Duan  2 ,  Xiao-Hong Yao  2 ,  Zhijian Han  7 ,  Tao Pang  8 ,  Youhong Cui  2 ,  Xia Zhang  2 ,  Bo Zhu  9 ,  Chunjian Qi  10 ,  Yan Wang  11 ,  Sheng-Qing Lv  12 ,  Xiu-Wu Bian  13 ,  Xindong Liu  14
Affiliations
  • 1. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China; Jinfeng Laboratory, Chongqing 401329, P.R. China.
  • 2. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China.
  • 3. Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China.
  • 4. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China; Jiangsu Key Laboratory of Drug Screening, State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210009, P.R. China.
  • 5. Genergy Biotechnology (Shanghai) Co., Ltd, Shanghai 200235, P.R. China.
  • 6. Chongqing International Institute for Immunology, Chongqing 401338, P.R. China.
  • 7. The Key Laboratory of the Digestive System Tumors of Gansu Province, Department of Tumor Center, Lanzhou University Second Hospital, Lanzhou 730030, P.R. China.
  • 8. Jiangsu Key Laboratory of Drug Screening, State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210009, P.R. China.
  • 9. Institute of Cancer, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China.
  • 10. Medical Research Center, The Affiliated Changzhou No. 2 People's Hospital, Nanjing Medical University, Changzhou 213003, P.R. China.
  • 11. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China. Electronic address: [email protected].
  • 12. Department of Neurosurgery, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, P.R. China. Electronic address: [email protected].
  • 13. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China. Electronic address: [email protected].
  • 14. Institute of Pathology and Southwest Cancer Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China; Jinfeng Laboratory, Chongqing 401329, P.R. China. Electronic address: [email protected].
Abstract

Malignant gliomas are largely refractory to immune checkpoint blockade (ICB) therapy. To explore the underlying immune regulators, we examine the microenvironment in Glioma and find that tumor-infiltrating T cells are mainly confined to the perivascular cuffs and express high levels of CCR5, CXCR3, and programmed cell death protein 1 (PD-1). Combined analysis of T cell clustering with T cell receptor (TCR) clone expansion shows that potential tumor-killing T cells are mainly categorized into pre-exhausted/exhausted and effector CD8+ T subsets, as well as cytotoxic CD4+ T subsets. Notably, a distinct subpopulation of CD4+ T cells exhibits innate-like features with preferential interleukin-8 (IL-8) expression. With IL-8-humanized mouse strain, we demonstrate that IL-8-producing CD4+ T, myeloid, and tumor cells orchestrate myeloid-derived suppressor cell infiltration and angiogenesis, which results in enhanced tumor growth but reduced ICB efficacy. Antibody-mediated IL-8 blockade or the inhibition of its receptor, CXCR1/2, unleashes anti-PD-1-mediated antitumor immunity. Our findings thus highlight IL-8 as a combinational immunotherapy target for Glioma.

Keywords
CyTOF; Glioma immune microenvironment; IL-8- producing T cell; scRNA-seq; tumor immunotherapy.
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