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  4. Dual angiopoietin-2 and VEGFA inhibition elicits antitumor immunity that is enhanced by PD-1 checkpoint blockade
 
research article

Dual angiopoietin-2 and VEGFA inhibition elicits antitumor immunity that is enhanced by PD-1 checkpoint blockade

Schmittnaegel, Martina
•
Rigamonti, Nicolò
•
Kadioglu, Ece  
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2017
Science Translational Medicine

Pathological angiogenesis is a hallmark of cancer and a therapeutic target. Vascular endothelial growth factor A (VEGFA) and angiopoietin-2 (ANGPT2; also known as ANG2) are proangiogenic cytokines that sustain tumor angiogenesis and limit antitumor immunity. We show that combined ANGPT2 and VEGFA blockade by a bispecific antibody (A2V) provided superior therapeutic benefits, as compared to the single agents, in both genetically engineered and transplant tumor models, including metastatic breast cancer (MMTV-PyMT), pancreatic neuroendocrine tumor (RIP1-Tag2), and melanoma. Mechanistically, A2V promoted vascular regression, tumor necrosis, and antigen presentation by intratumoral phagocytes. A2V also normalized the remaining blood vessels and facilitated the extravasation and perivascular accumulation of activated, interferon-γ (IFNγ)–expressing CD8+ cytotoxic T lymphocytes (CTLs). Whereas the antitumoral activity of A2V was, at least partly, CTL-dependent, perivascular T cells concurrently up-regulated the expression of the immune checkpoint ligand programmed cell death ligand 1 (PD-L1) in tumor endothelial cells. IFNγ neutralization blunted this adaptive response, and PD-1 blockade improved tumor control by A2V in different cancer models. These findings position immune cells as key effectors of antiangiogenic therapy and support the rationale for cotargeting angiogenesis and immune checkpoints in cancer therapy.

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Type
research article
DOI
10.1126/scitranslmed.aak9670
Web of Science ID

WOS:000399009200005

Author(s)
Schmittnaegel, Martina
Rigamonti, Nicolò
Kadioglu, Ece  
Cassará, Antonino
Wyser Rmili, Céline  
Kiialainen, Anna
Kienast, Yvonne
Mueller, Hans-Joachim
Ooi, Chia-Huey
Laoui, Damya  
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Date Issued

2017

Publisher

American Association for the Advancement of Science

Published in
Science Translational Medicine
Volume

9

Issue

385

Article Number

eaak9670

Subjects

Angiogenesis

•

Immunotherapy

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PD-1

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Cancer

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
UPDEPALMA  
Available on Infoscience
April 7, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/136431
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