[PDF][PDF] Targeting TREM2 on tumor-associated macrophages enhances immunotherapy

M Binnewies, JL Pollack, J Rudolph, S Dash… - Cell Reports, 2021 - cell.com
M Binnewies, JL Pollack, J Rudolph, S Dash, M Abushawish, T Lee, NS Jahchan
Cell Reports, 2021cell.com
Converting checkpoint inhibitor (CPI)-resistant individuals to being responsive requires
identifying suppressive mechanisms. We identify TREM2+ tumor-associated macrophages
(TAMs) as being correlated with exhausted CD8+ tumor-infiltrating lymphocytes (TILs) in
mouse syngeneic tumor models and human solid tumors of multiple histological types. Fc
domain-enhanced anti-TREM2 monoclonal antibody (mAb) therapy promotes anti-tumor
immunity by elimination and modulation of TAM populations, which leads to enhanced …
Summary
Converting checkpoint inhibitor (CPI)-resistant individuals to being responsive requires identifying suppressive mechanisms. We identify TREM2+ tumor-associated macrophages (TAMs) as being correlated with exhausted CD8+ tumor-infiltrating lymphocytes (TILs) in mouse syngeneic tumor models and human solid tumors of multiple histological types. Fc domain-enhanced anti-TREM2 monoclonal antibody (mAb) therapy promotes anti-tumor immunity by elimination and modulation of TAM populations, which leads to enhanced CD8+ TIL infiltration and effector function. TREM2+ TAMs are most enriched in individuals with ovarian cancer, where TREM2 expression corresponds to disease grade accompanied by worse recurrence-free survival. In an aggressive orthotopic ovarian cancer model, anti-TREM2 mAb therapy drives potent anti-tumor immunity. These results highlight TREM2 as a highly attractive target for immunotherapy modulation in individuals who are refractory to CPI therapy and likely have a TAM-rich tumor microenvironment.
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