Scientific article
English

Tumor lymphangiogenesis promotes T cell infiltration and potentiates immunotherapy in melanoma

Published inScience translational medicine, vol. 9, no. 407, eaal4712
Publication date2017-09-13
Abstract

In melanoma, vascular endothelial growth factor-C (VEGF-C) expression and consequent lymphangiogenesis correlate with metastasis and poor prognosis. VEGF-C also promotes tumor immunosuppression, suggesting that lymphangiogenesis inhibitors may be clinically useful in combination with immunotherapy. We addressed this concept in mouse melanoma models with VEGF receptor-3 (VEGFR-3)-blocking antibodies and unexpectedly found that VEGF-C signaling enhanced rather than suppressed the response to immunotherapy. We further found that this effect was mediated by VEGF-C-induced CCL21 and tumor infiltration of naïve T cells before immunotherapy because CCR7 blockade reversed the potentiating effects of VEGF-C. In human metastatic melanoma, gene expression of VEGF-C strongly correlated with CCL21 and T cell inflammation, and serum VEGF-C concentrations associated with both T cell activation and expansion after peptide vaccination and clinical response to checkpoint blockade. We propose that VEGF-C potentiates immunotherapy by attracting naïve T cells, which are locally activated upon immunotherapy-induced tumor cell killing, and that serum VEGF-C may serve as a predictive biomarker for immunotherapy response.

Keywords
  • Animals
  • Cell Proliferation
  • Chemokine CCL21 / metabolism
  • Disease-Free Survival
  • Epitopes / immunology
  • Humans
  • Immunotherapy
  • Lymphangiogenesis
  • Melanoma, Experimental / immunology
  • Melanoma, Experimental / pathology
  • Melanoma, Experimental / therapy
  • Mice
  • Neoplasm Metastasis
  • Receptors, CCR7 / metabolism
  • Signal Transduction
  • T-Lymphocytes / pathology
  • Vascular Endothelial Growth Factor C / metabolism
  • Vascular Endothelial Growth Factor Receptor-3 / metabolism
Affiliation entities Not a UNIGE publication
Citation (ISO format)
FANKHAUSER, Manuel et al. Tumor lymphangiogenesis promotes T cell infiltration and potentiates immunotherapy in melanoma. In: Science translational medicine, 2017, vol. 9, n° 407, p. eaal4712. doi: 10.1126/scitranslmed.aal4712
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Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN1946-6234
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