2018
DOI: 10.1016/j.canlet.2018.05.009
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Trastuzumab upregulates PD-L1 as a potential mechanism of trastuzumab resistance through engagement of immune effector cells and stimulation of IFNγ secretion

Abstract: Here, we report that treatment of syngeneic mouse tumors transduced to overexpress human epidermal growth factor receptor-2 (HER2) with the anti-human HER2 antibody trastuzumab upregulated the level of programmed death-ligand 1 (PD-L1), an important negative regulator of T-cell response, in a transgenic mouse model immune-tolerant to human HER2. We further found that trastuzumab alone had no detectable effect on the level of PD-L1 expression in monocultures of HER2-overexpressing human breast cancer cells but … Show more

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Cited by 147 publications
(100 citation statements)
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“…Currently, atezolizumab is the only FDA-approved immune checkpoint inhibitor for BC (TNBC) treatment. Out of many new drugs that are under clinical trial, margetuximab (MGA-H22) received FDA approval for fast track investigation on its potency to treat HER2 + metastatic BC [146][147][148]. This is a novel HER2-targeted monoclonal antibody tailored to enhance the binding affinity to multiple sites by mediating activation of Fc-γ receptors.…”
Section: Pd-1/pd-l1 and Her2 Crosstalk In Breast Cancermentioning
confidence: 99%
“…Currently, atezolizumab is the only FDA-approved immune checkpoint inhibitor for BC (TNBC) treatment. Out of many new drugs that are under clinical trial, margetuximab (MGA-H22) received FDA approval for fast track investigation on its potency to treat HER2 + metastatic BC [146][147][148]. This is a novel HER2-targeted monoclonal antibody tailored to enhance the binding affinity to multiple sites by mediating activation of Fc-γ receptors.…”
Section: Pd-1/pd-l1 and Her2 Crosstalk In Breast Cancermentioning
confidence: 99%
“…Tumor‐infiltrating immune cells (TIICs) are essential components of the tumor microenvironment and can alter the immune status of the tumor. Several studies have demonstrated therapeutic strategies against tumors by targeting TIICs . Clinical outcomes and the potential mechanisms involving PCa and TIICs have been widely reported.…”
Section: Introductionmentioning
confidence: 99%
“…Several studies have demonstrated therapeutic strategies against tumors by targeting TIICs. [15][16][17][18][19] Clinical outcomes and the potential mechanisms involving PCa and TIICs have been widely reported. Kaur et al 20 marked the T cells in PCa tissues with CD3, CD8, and FOXP3 immunostaining and revealed that ERG activity and PTEN loss were affected by the high proportion of T cells, but clinical outcomes showed no association with these results.…”
mentioning
confidence: 99%
“…Some of these phenomena could also be observed after treatment with trastuzumab. In breast cancer, increased tumor-infiltrating lymphocytes was associated with the efficacy of trastuzumab-based treatment, while PD-L1 was upregulated in tumor cells, which resisted trastuzumab [67,68]. Considering their bidirectional effect on anti-tumor immunity, immune checkpoint inhibitors may reverse the immunosuppressive effect of anti-ERBB antibodies by unleashing the function of effector T cells and impeding Tregs activation.…”
Section: Combination With Other Targeted Agentsmentioning
confidence: 99%