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Improving cancer immunotherapy efficacy may depend on targeting exosomes

Article Alert: Improving cancer immunotherapy efficacy may depend on targeting exosomes bearing the immune checkpoint protein PD-L1

 

An expanding body of literature has described the roles of extracellular vesicles (including exosomes) in both tumor progression and suppression (1, 2). A recent report by Poggio et al. contributes to this discussion by revealing that exosomes bearing the immune checkpoint protein PD-L1 promote tumor progression by compromising T cell activity (3). The authors used various tumor cell lines and genetic approaches in the context of a mouse in vivo system to show that disrupting either PD-L1 expression or exosome biogenesis supported anti-tumor immunity. In addition, their data reinforces the notion that anti-PD-L1 immunotherapy is less active against PD-L1-carrying exosomes, suggesting that regimens could potentially be made more effective by the inclusion of agents specifically targeting exosomes and exosomal PD-L1. Finally, the authors found that blocking exosome generation at one tumor site gives rise to systemic immune activation against other remote tumor challenges.

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References

  1. Cancer Res. 2017 Dec 1;77(23):6480-6488.
  2. Nat Med. 2001 Mar;7(3):297-303.
  3. Cell. 2019 Apr 4;177(2):414-427.e13.