[HTML][HTML] Blockade of the AHR restricts a Treg-macrophage suppressive axis induced by L-Kynurenine

LF Campesato, S Budhu, J Tchaicha, CH Weng… - Nature …, 2020 - nature.com
LF Campesato, S Budhu, J Tchaicha, CH Weng, M Gigoux, IJ Cohen, D Redmond
Nature communications, 2020nature.com
Tryptophan catabolism by the enzymes indoleamine 2, 3-dioxygenase 1 and tryptophan 2, 3-
dioxygenase 2 (IDO/TDO) promotes immunosuppression across different cancer types. The
tryptophan metabolite L-Kynurenine (Kyn) interacts with the ligand-activated transcription
factor aryl hydrocarbon receptor (AHR) to drive the generation of Tregs and tolerogenic
myeloid cells and PD-1 up-regulation in CD8+ T cells. Here, we show that the AHR pathway
is selectively active in IDO/TDO-overexpressing tumors and is associated with resistance to …
Abstract
Tryptophan catabolism by the enzymes indoleamine 2,3-dioxygenase 1 and tryptophan 2,3-dioxygenase 2 (IDO/TDO) promotes immunosuppression across different cancer types. The tryptophan metabolite L-Kynurenine (Kyn) interacts with the ligand-activated transcription factor aryl hydrocarbon receptor (AHR) to drive the generation of Tregs and tolerogenic myeloid cells and PD-1 up-regulation in CD8+ T cells. Here, we show that the AHR pathway is selectively active in IDO/TDO-overexpressing tumors and is associated with resistance to immune checkpoint inhibitors. We demonstrate that IDO-Kyn-AHR-mediated immunosuppression depends on an interplay between Tregs and tumor-associated macrophages, which can be reversed by AHR inhibition. Selective AHR blockade delays progression in IDO/TDO-overexpressing tumors, and its efficacy is improved in combination with PD-1 blockade. Our findings suggest that blocking the AHR pathway in IDO/TDO expressing tumors would overcome the limitation of single IDO or TDO targeting agents and constitutes a personalized approach to immunotherapy, particularly in combination with immune checkpoint inhibitors.
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