Immune checkpoint inhibitors unleash pathogenic immune responses against the microbiota

TitleImmune checkpoint inhibitors unleash pathogenic immune responses against the microbiota
Publication TypeJournal Article
Year of Publication2022
AuthorsHu ZIan, Link VM, Lima-Junior DS, Delaleu J, Bouladoux N, Han S-J, Collins N, Belkaid Y
JournalProc Natl Acad Sci USA
Volume119
Issue26
Date Published06/2022
Abstract

Immune checkpoint inhibitors (ICIs) are essential components of the cancer therapeutic armamentarium. While ICIs have demonstrated remarkable clinical responses, they can be accompanied by immune-related adverse events (irAEs). These inflammatory side effects are of unclear etiology and impact virtually all organ systems, with the most common being sites colonized by the microbiota such as the skin and gastrointestinal tract. Here, we establish a mouse model of commensal bacteria–driven skin irAEs and demonstrate that immune checkpoint inhibition unleashes commensal-specific inflammatory T cell responses. These aberrant responses were dependent on production of IL-17 by commensal-specific T cells and induced pathology that recapitulated the cutaneous inflammation seen in patients treated with ICIs. Importantly, aberrant T cell responses unleashed by ICIs were sufficient to perpetuate inflammatory memory responses to the microbiota months following the cessation of treatment. Altogether, we have established a mouse model of skin irAEs and reveal that ICIs unleash aberrant immune responses against skin commensals, with long-lasting inflammatory consequences.

URLhttps://www.pnas.org/doi/abs/10.1073/pnas.2200348119
DOI10.1073/pnas.2200348119
PubMed ID35727974
PubMed Central IDPMC9245641
Grant ListR01 CA185169 / CA / NCI NIH HHS / United States
R01 GM094314 / GM / NIGMS NIH HHS / United States
R01CA185169 / CA / NCI NIH HHS / United States
R01GM094314 / GM / NIGMS NIH HHS / United States