×

Combination therapy for cancer with IL-27 and anti-PD-1: a simplified mathematical model combination therapy for cancer with IL-27 and anti-PD-1. (English) Zbl 1510.35351

Summary: Many experiential and clinical trials in cancer treatment show that a combination of immune checkpoint inhibitor with another agent can improve the tumor reduction. Anti Programmed death 1 (Anti-PD-1) is one of these immune checkpoint inhibitors that re-activate immune cells to inhibit tumor growth. In this work, we consider a combination treatment of anti-PD-1 and Interleukin-27 (IL-27). IL-27 has anti-cancer functions to promote the development of Th1 and CD\(8^+\) T cells, but it also upregulates the expression of PD-1 and Programmed death ligand 1 (PD-L1) to inactivate these T cells. Thus, the functions of IL-27 in tumor growth is controversial. Hence, we create a simplified mathematical model to investigate whether IL-27 is pro-cancer or anti-cancer in the combination with anti-PD-1 and to what degree anti-PD-1 improves the efficacy of IL-27. Our synergy analysis for the combination treatment of IL-27 and anti-PD-1 shows that (i) ant-PD-1 can efficiently improve the treatment efficacy of IL-27; and (ii) there exists a monotone increasing function \(F_c(G)\) depending on the treatment efficacy of anti-PD-\(1G\) such that IL-27 is an efficient anti-cancer agent when its dose is smaller than \(F_c(G)\), whereas IL-27 is a pro-cancer agent when its dose is higher than \(F_c(G)\). Our analysis also provides the existence and the local stability of the trivial, non-negative, and positive equilibria of the model. Combining with simulation, we discuss the effect of the IL-27 dosage on the equilibria and find that the T cells and IFN-\(\gamma\) could vanish and tumor cells preserve, when the production rate of T cells by IL-27 is low or the dosage of IL-27 is low.

MSC:

35Q92 PDEs in connection with biology, chemistry and other natural sciences
92C45 Kinetics in biochemical problems (pharmacokinetics, enzyme kinetics, etc.)
92C37 Cell biology

References:

[1] M. Ando, Y. Takahashi, T. Yamashita, M. Fujimoto, M. Nishikawa, Y. Watanabe et al., IFN-γ from lymphocytes induces PD-L1 expression and promotes progression of ovarian cancer, Br J Cancer. 112(2015), 1501-1509.
[2] M. Ando, Y. Takahashi, T. Yamashita, M. Fujimoto, M. Nishikawa, Y. Watanabe, Y. Takakura, Prevention of adverse events of interferon γ gene therapy by gene delivery of interferon-γ-heparin-binding domain fusion protein in mice, Mol Ther Methods Clin Dev. 1(2014): 14023.
[3] D. Bortz, P. Nelson, Sensitivity analysis of a nonlinear lumped parameter model of HIV infection dynamics, Bull Math Biol. 66(2004), 1009-1026. · Zbl 1334.92225
[4] O. Boyman, J.H. Cho, J. Sprent, The role of interleukin-2 in memory CD8 cell differentiation, Adv Exp Med Biol. 684(2010), 28-41.
[5] G. Carbotti, G. Barisione, I. Airoldi, D. Mezzanzanica, M. Bagnoli, S. Ferrero et al. IL-27 induces the expression of IDO and PD-L1 in human cancer cells, Oncotarget. 6(2015), 43267-43280.
[6] F. Castro, A.P. Cardoso, R.M. Goncalves, K. Serre, M.J. Oliverira, Interferon-gamma at the crossroads of tumor immune surveillance or evasion, Front Immunol. 9(2018): 847.
[7] C. Cocco, N. Giuliani, E. Di Carlo, E. Ognio, P. Storti, M. Abeltino et al. Interleukin-27 acts as multifunctional antitumor agent in multiple myeloma, Clin Cancer Res. 16(2010), 4188-4197.
[8] J.M. Curtsinger, P. Agarwal, D.C. Lins, M.F. Mescher, Autocrine IFN-γ promotes native CD8 T cell differentiation and synergizes with IFN-α to stimulate strong function, J. Immunol. 189(2012), 659-668.
[9] T.D. Eubank, R.D. Roberts, M. Khan, J.M. Curry, G.J. Nuovo, P. Kuppusamy et al. Granulocyte macrophage colony-stimulating factor inhibits breast growth and metastasis by invoking an anti-angiogenic program in tumor educated macrophages, Cancer Res. 69(2009), 2133-2140.
[10] M. Fabbi, G. Carbotti, S. Ferrini, Dual roles of IL-27 in cancer biology and immunotherapy, 2017(2017): 3958069.
[11] A. Friedman, X. Lai, Combination therapy for cancer with oncolytic virus and checkpoint inhibitor: A mathematical model, PLoS One. 13(2018), e0192449.
[12] A. Friedman, K.-L. Liao, The role of the cytokines IL-27 and IL-35 in cancer, Mathematical Biosciences and Engi-neering, 12(2015), 1203-1217. · Zbl 1326.92034
[13] K.-L. Liao, X.-F. Bai, A. Friedman, IL-27 in combination with anti-PD-1 can be anti-cancer or pro-cancer agent, prepare for submission, 2022.
[14] J. Gonin, A. Carlotti, C. Dietrich, A. Audebourg, B. Radenen-Bussiere, A. Caignard et al Expression of IL-27 by Tumor Cells in InvasCutaneous and Metastatic Melanomas, PLoS One. 8(2013): e75694.
[15] J. Guan, K.S. Lim, T. Mekhail, C.C. Chang, Programmed death ligand-1 (PD-L1) expression in the programmed death receptor-1 (PD-1)/PD-L1 blockade: a key player against various cancers, Arch Pathol Lab Med. 141(2017): 851-861.
[16] K. Hirahara, K. Ghoreschi, X.P. Yang, H. Takahashi, A. Laurence, G. Vahedi et al. Interleukin-27 priming of T cells controls IL-17 production in trans via induction of the ligand PD-L1, Immunity. 36(2012), 1017-1030.
[17] M. Huber, V. Steinwald, A. Guralnik, A. Brustle, P. Kleemann, C. Rosenplanter, et al IL-27 inhibits the development of regulatory T cells via STAT3, Int Immunol. 20(2008), 223-234.
[18] C.A. Hunter, New IL-12-family members: IL-23 and IL-27, cytokines with divergent functions, Nat Rev Immunol. 5(2005), 521-531.
[19] C.A. Hunter, R. Kastelein, Interleukin-27: balancing protective and pathological immunity, Immunity. 37(2012), 960-969.
[20] E.S. Hwang, J.-H. Hong, L.H. Glimcher, IL-2 production in developing Th1 cells is regulated by heterodimerization of RelA and T-bet and requires T-bet serine residue 508, JEM. 202(2005), 1289-1300.
[21] S. Ishikawa, T. Ishikawa, C. Tezuka, K. Asano, M. Sunagawa, T. Hisamitsu, Efficacy of juzentaihoto for tumor immunotherapy in B16 melanoma metastasis model, Evid Based Complement Alternat Med. 2017 (2017): 6054706.
[22] X. Lai, A. Friedman, Combination therapy of cancer with cancer vaccine and immune checkpoint inhibitors: A mathematical model, PLoS One. 12(2017): e0178479.
[23] X. Lai, A. Friedman, Combination therapy for melanoma with BRAF/MEK inhibitor and immune checkpoint in-hibitor: a mathematical model, BMC Syst Biol. 11(2017): 70.
[24] X. Lai, A. Friedman, Mathematical modeling of cancer treatment with radiation and PD-L1 inhibitor, Science China Mathematics. 63(2020), 465-484. · Zbl 1431.35253
[25] K.-L. Liao, X.-F. Bai, A. Friedman, Mathematical modeling of Interleukin-27 induction of anti-tumor T cells re-sponse, PLoS ONE, 9(2014): e91844.
[26] K.-L. Liao, K.D. Watt, Mathematical modeling and analysis of anti-PD-1 and IFN-gamma synergy in cancer im-munotherapy, Mathematical Biosciences, 353(2022): 108911. · Zbl 1505.92103
[27] J. Liu, Z. Chen, Y. Li, W. Zhao, J. Wu, Z. Zhan, PD-1/PD-L1 checkpoint inhibitors in tumor immunotherapy, Frontiers in Pharmacology, 12(2021): 2339.
[28] Z. Liu, J.-Q. Liu, F. Talebian, L.-C. Wu, S. Li, X.-F. Bai, IL-27 enhances the survival of tumor antigen-specific CD8 + T cells and programs them into IL-10-producing, memory precursor-like effector cells, Eur. J. Immunol. 43(2013), 468-479.
[29] R.V. Luckheeram, R. Zhou, A.D. Verma, B. Xia, CD4 + T cells: differentiation and functions, Clin Dev Immunol. 2012(2012): 925135.
[30] S. Marino, I.B. Hogue, C.J. Ray, D.E. Kirschner, A methodology for performing global uncertainty and sensitivity analysis in systems biology, J Theor Biol. 254(2008), 178-196. · Zbl 1400.92013
[31] M. Masahiro, K. Tsunao, N. Hiroshi, Y. Koichiro, S.-Y. Masaharu, S. Taketoshi et al. Interleukin-27 activates natural killer cells and suppresses NK-resistant head and neck squamous cell carcinoma through inducing antibody-dependent cellular cytotoxicity, Cancer Res. 69(2009), 2523-2530.
[32] M.A. Postow, M.K. Callahan, J.D. Wolchok, Immune checkpoint blockade in cancer therapy, J Clin Oncol. 33(2015), 1974-1982.
[33] R. Salcedo, J.K. Stauffer, E. Lincoln, T.C. Back, J.A. Hixon, C. Hahn et al. IL-27 mediates complete regression of orthotopic primary and metastatic murine neuroblastoma tumors: role for CD8 + T cells, J Immunol. 173(2004), 7170-7182.
[34] A.H. Sharpe, K.E. Pauken, The diverse functions of the PD1 inhibitory pathway, Nat Rev Immunol. 18(2018), 153-167.
[35] L. Shi, S. Chen, L. Yan, Y. Li, The role of PD-1 and PD-L1 in T-cell immune suppression in patients with hema-tological malignancies, J Hematol Oncol. 6(2013): 74.
[36] M. Swart, I. Verbrugge, J.B. Beltman, Combination approaches with immune-checkpoint blockade in cancer therapy, Front Oncol. 6(2016): 233.
[37] E.D. Wojno, N. Hosken, J.S. Stumhofer, A.C. O’Hara, E. Mauldin, Q. Fang et al. A role for IL-27 in limiting T regulatory cell populations, J Immunol. 187(2011), 266-273.
[38] J. Zhu, J.Q. Liu, M. Shi, X. Cheng, M. Ding, J.C. Zhang, et al. IL-27 gene therapy induces depletion of Tregs and enhances the efficacy of cancer immunotherapy, JCI Insight. 3(2018): e98745.
[39] W. Zou, J.D. Wolchok, L. Chen, PD-L1 (B7-H1) and PD-1 pathway blockade for cancer therapy: mechanisms, response biomarkers and combinations, Sci Transl Med. 8(2016): 328rv4.
This reference list is based on information provided by the publisher or from digital mathematics libraries. Its items are heuristically matched to zbMATH identifiers and may contain data conversion errors. In some cases that data have been complemented/enhanced by data from zbMATH Open. This attempts to reflect the references listed in the original paper as accurately as possible without claiming completeness or a perfect matching.