Oral Presentation Melbourne Immunotherapy Network Winter Symposium 2021

Pharmacological inhibition of CDK4/6 augments long-term anti-tumor immunity through the induction of T cell memory (#26)

Emily J Lelliott 1 2 , Isabella Kong 3 , Magnust Zethoven 1 , Kelly M Ramsbottom 1 , Luciano Martelotto 4 , Deborah Meyran 1 , Joe Zhu 1 , Matteo Costacurta 1 , Laura Kirby 1 , Jarrod Sandow 3 , Lydia Lim 1 , Pilar Dominguez 1 , Izabela Todorovski 1 , Nicole Haynes 1 , Paul A Beavis 1 , Paul J Neeson 1 , Edwin D Hawkins 3 , Grant A McArthur 1 , Ian A Parish 1 , Ricky W Johnstone 1 , Jane Oliaro 1 , Karen E Sheppard 1 , Conor J Kearney 1 , Stephin J Vervoort 1
  1. Peter MacCallum Cancer Centre, Melbourne, VIC, Australia
  2. Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3000, VIC, Australia
  3. The Walter and Eliza Hall Institute of Medical Research, Parkville, Melbourne, VIC, Australia
  4. Single Cell Innovation Laboratory, The University of Melbourne, Parkville, Melbourne, VIC, Australia

Small molecule inhibitors of cyclin dependent kinases 4 and 6 (CDK4/6) were approved for the treatment of cancer on the basis of their tumor-intrinsic cytostatic activity. However, the emerging role of these inhibitors as immunomodulatory agents is less understood. Using integrated single cell transcriptomic and proteomic analyses, we demonstrated that CDK4/6 inhibition promotes the formation of phenotypic and functional T cell memory. Short-term priming with a CDK4/6 inhibitor promoted long-term endogenous anti-tumor T cell immunity in mice, enhanced the persistence and therapeutic efficacy of chimeric antigen receptor (CAR)-T cells, and induced an T cell phenotype that is optimal for targeting with immune checkpoint blockade in both mice and melanoma patients. Taken together, these mechanistic insights uncover a novel pathway governing T cell memory formation, and significantly broaden the prospective utility of CDK4/6 inhibitors as clinical tools to boost anti-tumor T cell immunity.