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September 11, 2020Nature CommunicationsOpen Access

Selective inhibition of TGF-β1 produced by GARP-expressing Tregs overcomes resistance to PD-1/PD-L1 blockade in cancer

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Authors

GSGrégoire de StreelCBCharlotte BertrandNCNicolas Chalon

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Overview

Preclinical study demonstrates that selective GARP:TGF-β1 blockade overcomes anti-PD-1 resistance in resistant tumors, indicating a targeted approach to enhance cancer immunotherapy.

Key Points

  • Determine whether selectively inhibiting TGF-β1 produced by GARP-expressing regulatory T cells can overcome resistance to PD-1/PD-L1 blockade without triggering the toxicities of global TGF-β inhibition.
  • Evaluated antibodies targeting GARP:TGF-β1 complexes in combination with anti-PD-1 therapy in mouse tumor models resistant to PD-1 monotherapy.
  • Assessed anti-tumor CD8+ T-cell responses, intratumoral regulatory T-cell abundance, and FcγR dependence.
  • Examined the expression of GARP and TGF-β1 production by regulatory T cells in human melanoma metastases.
  • Combined GARP:TGF-β1 and anti-PD-1 blockade induced regressions in mouse tumors previously resistant to anti-PD-1 alone.
  • Therapeutic responses were immune-mediated and boosted CD8+ T-cell effector functions without depleting regulatory T cells, altering immune infiltration, or requiring FcγR activity.
  • GARP-expressing regulatory T cells actively producing TGF-β1 were detected in one-third of analyzed human melanoma metastases.

Cite This Study

Streel et al. (2020) studied this question.

synapsesocial.com/papers/6a734027a7d283abeec2370ehttps://doi.org/10.1038/s41467-020-17811-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1GARP-expressing Tregs as a source of immunosuppressive TGF-β1 in human tumors2025 · 4 citations
  2. 2Developing Novel Bispecific T-cell Engager Therapy by Concurrent Targeting GARP on Cancer Cells and Regulatory T cells 22586722026
  3. 3Glucocorticoids Unleash Immune-dependent Melanoma Control through Inhibition of the GARP/TGFβ Axis2025 · 1 citations
  4. 4Glucocorticoids unleash immune-dependent melanoma control through inhibition of the GARP/TGF-β axis2025
  5. 5Abstract 2557: Glucocorticoids inhibit the GARP/TGF-βaxis initiating immune-dependent melanoma control2026