DLL1 orchestrates CD8+ T cells to induce long-term vascular normalization and tumor regression

N Zhang, R Yin, P Zhou, X Liu, P Fan… - Proceedings of the …, 2021 - National Acad Sciences
N Zhang, R Yin, P Zhou, X Liu, P Fan, L Qian, L Dong, C Zhang, X Zheng, S Deng, J Kuai…
Proceedings of the National Academy of Sciences, 2021National Acad Sciences
The immunosuppressive and hypoxic tumor microenvironment (TME) remains a major
obstacle to impede cancer immunotherapy. Here, we showed that elevated levels of Delta-
like 1 (DLL1) in the breast and lung TME induced long-term tumor vascular normalization to
alleviate tumor hypoxia and promoted the accumulation of interferon γ (IFN-γ)–expressing
CD8+ T cells and the polarization of M1-like macrophages. Moreover, increased DLL1
levels in the TME sensitized anti-cytotoxic T lymphocyte–associated protein 4 (anti-CTLA4) …
The immunosuppressive and hypoxic tumor microenvironment (TME) remains a major obstacle to impede cancer immunotherapy. Here, we showed that elevated levels of Delta-like 1 (DLL1) in the breast and lung TME induced long-term tumor vascular normalization to alleviate tumor hypoxia and promoted the accumulation of interferon γ (IFN-γ)–expressing CD8+ T cells and the polarization of M1-like macrophages. Moreover, increased DLL1 levels in the TME sensitized anti-cytotoxic T lymphocyte–associated protein 4 (anti-CTLA4) treatment in its resistant tumors, resulting in tumor regression and prolonged survival. Mechanically, in vivo depletion of CD8+ T cells or host IFN-γ deficiency reversed tumor growth inhibition and abrogated DLL1-induced tumor vascular normalization without affecting DLL1-mediated macrophage polarization. Together, these results demonstrate that elevated DLL1 levels in the TME promote durable tumor vascular normalization in a CD8+ T cell– and IFN-γ–dependent manner and potentiate anti-CTLA4 therapy. Our findings unveil DLL1 as a potential target to persistently normalize the TME to facilitate cancer immunotherapy.
National Acad Sciences