19:10 - 21:00
Room: Ishikawa Ongakudō Interchange Hall
Poster Session
Targeting the BAFF receptor TACI in Chronic Lymphocyte Leukemia
Beatriz Garcillan1, William Figgett1, Saulep-Easton Damien2, Carlo Croce3, Constantine Tam4, Fabienne Mackay1
1Department of Microbiology & Immunology School of Biomedical Sciences University of Melbourne, Parkville, Australia, 2Department of Immunology Monash University, Prahran, Australia, 3Department of Molecular Virology, Immunology and Medical Genetics The Ohio State University, Columbus, United States, 4Department of Haematology Peter MacCallum Cancer Centre Victorian Co-operative Cancer Centre, Parkville, Australia

Chronic Lymphocytic leukemia (CLL) is the most common leukaemia in adults with no cure. CLL is a lymphoproliferative disease compromising immunity and leading to recurrent infections, a major cause of morbidity and mortality. Treatments primarily focus on reducing tumor burden, usually at the expense of immune functions. Improved targeted therapies have emerged such as ibrutinib, inhibiting Bruton's tyrosine kinase (BTK), approved in 2014, which has allowed effective tumor control in patients with poor prognosis CLL. However, the use of ibrutinib is frequently associated with severe side effects and strongly compromises the immunity of patients. We showed that loss of the BAFF receptor TACI in a mouse model of CLL (TCL-1 Tg mice) recapitulates many of the beneficial effects of ibrutinib. We show that ibrutinib inhibits TACI expression in B and CLL cells, suggesting that therapeutic effects of ibrutinib may in part relate to loss of TACI expression. Indeed, similar to patients treated with ibrutinib, TACI-/- TCL-1 Tg mice experienced lymphocytosis, restored immunity, and reduced IL-10 and TNF production. In addition, TACI-/- CLL cells, unlike TACI+/+ CLL expressed low levels PD-L1, suggesting restored immunocompetency. Healthy humans lacking functional TACI have been identified, indicating that loss of human TACI function is not deleterious, unlike BTK inhibition increasing the risk of bleeding, atrial fibrillation and compromising immunity. Together, these observations suggest that targeting TACI may offer therapeutic advantages in specific clinical settings and may emerge as a useful alternative therapy in high risk patients with BTK-mutant CLL, resistant to ibrutinib or fighting severe infections, hence in need of an intercalated treatment to restore immunocompetency.


Reference:
Tu-P14-17
Session:
Poster Session 14 “Cytokines in cancer development and antitumor immune therapy”
Presenter/s:
Fabienne Mackay
Presentation type:
Poster Presentation
Room:
Ishikawa Ongakudō Interchange Hall
Date:
Tuesday, 31 October 2017
Time:
19:10 - 21:00
Session times:
19:10 - 21:00