Translational Medicine I. (Poster discussion will take place on the terrace of the room during the Coffee Break)
Dr. Gergely, Tamás
Semmelweis University, Department of Pharmacology and Pharmacotherapy
+36209504707
gergely.tamas@med.semmelweis-univ.hu
Molecular determinants of immune checkpoint inhibitor-induced cardiac dysfunction: comparison of PD-1 inhibitor treated C57BL/6J and BALB/c mice
Tamás Gergely1,2,3, Dániel Kucsera1,2,3, Viktória E. Tóth1,2,3, Balázs Petrovich1, Bence Ágg1, Mihály Ruppert4, Zsófia Onódi1,2,3, Tamás Radovits4, Béla Merkely4, Péter Ferdinandy1,5, Zoltán V. Varga1,2,3
1Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary
2HCEMM-SU Cardiometabolic Immunology Research Group, Budapest, Hungary
3MTA-SE Momentum Cardio-Oncology and Cardioimmunology Research Group, Budapest, Hungary
4Heart and Vascular Center, Semmelweis University, Budapest, Hungary
5Pharmahungary Group, Szeged, Hungary
Poszter
Translational Medicine I. (Poster discussion will take place on the terrace of the room during the Coffee Break)
English
Theoretical and Translational Medicine
Aims: Immune checkpoint inhibitors (ICI), such as anti-PD-1 monoclonal antibodies, have revolutionized the treatment of several malignancies by enhancing cytotoxic effects of T cells against tumours. However, enhanced T cell activity may cause myocarditis and cardiotoxicity. Nevertheless, our understanding of the mechanisms to ICI-induced cardiotoxicity are limited. We aimed to investigate the effect of PD-1 inhibition on cardiac function and to explore the molecular mechanisms of ICI-induced cardiotoxicity.
Method: C57BL6/J and BALB/c mice were treated with isotype control or anti-PD-1 antibody.
Echocardiography was used to assess cardiac function. Cardiac transcriptomic changes were investigated by bulk RNA sequencing and validated by qRT-PCR. Inflammatory changes were assessed by qRT-PCR and immunohistochemistry in the heart, thymus and spleen of the animals, respectively. Cardiac 3-nitrotyrosin immunohistochemistry was performed to determine nitrosative stress.
Results: Anti-PD-1 treatment led to cardiac dysfunction and left ventricular dilation in C57BL/6J mice, with increased nitrosative stress. Only mild inflammation was observed in the heart, however, PD-1 inhibition resulted in enhanced thymic inflammatory signalling, where Il17a increased most prominently. In BALB/c mice, cardiac dysfunction was not evident, and thymic inflammatory activation was more balanced, with the increase of anti-inflammatory Il10 expression. Comparing myocardial transcriptomic changes in C57BL/6J and BALB/c mice, differentially regulated genes (Dmd, Ass1, Chrm2, Nfkbia, Stat3, Gsk3b, Cxcl9, Fxyd2, Ldb3) were revealed, related to cardiac structure, signalling and inflammation.
Conclusion: ICI-induced cardiac dysfunction presents with distinct myocardial transcriptomic profile and inflammatory signalling of the thymus, while the response to PD-1 inhibition differs across mouse strains.
Funding: The work was supported by the European Union’s Horizon 2020 Research and Innovation Programme under grant agreement no. 739593. TG was supported by “Semmelweis 250+ Kiválósági PhD Ösztöndíj” (EFOP-3.6.3-VEKOP-16-2017-00009) and by Gedeon Richter Talentum Foundation’s scholarship.
Semmelweis University, Doctoral School of Pharmaceutical Sciences
Dr. Varga Zoltán
I do not give consent to the publication of my abstract on the website of the congress.
Szabad
elfogadva
poszter
nem rendelkezett róla
6119
11:20
11:25
Tamás Gergely1,2,3, Dániel Kucsera1,2,3, Viktória E. Tóth1,2,3, Balázs Petrovich1, Bence Ágg1, Mihály Ruppert4, Zsófia Onódi1,2,3, Tamás Radovits4, Béla Merkely4, Péter Ferdinandy1,5, Zoltán V. Varga1,2,3
1Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary
2HCEMM-SU Cardiometabolic Immunology Research Group, Budapest, Hungary
3MTA-SE Momentum Cardio-Oncology and Cardioimmunology Research Group, Budapest, Hungary
4Heart and Vascular Center, Semmelweis University, Budapest, Hungary
5Pharmahungary Group, Szeged, Hungary