Poster Session T - Cardiovascular Medicine and Research 3.
Mr. Kovács, Tamás
E3K62M
Department of Pharmacology and Pharmacotherapy, Semmelweis University
+36702285757
kovacs.tamas1@semmelweis.hu
Melanoma Subtype-dependent Cardiotoxicity to Immune Checkpoint Inhibitor Therapy
Kovács Tamás1,2,3, Paál Ágnes1,2,3, Hegedűs Zsombor1,2,3, Szabó Lilla1,2,3, Varga V. Zoltán1,2,3
1: Department of Pharmacology and Pharmacotherapy, Semmelweis University, Budapest, Hungary
2: SE Momentum Cardio-Oncology and Cardioimmunology Research Group, Budapest, Hungary
3: HCEMM-SU Cardiometabolic Immunology Research Group, Budapest, Hungary
Poszter
Poster Session T - Cardiovascular Medicine and Research 3.
English
Cardiovascular Medicine and Research
Introduction: Immune checkpoint inhibitors (ICIs) have been revolutionized cancer pharmacotherapy with unprecedented efficacy in the treatment of several malignancies. Despite the excellent therapeutic effects of ICIs, these drugs typically induce a broad spectrum of toxic reactions, mainly due to immune-related adverse events (irAEs). Out of the irAEs, the cardiovascular toxicities are the most severe form, they can be life-threatening complications. The pathomechanism of ICI-induced cardiotoxicity is mostly unknown so far. Therefore, identification of patients who are at risk to develop certain types of cardiotoxicities is currently not possible.
Aims: Our aim is to test the hypothesis, suggesting that T cells are targeting an antigen shared by the tumor and the heart in a preclinical model with two different melanoma cell lines.
Method: Immunologically “cold” B16F10 and human relevant mutations (BrafV600E/wt, Cdkn2a-/- Pten-/-) containing YUMM1.7 syngeneic melanoma cells were injected to the right flank of 8 weeks old C57Bl6 male mice. After initial tumor growth, we treated the the animals with anti-PD1 or corresponding isotype control. Cardiac specific gene expression was measured from in vivo grown tumor tissues.
Results: There is no significant difference in tumor growth between treatment groups. Based on echocardiography results, ICI treatment led to ejection fraction reduction in YUMM1.7 and no change in B16F10 group. Conversely, left ventricle mass increase was found in B16F10 and not in YUMM1.7 tumor group. We confirmed the hypertrophy with WGA and ILB4 lectin histochemistry and qPCR.
Conclusion: Our results show that anti-PD1 treatment of mice bearing different melanoma subtypes result in various phenotypes of ICI-induced cardiotoxicity. This phenotypic difference could be the consequence of different cardiac specific gene expression. More thorough testing of ICI therapy in different tumor types with gene expression analysis is needed in preclinical and clinical studies in order to develop stratification score to predict cardiac irAEs development after ICI therapy based on shared antigen hypothesis.
Funding: KT was supported by the New National Excellence Program of the Ministry for Innovation and Technology from the source of the National Research, Development and Innovation Fund (ÚNKP-23-4-I-SE-5).
Semmelweis University
Varga V. Zoltán
I do not give consent to the publication of my abstract on the website of the congress.
Szabad
elfogadva
poszter
nem rendelkezett róla
4612
16:25
16:28