RT Journal Article SR Electronic T1 Thymosin α1 protects from CTLA-4 intestinal immunopathology JF Life Science Alliance JO Life Sci. Alliance FD Life Science Alliance LLC SP e202000662 DO 10.26508/lsa.202000662 VO 3 IS 10 A1 Giorgia Renga A1 Marina M Bellet A1 Marilena Pariano A1 Marco Gargaro A1 Claudia Stincardini A1 Fiorella D’Onofrio A1 Paolo Mosci A1 Stefano Brancorsini A1 Andrea Bartoli A1 Allan L Goldstein A1 Enrico Garaci A1 Luigina Romani A1 Claudio Costantini YR 2020 UL https://www.life-science-alliance.org/content/3/10/e202000662.abstract AB The advent of immune checkpoint inhibitors has represented a major boost in cancer therapy, but safety concerns are increasingly being recognized. Indeed, although beneficial at the tumor site, unlocking a safeguard mechanism of the immune response may trigger autoimmune-like effects at the periphery, thus making the safety of immune checkpoint inhibitors a research priority. Herein, we demonstrate that thymosin α1 (Tα1), an endogenous peptide with immunomodulatory activities, can protect mice from intestinal toxicity in a murine model of immune checkpoint inhibitor–induced colitis. Specifically, Tα1 efficiently prevented immune adverse pathology in the gut by promoting the indoleamine 2,3-dioxygenase (IDO) 1–dependent tolerogenic immune pathway. Notably, Tα1 did not induce IDO1 in the tumor microenvironment, but rather modulated the infiltration of T-cell subsets by inverting the ratio between CD8+ and Treg cells, an effect that may depend on Tα1 ability to regulate the differentiation and chemokine expression profile of DCs. Thus, through distinct mechanisms that are contingent upon the context, Tα1 represents a plausible candidate to improve the safety/efficacy profile of immune checkpoint inhibitors.