Scientific article
English

Immunogenic chemotherapy sensitizes tumors to checkpoint blockade therapy

Published inImmunity, vol. 44, no. 2, p. 343-354
Publication date2016
Abstract

Checkpoint blockade immunotherapies can be extraordinarily effective, but might benefit only the minority of patients whose tumors are pre-infiltrated by T cells. Here, using lung adenocarcinoma mouse models, including genetic models, we show that autochthonous tumors that lacked T cell infiltration and resisted current treatment options could be successfully sensitized to host antitumor T cell immunity when appropriately selected immunogenic drugs (e.g., oxaliplatin combined with cyclophosphamide for treatment against tumors expressing oncogenic Kras and lacking Trp53) were used. The antitumor response was triggered by direct drug actions on tumor cells, relied on innate immune sensing through toll-like receptor 4 signaling, and ultimately depended on CD8(+) T cell antitumor immunity. Furthermore, instigating tumor infiltration by T cells sensitized tumors to checkpoint inhibition and controlled cancer durably. These findings indicate that the proportion of cancers responding to checkpoint therapy can be feasibly and substantially expanded by combining checkpoint blockade with immunogenic drugs.

Keywords
  • Adenocarcinoma/immunology/therapy
  • Animals
  • CD8-Positive T-Lymphocytes/drug effects
  • Cell Line
  • Tumor
  • Central Nervous System Sensitization/drug effects
  • Cyclophosphamide/administration & dosage
  • Disease Models
  • Animal
  • Drug Therapy/methods
  • Genes
  • Cdc/drug effects
  • Humans
  • Immunity
  • Innate
  • Immunotherapy/methods
  • Lung Neoplasms/immunology/therapy
  • Lymphocytes
  • Tumor-Infiltrating/drug effects
  • Mice
  • Mice
  • Inbred BALB C
  • Mice
  • Inbred C57BL
  • Mice
  • Knockout
  • Organoplatinum Compounds/administration & dosage
  • Oxaliplatin
  • Toll-Like Receptor 4/metabolism
Affiliation entities Not a UNIGE publication
Citation (ISO format)
PFIRSCHKE, Christina et al. Immunogenic chemotherapy sensitizes tumors to checkpoint blockade therapy. In: Immunity, 2016, vol. 44, n° 2, p. 343–354. doi: 10.1016/j.immuni.2015.11.024
Main files (1)
Article (Published version)
accessLevelRestricted
Identifiers
Journal ISSN1074-7613
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