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The requested article was not found.

Chemotherapy enhances tumor cell susceptibility to CTL-mediated killing during cancer immunotherapy in mice
Rupal Ramakrishnan, … , Esteban Celis, Dmitry I. Gabrilovich
Rupal Ramakrishnan, … , Esteban Celis, Dmitry I. Gabrilovich
Published March 15, 2010
Citation Information: J Clin Invest. 2010;120(4):1111-1124. https://doi.org/10.1172/JCI40269.
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Research Article Oncology

Chemotherapy enhances tumor cell susceptibility to CTL-mediated killing during cancer immunotherapy in mice

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Abstract

Cancer immunotherapy faces a serious challenge because of low clinical efficacy. Recently, a number of clinical studies have reported the serendipitous finding of high rates of objective clinical response when cancer vaccines are combined with chemotherapy in patients with different types of cancers. However, the mechanism of this phenomenon remains unclear. Here, we tested in mice several cancer vaccines and an adoptive T cell transfer approach to cancer immunotherapy in combination with several widely used chemotherapeutic drugs. We found that chemotherapy made tumor cells more susceptible to the cytotoxic effect of CTLs through a dramatic perforin-independent increase in permeability to GrzB released by the CTLs. This effect was mediated via upregulation of mannose-6-phosphate receptors on the surface of tumor cells and was observed in mouse and human cells. When combined with chemotherapy, CTLs raised against specific antigens were able to induce apoptosis in neighboring tumor cells that did not express those antigens. These data suggest that small numbers of CTLs could mediate a potent antitumor effect when combined with chemotherapy. In addition, these results provide a strong rationale for combining these modalities for the treatment of patients with advanced cancers.

Authors

Rupal Ramakrishnan, Deepak Assudani, Srinivas Nagaraj, Terri Hunter, Hyun-Il Cho, Scott Antonia, Soner Altiok, Esteban Celis, Dmitry I. Gabrilovich

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Figure 6

The role of MPR in the synergistic effect of chemotherapy and CTLs.

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The role of MPR in the synergistic effect of chemotherapy and CTLs.
(A) ...
(A) EL-4, 4T1, or 86M1 tumor cells were treated with 12.5 nM TAX, 25 ng/ml CIS, or 25 ng/ml DOX for 18 hours. Cells were washed, blocked with 10% mouse or human serum for 20 minutes at 4°C, and incubated with 1:100 vol/vol cation-independent MPR antibody (Abcam) followed by staining with goat anti-rabbit IgG Alexa Fluor 647. The cells were washed and acquired on a FACSCalibur flow cytometer. The MFI is shown. Data from 1 of 2 experiments with the same results are shown. (B and C) To block MPR, M6P (Sigma-Aldrich) was used at a concentration of 20 mM. 86M1 (B) or EL-4 (C) cells were treated with TAX, CIS, or DOX as described above. The cells were incubated with M6P for 15 minutes at room temperature. After 2 washes, the cells were incubated with recombinant human (B) or mouse (C) GrzB for 2 hours. The cells were permeabilized and labeled with anti–mouse GrzB–Alexa 647 or anti–human GrzB–PE. Two experiments with the same results were performed. (D) EL-4 cells were treated with TAX and loaded with control or specific peptides as described in Methods. In the last 15 minutes of peptide loading, one-half of the cells from each treatment group were incubated with 20 mM M6P. The cells were washed and incubated with DDAO-SE–labeled activated OT-1 T cells at a 1:15 ratio. After 1.5 hours, incubated cells were labeled with Annexin V–FITC and 7AAD. DDAO-SE–negative tumor cells were gated and apoptosis measured by flow cytometry. Three experiments with the same results were performed. (E) Neu-specific T cells were generated by immunization of mice as described in Methods and used as effector cells in CTL assay. 4T1 and 4T1-Neu tumor cells were treated with TAX and M6P as described above and used as targets in 51Cr release assay. Experiments were performed in duplicate. Data are presented as mean ± SEM.

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