Immunotherapy response modeling by ex-vivo organ culture for lung cancer.
B7-H1 Antigen
/ immunology
Biomarkers, Tumor
/ immunology
CD4 Antigens
/ immunology
CD8 Antigens
/ immunology
CTLA-4 Antigen
/ immunology
Carcinoma, Non-Small-Cell Lung
/ immunology
Forkhead Transcription Factors
/ immunology
Humans
Immunohistochemistry
/ methods
Immunologic Factors
/ immunology
Immunotherapy
/ methods
Interferon-gamma
/ immunology
Lung Neoplasms
/ immunology
Organ Culture Techniques
/ methods
Tumor Microenvironment
/ immunology
Anti-CTLA4
Anti-PD-L1
Early-stage NSCLC
IFNγ
Tumor-microenvironment
Journal
Cancer immunology, immunotherapy : CII
ISSN: 1432-0851
Titre abrégé: Cancer Immunol Immunother
Pays: Germany
ID NLM: 8605732
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
13
07
2020
accepted:
09
12
2020
pubmed:
24
1
2021
medline:
27
7
2021
entrez:
23
1
2021
Statut:
ppublish
Résumé
One of the major hurdles for the advancement of cancer immunotherapy is lack of robust, accessible experimental models. We aimed to produce an ex-vivo organ culture (EVOC) model of immunotherapy for non-small cell lung cancer (NSCLC). Freshly resected early stage tumors were collected from the operating room, fragmented to clusters < 450 µm and cultured with fetal calf serum and human autologous serum. The resulting EVOC includes cancer epithelial cells within tumor tissue clusters and immune cells. Original tissue features are reflected in the EVOCs. The response to immune checkpoint inhibitors (ICI) was assessed by IFNγ gene induction. Interestingly, IFNγ EVOC induction was numerically higher when anti-CTLA4 was added to anti-PD-L1 treatment, supporting the notion that anti-CTLA4 impacts cancer partly through tumor-resident immune cells. In parallel, immunohistochemistry (IHC) for key immune-related proteins was performed on the formalin-fixed paraffin embedded (FFPE) corresponding tumors. EVOC IFNγ induction by ICI correlated with basal non-induced IFNγ, CD8, CD4 and FOXP3 mRNA levels within EVOCs and with tumor-FFPE-IHC for CD8 and granzyme B. A weaker correlation was seen with tumor-FFPE-IHC for CD3, CD4, CD68, FOXP3 and tumor-PD-L1. Tertiary lymphoid structure density was also correlated with the ICI response. Our study provides novel data about biomarkers that correlate with ICI-induced response of early stage NSCLC. Retention of the microenvironment and minimal addition of exogenous factors suggest this model to reliably represent the original tumor. The cluster-based EVOC model we describe can provide a valuable, yet simple and widely applicable tool for the study of immunotherapy in NSCLC.
Identifiants
pubmed: 33484295
doi: 10.1007/s00262-020-02828-w
pii: 10.1007/s00262-020-02828-w
doi:
Substances chimiques
B7-H1 Antigen
0
Biomarkers, Tumor
0
CD4 Antigens
0
CD8 Antigens
0
CTLA-4 Antigen
0
Forkhead Transcription Factors
0
Immunologic Factors
0
Interferon-gamma
82115-62-6
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2223-2234Subventions
Organisme : AstraZeneca,
ID : NCR-15-11358
Organisme : Israel CancerAssociation
ID : 20190081
Organisme : Ministry of Health, State of Israel
ID : 3-14487
Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
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