Immunotherapy response modeling by ex-vivo organ culture for lung cancer.


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
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

2223-2234

Subventions

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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Auteurs

Iris Kamer (I)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel.

Elizabeta Bab-Dinitz (E)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel.

Oranit Zadok (O)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel.

Efrat Ofek (E)

Pathology Department, Sheba Medical Center, Ramat Gan, Israel.

Teodor Gottfried (T)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel.

Inbal Daniel-Meshulam (I)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel.

Goni Hout-Siloni (G)

Pathology Department, Sheba Medical Center, Ramat Gan, Israel.

Alon Ben Nun (A)

Thoracic Surgery Department, Sheba Medical Center, Ramat Gan, Israel.
Affiliated with Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Thoracic Surgery Department, Assuta Medical Center, Tel Aviv, Israel.

Iris Barshack (I)

Pathology Department, Sheba Medical Center, Ramat Gan, Israel.
Affiliated with Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Amir Onn (A)

Pulmonology Institute, Sheba Medical Center, Ramat Gan, Israel.
Affiliated with Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Jair Bar (J)

Institute of Oncology, Sheba Medical Center, Tel Hashomer, 52620000, Ramat Gan, Israel. Bar.jair@gmail.com.
Affiliated with Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel. Bar.jair@gmail.com.

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