Combined mitoxantrone and anti-TGFβ treatment with PD-1 blockade enhances antitumor immunity by remodelling the tumor immune landscape in neuroblastoma.


Journal

Journal of experimental & clinical cancer research : CR
ISSN: 1756-9966
Titre abrégé: J Exp Clin Cancer Res
Pays: England
ID NLM: 8308647

Informations de publication

Date de publication:
17 Nov 2022
Historique:
received: 09 06 2022
accepted: 23 10 2022
entrez: 18 11 2022
pubmed: 19 11 2022
medline: 22 11 2022
Statut: epublish

Résumé

Poor infiltration of functioning T cells renders tumors unresponsive to checkpoint-blocking immunotherapies. Here, we identified a combinatorial in situ immunomodulation strategy based on the administration of selected immunogenic drugs and immunotherapy to sensitize poorly T-cell-infiltrated neuroblastoma (NB) to the host antitumor immune response. 975A2 and 9464D NB cell lines derived from spontaneous tumors of TH-MYCN transgenic mice were employed to study drug combinations able of enhancing the antitumor immune response using in vivo and ex vivo approaches. Migration of immune cells towards drug-treated murine-derived organotypic tumor spheroids (MDOTS) were assessed by microfluidic devices. Activation status of immune cells co-cultured with drug-treated MDOTS was evaluated by flow cytometry analysis. The effect of drug treatment on the immune content of subcutaneous or orthotopic tumors was comprehensively analyzed by flow-cytometry, immunohistochemistry and multiplex immunofluorescence. The chemokine array assay was used to detect soluble factors released into the tumor microenvironment. Patient-derived organotypic tumor spheroids (PDOTS) were generated from human NB specimens. Migration and activation status of autologous immune cells to drug-treated PDOTS were performed. We found that treatment with low-doses of mitoxantrone (MTX) recalled immune cells and promoted CD8 Combined treatment with low-dose of MTX and anti-TGFβ treatment with PD-1 blockade improves antitumor immunity by remodelling the tumor immune landscape and overcoming the immunosuppressive microenvironment of aggressive NB.

Sections du résumé

BACKGROUND BACKGROUND
Poor infiltration of functioning T cells renders tumors unresponsive to checkpoint-blocking immunotherapies. Here, we identified a combinatorial in situ immunomodulation strategy based on the administration of selected immunogenic drugs and immunotherapy to sensitize poorly T-cell-infiltrated neuroblastoma (NB) to the host antitumor immune response.
METHODS METHODS
975A2 and 9464D NB cell lines derived from spontaneous tumors of TH-MYCN transgenic mice were employed to study drug combinations able of enhancing the antitumor immune response using in vivo and ex vivo approaches. Migration of immune cells towards drug-treated murine-derived organotypic tumor spheroids (MDOTS) were assessed by microfluidic devices. Activation status of immune cells co-cultured with drug-treated MDOTS was evaluated by flow cytometry analysis. The effect of drug treatment on the immune content of subcutaneous or orthotopic tumors was comprehensively analyzed by flow-cytometry, immunohistochemistry and multiplex immunofluorescence. The chemokine array assay was used to detect soluble factors released into the tumor microenvironment. Patient-derived organotypic tumor spheroids (PDOTS) were generated from human NB specimens. Migration and activation status of autologous immune cells to drug-treated PDOTS were performed.
RESULTS RESULTS
We found that treatment with low-doses of mitoxantrone (MTX) recalled immune cells and promoted CD8
CONCLUSIONS CONCLUSIONS
Combined treatment with low-dose of MTX and anti-TGFβ treatment with PD-1 blockade improves antitumor immunity by remodelling the tumor immune landscape and overcoming the immunosuppressive microenvironment of aggressive NB.

Identifiants

pubmed: 36397148
doi: 10.1186/s13046-022-02525-9
pii: 10.1186/s13046-022-02525-9
pmc: PMC9670422
doi:

Substances chimiques

Programmed Cell Death 1 Receptor 0
Mitoxantrone BZ114NVM5P
Transforming Growth Factor beta 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

326

Informations de copyright

© 2022. The Author(s).

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Auteurs

Valeria Lucarini (V)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Ombretta Melaiu (O)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.
Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.

Silvia D'Amico (S)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Fabio Pastorino (F)

Laboratory of Experimental Therapies in Oncology, IRCCS Istituto Giannina Gaslini, 16147, Genoa, Italy.

Patrizia Tempora (P)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Marco Scarsella (M)

Flow Cytometry Core Facility, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Marco Pezzullo (M)

Research Laboratories, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Adele De Ninno (A)

CNR Institute for Photonics and Nanotechnology, Rome, 00156, Italy.

Valentina D'Oria (V)

Confocal Microscopy Core Facility, Research Center, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Michele Cilli (M)

IRCCS Ospedale Policlinico San Martino, Animal Facility, 16132, Genoa, Italy.

Laura Emionite (L)

IRCCS Ospedale Policlinico San Martino, Animal Facility, 16132, Genoa, Italy.

Paola Infante (P)

Department of Molecular Medicine, University La Sapienza, 00161, Rome, Italy.

Lucia Di Marcotullio (L)

Department of Molecular Medicine, University La Sapienza, 00161, Rome, Italy.

Maria Antonietta De Ioris (MA)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Giovanni Barillari (G)

Department of Clinical Sciences and Translational Medicine, University of Rome "Tor Vergata", Rome, Italy.

Rita Alaggio (R)

Pathology Unit, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.

Luca Businaro (L)

CNR Institute for Photonics and Nanotechnology, Rome, 00156, Italy.

Mirco Ponzoni (M)

Laboratory of Experimental Therapies in Oncology, IRCCS Istituto Giannina Gaslini, 16147, Genoa, Italy.

Franco Locatelli (F)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy.
Department of Life Sciences and Public Health, Catholic University of the Sacred Heart, 00168, Rome, Italy.

Doriana Fruci (D)

Department of Paediatric Haematology/Oncology and of Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, 00146, Rome, Italy. doriana.fruci@opbg.net.

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