Dose-Specific Intratumoral GM-CSF Modulates Breast Tumor Oxygenation and Antitumor Immunity.


Journal

Journal of immunology (Baltimore, Md. : 1950)
ISSN: 1550-6606
Titre abrégé: J Immunol
Pays: United States
ID NLM: 2985117R

Informations de publication

Date de publication:
15 11 2023
Historique:
received: 11 05 2023
accepted: 11 09 2023
pmc-release: 15 11 2024
medline: 8 11 2023
pubmed: 27 9 2023
entrez: 27 9 2023
Statut: ppublish

Résumé

GM-CSF has been employed as an adjuvant to cancer immunotherapy with mixed results based on dosage. We previously showed that GM-CSF regulated tumor angiogenesis by stimulating soluble vascular endothelial growth factor (VEGF) receptor-1 from monocytes/macrophages in a dose-dependent manner that neutralized free VEGF, and intratumoral injections of high-dose GM-CSF ablated blood vessels and worsened hypoxia in orthotopic polyoma middle T Ag (PyMT) triple-negative breast cancer (TNBC). In this study, we assessed both immunoregulatory and oxygen-regulatory components of low-dose versus high-dose GM-CSF to compare effects on tumor oxygen, vasculature, and antitumor immunity. We performed intratumoral injections of low-dose GM-CSF or saline controls for 3 wk in FVB/N PyMT TNBC. Low-dose GM-CSF uniquely reduced tumor hypoxia and normalized tumor vasculature by increasing NG2+ pericyte coverage on CD31+ endothelial cells. Priming of "cold," anti-PD1-resistant PyMT tumors with low-dose GM-CSF (hypoxia reduced) sensitized tumors to anti-PD1, whereas high-dose GM-CSF (hypoxia exacerbated) did not. Low-dose GM-CSF reduced hypoxic and inflammatory tumor-associated macrophage (TAM) transcriptional profiles; however, no phenotypic modulation of TAMs or tumor-infiltrating lymphocytes were observed by flow cytometry. In contrast, high-dose GM-CSF priming increased infiltration of TAMs lacking the MHC class IIhi phenotype or immunostimulatory marker expression, indicating an immunosuppressive phenotype under hypoxia. However, in anti-PD1 (programmed cell death 1)-susceptible BALB/c 4T1 tumors (considered hot versus PyMT), high-dose GM-CSF increased MHC class IIhi TAMs and immunostimulatory molecules, suggesting disparate effects of high-dose GM-CSF across PyMT versus 4T1 TNBC models. Our data demonstrate a (to our knowledge) novel role for low-dose GM-CSF in reducing tumor hypoxia for synergy with anti-PD1 and highlight why dosage and setting of GM-CSF in cancer immunotherapy regimens require careful consideration.

Identifiants

pubmed: 37756529
pii: 265942
doi: 10.4049/jimmunol.2300326
pmc: PMC10656117
mid: NIHMS1931840
doi:

Substances chimiques

Granulocyte-Macrophage Colony-Stimulating Factor 83869-56-1
Vascular Endothelial Growth Factor A 0
Oxygen S88TT14065

Types de publication

Journal Article Research Support, Non-U.S. Gov't Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

1589-1604

Subventions

Organisme : NIBIB NIH HHS
ID : R00 EB023990
Pays : United States
Organisme : NCRR NIH HHS
ID : P20 RR016440
Pays : United States
Organisme : NIBIB NIH HHS
ID : R01 EB032321
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM133369
Pays : United States
Organisme : NCRR NIH HHS
ID : P30 RR032138
Pays : United States
Organisme : NIGMS NIH HHS
ID : U54 GM104942
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM121322
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA016058
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA192064
Pays : United States
Organisme : NIGMS NIH HHS
ID : P30 GM103488
Pays : United States
Organisme : NINDS NIH HHS
ID : R21 NS125056
Pays : United States
Organisme : NIBIB NIH HHS
ID : R01 EB023888
Pays : United States
Organisme : NIH HHS
ID : S10 OD016165
Pays : United States
Organisme : NIAID NIH HHS
ID : R56 AI167972
Pays : United States
Organisme : NCI NIH HHS
ID : R01 CA194013
Pays : United States
Organisme : NIGMS NIH HHS
ID : P20 GM103434
Pays : United States
Organisme : NIBIB NIH HHS
ID : R21 EB030228
Pays : United States

Informations de copyright

Copyright © 2023 by The American Association of Immunologists, Inc.

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Auteurs

Nicole E Mihalik (NE)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
WVU Cancer Institute, West Virginia University, Morgantown, WV.

Kayla J Steinberger (KJ)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
WVU Cancer Institute, West Virginia University, Morgantown, WV.

Alyson M Stevens (AM)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
WVU Cancer Institute, West Virginia University, Morgantown, WV.

Andrey A Bobko (AA)

WVU Cancer Institute, West Virginia University, Morgantown, WV.
Department of Biochemistry and Molecular Medicine, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.

E Hannah Hoblitzell (EH)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.

Oxana Tseytlin (O)

Department of Biochemistry and Molecular Medicine, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.

Halima Akhter (H)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
Bioinformatics Core, West Virginia University, Morgantown, WV.
Department of Computer Science and Electrical Engineering, West Virginia University, Morgantown, WV.

Sebastian A Dziadowicz (SA)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
Bioinformatics Core, West Virginia University, Morgantown, WV.

Lei Wang (L)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
Bioinformatics Core, West Virginia University, Morgantown, WV.

Ryan C O'Connell (RC)

Department of Biochemistry and Molecular Medicine, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.

Kelly L Monaghan (KL)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.

Gangqing Hu (G)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
Bioinformatics Core, West Virginia University, Morgantown, WV.

Xiaokui Mo (X)

Center for Biostatistics, Department of Biomedical Informatics, The Ohio State University, Columbus, OH.

Valery V Khramtsov (VV)

WVU Cancer Institute, West Virginia University, Morgantown, WV.
Department of Biochemistry and Molecular Medicine, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.
West Virginia Clinical and Translational Science Institute, West Virginia University, Morgantown WV.

Mark Tseytlin (M)

WVU Cancer Institute, West Virginia University, Morgantown, WV.
Department of Biochemistry and Molecular Medicine, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.

Benoit Driesschaert (B)

WVU Cancer Institute, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.
West Virginia Clinical and Translational Science Institute, West Virginia University, Morgantown WV.
Department of Pharmaceutical Sciences, West Virginia University, Morgantown, WV.
C. Eugene Bennet Department of Chemistry, West Virginia University, Morgantown, WV.

Edwin C K Wan (ECK)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
Department of Neuroscience, West Virginia University, Morgantown, WV.

Timothy D Eubank (TD)

Department of Microbiology, Immunology, and Cell Biology, West Virginia University, Morgantown, WV.
WVU Cancer Institute, West Virginia University, Morgantown, WV.
In Vivo Multifunctional Magnetic Resonance Center, West Virginia University, Morgantown, WV.
West Virginia Clinical and Translational Science Institute, West Virginia University, Morgantown WV.

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Classifications MeSH