J Immunother Cancer. 2015 Mar 24;3:6. doi: 10.1186/s40425-015-0050-8. eCollection 2015.
Combination of IFNα and poly-I:C reprograms bladder cancer microenvironment for enhanced CTL attraction.
Journal for immunotherapy of cancer
Ravikumar Muthuswamy, Liwen Wang, Jamie Pitteroff, Jeffrey R Gingrich, Pawel Kalinski
Affiliations
Affiliations
- Departments of Sugery, University of Pittsburgh, Pittsburgh, PA 15213 USA.
- Department of Urology, University of Pittsburgh, Pittsburgh, PA 15213 USA.
- Departments of Sugery, University of Pittsburgh, Pittsburgh, PA 15213 USA ; Department of Infectious Diseases and Microbiology, University of Pittsburgh, Pittsburgh, PA 15213 USA ; Department of Immunology, University of Pittsburgh, Pittsburgh, PA 15213 USA ; University of Pittsburgh Cancer Institute, Pittsburgh, PA 15213 USA ; Department of Surgery, University of Pittsburgh, Hillman Cancer Center, UPCI Research Pavilion, Room 1.46b, 5117 Center Avenue, Pittsburgh, PA 15213 USA.
PMID: 25806105
PMCID: PMC4371844 DOI: 10.1186/s40425-015-0050-8
Abstract
BACKGROUND: BCG is a prototypal cancer immunotherapeutic factor currently approved of bladder cancer. In attempt to further enhance the effectiveness of immunotherapy of bladder cancer and, potentially, other malignancies, we evaluated the impact of BCG on local production of chemokines attracting the desirable effector CD8(+) T cells (CTLs) and undesirable myeloid-derived suppressor cell (MDSCs) and regulatory T(reg) cells, and the ability of bladder cancer tissues to attract CTLs.
METHODS: Freshly resected bladder cancer tissues were either analyzed immediately or cultured ex vivo in the absence or presence of the tested factors. The expression of chemokine genes, secretion of chemokines and their local sources in freshly harvested and ex vivo-treated tumor explants were analyzed by quantitative PCR (Taqman), ELISAs and immunofluorescence/confocal microscopy. Migration of CTLs was evaluated ex vivo, using 24-transwell plates. Spearman correlation was used for correlative analysis, while paired Students T test or Wilcoxon was used for statistical analysis of the data.
RESULTS: Bladder cancer tissues spontaneously expressed high levels of the granulocyte/MDSC-attractant CXCL8 and Treg-attractant CCL22, but only marginal levels of the CTL-attracting chemokines: CCL5, CXCL9 and CXCL10. Baseline CXCL10 showed strong correlation with local expression of CTL markers. Unexpectedly, BCG selectively induced only the undesirable chemokines, CCL22 and CXCL8, but had only marginal impact on CXCL10 production. In sharp contrast, the combination of IFNα and a TLR3 ligand, poly-I:C (but not the combinations of BCG with IFNα or BCG with poly-I:C), induced high levels of intra-tumoral production of CXCL10 and promoted CTL attraction. The combination of BCG with IFNα + poly-I:C regimen did not show additional advantage.
CONCLUSIONS: The current data indicate that suboptimal ability of BCG to reprogram cancer-associated chemokine environment may be a factor limiting its therapeutic activity. Our observations that the combination of BCG with (or replacement by) IFNα and poly-I:C allows to reprogram bladder cancer tissues for enhanced CTL entry may provide for new methods of improving the effectiveness of immunotherapy of bladder cancer, helping to extend BCG applications to its more advanced forms, and, potentially, other diseases.
Keywords: BCG; Bladder cancer; Chemokines; Effector T cells; IFNα; Immunomodulation; Poly-I :C; Regulatory T cells; TLR3; Tumor microenvironment
References
- N Engl J Med. 2005 Dec 22;353(25):2654-66 - PubMed
- Cancer Res. 2011 Dec 15;71(24):7463-70 - PubMed
- J Pathol. 2009 Jan;217(1):21-31 - PubMed
- Cancer Res. 2007 Jan 1;67(1):354-61 - PubMed
- Int J Cancer. 2014 May 15;134(10):2393-402 - PubMed
- Cell Immunol. 2009;256(1-2):12-8 - PubMed
- Int J Cancer. 2010 Nov 15;127(10):2300-12 - PubMed
- J Leukoc Biol. 2003 Aug;74(2):277-86 - PubMed
- J Clin Oncol. 2011 May 20;29(15):1949-55 - PubMed
- Nat Med. 2004 Sep;10(9):942-9 - PubMed
- J Immunol. 2010 Jan 15;184(2):591-7 - PubMed
- Int J Oncol. 2005 Jan;26(1):41-7 - PubMed
- J Urol. 2010 Nov;184(5):1915-9 - PubMed
- Cancer Res. 2004 Nov 15;64(22):8451-5 - PubMed
- PLoS One. 2012;7(6):e38711 - PubMed
- Cell Immunol. 2007 Feb;245(2):111-8 - PubMed
- Cancer Res. 2012 Aug 1;72(15):3735-43 - PubMed
- BMC Cancer. 2013 Jul 05;13:332 - PubMed
- Immunol Invest. 2012;41(6-7):635-57 - PubMed
- Proc Natl Acad Sci U S A. 2007 Mar 6;104(10):3967-72 - PubMed
- Science. 2006 Sep 29;313(5795):1960-4 - PubMed
- Clin Cancer Res. 2015 Jan 15;21(2):303-11 - PubMed
- J Urol. 2009 Apr;181(4):1571-80 - PubMed
- Clin Cancer Res. 2010 Dec 15;16(24):6122-31 - PubMed
- J Urol. 2008 Jan;179(1):53-6 - PubMed
- Cancer Res. 2009 Apr 1;69(7):3077-85 - PubMed
- Cancer Immunol Immunother. 2010 Oct;59(10):1543-9 - PubMed
- Nat Immunol. 2009 Nov;10(11):1200-7 - PubMed
- Oncoimmunology. 2012 Sep 1;1(6):829-839 - PubMed
- Cancer Cell. 2013 Nov 11;24(5):631-44 - PubMed
- BMC Urol. 2012 Jun 13;12:18 - PubMed
- J Urol. 2002 Feb;167(2 Pt 2):891-3; discussion 893-5 - PubMed
- J Immunol. 2012 Feb 1;188(3):1019-26 - PubMed
- J Clin Oncol. 2009 Dec 10;27(35):5944-51 - PubMed
- J Immunol. 2013 Jun 15;190(12):6673-80 - PubMed
- Proc Natl Acad Sci U S A. 2005 Dec 20;102(51):18538-43 - PubMed
- J Urol. 2005 Mar;173(3):990-5 - PubMed
- Nat Rev Cancer. 2012 Mar 15;12 (4):298-306 - PubMed
- Urol Oncol. 2014 Jan;32(1):35.e21-30 - PubMed
- Gastroenterology. 2010 Apr;138(4):1429-40 - PubMed
- Cancer Res. 2008 Jul 15;68(14):5972-8 - PubMed
- Urol Oncol. 2009 May-Jun;27(3):258-62 - PubMed
- Hum Pathol. 2004 Jul;35(7):808-16 - PubMed
- J Immunol. 2000 May 1;164(9):4507-12 - PubMed
Publication Types
Grant support