Cyclophosphamide Chemotherapy Sensitizes Tumor Cells to TRAIL-Dependent CD8 T Cell-Mediated Immune Attack Resulting in Suppression of Tumor Growth

Robbert Van Der Most, Andrew Currie, Amanda Cleaver, Joanne Salmons, Anna Nowak, Sathish Mahendran, I. Larma, A. Prosser, Bruce Robinson, M.J. Smyth, Tony Scalzo, Mariapia Degli-Esposti, Richard Lake

Research output: Contribution to journalArticlepeer-review

90 Citations (Scopus)

Abstract

Background: Anti-cancer chemotherapy can be simultaneously lymphodepleting and immunostimulatory. Pre-clinicalmodels clearly demonstrate that chemotherapy can synergize with immunotherapy, raising the question how the immunesystem can be mobilized to generate anti-tumor immune responses in the context of chemotherapy.Methods and Findings: We used a mouse model of malignant mesothelioma, AB1-HA, to investigate T cell-dependenttumor resolution after chemotherapy. Established AB1-HA tumors were cured by a single dose of cyclophosphamide in aCD8 T cell- and NK cell-dependent manner. This treatment was associated with an IFN-a/b response and a profoundnegative impact on the anti-tumor and total CD8 T cell responses. Despite this negative effect, CD8 T cells were essential forcurative responses. The important effector molecules used by the anti-tumor immune response included IFN-c and TRAIL.The importance of TRAIL was supported by experiments in nude mice where the lack of functional T cells could becompensated by agonistic anti-TRAIL-receptor (DR5) antibodies.Conclusion: The data support a model in which chemotherapy sensitizes tumor cells for T cell-, and possibly NK cell-,mediated apoptosis. A key role of tumor cell sensitization to immune attack is supported by the role of TRAIL in tumorresolution and
Original languageEnglish
Pages (from-to)Article number e6982, 11pp
JournalPLoS One
Volume4
Issue number9
DOIs
Publication statusPublished - 2009

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