Exploiting the surgical wound healing response to improve immune checkpoint therapy

Breana Weston

Research output: ThesisDoctoral Thesis

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Abstract

Recurrence of primary tumours after surgical resection of solid cancers is still a significant challenge. Understanding what effects the biological and immunological pathways invoked by surgery have on local tumor immune responses can help guide use of immunotherapy. Here, we found that there is a rapid, but transient expression of inflammatory cytokines and an influx of PD-L1+ neutrophils into the tumor/wound. Importantly, the timing of surgery in relation to the administration of ICB drastically altered the outcome, with neoadjuvant therapy significantly increasing the response. Neoadjuvant ICB prevented surgery-induced immune suppression while improving leukocyte migration and CD8+ T-cell activation, which was neutrophil dependent.
Original languageEnglish
QualificationDoctor of Philosophy
Awarding Institution
  • The University of Western Australia
Supervisors/Advisors
  • Lesterhuis, Joost, Supervisor, External person
  • Lassmann, Timo, Supervisor
  • Zemek, Rachael, Supervisor
Thesis sponsors
Award date15 Nov 2024
DOIs
Publication statusUnpublished - 2024

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