Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer

Successful development of immunotherapeutic strategies for hepatocellular cancer (HCC) has been impeded by limited understanding of tumor-induced profound tolerance and lack of a clinically faithful HCC model. Recently, we developed a novel model that recapitulates typical features of human HCC. Usi...

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Main Authors: Dai Liu, Guangfu Li, Diego M. Avella, Eric T. Kimchi, Jussuf T. Kaifi, Mark P. Rubinstein, E. Ramsay Camp, Don C. Rockey, Todd D. Schell, Kevin F. Staveley-O'Carroll
Format: Article
Language:English
Published: Taylor & Francis Group 2018-01-01
Series:OncoImmunology
Subjects:
Online Access:http://dx.doi.org/10.1080/2162402X.2017.1372079
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author Dai Liu
Guangfu Li
Diego M. Avella
Eric T. Kimchi
Jussuf T. Kaifi
Mark P. Rubinstein
E. Ramsay Camp
Don C. Rockey
Todd D. Schell
Kevin F. Staveley-O'Carroll
author_facet Dai Liu
Guangfu Li
Diego M. Avella
Eric T. Kimchi
Jussuf T. Kaifi
Mark P. Rubinstein
E. Ramsay Camp
Don C. Rockey
Todd D. Schell
Kevin F. Staveley-O'Carroll
author_sort Dai Liu
collection DOAJ
description Successful development of immunotherapeutic strategies for hepatocellular cancer (HCC) has been impeded by limited understanding of tumor-induced profound tolerance and lack of a clinically faithful HCC model. Recently, we developed a novel model that recapitulates typical features of human HCC. Using this clinically relevant model, we demonstrate that tumor growth impairs host immunity and causes a profound exhaustion of tumor antigen-specific (TAS) CD8+ T cells. Increase in frequency and suppressive function of regulatory T cells (Tregs) is critically involved in this tumor-induced immune dysfunction. We further demonstrate that sunitinib suppresses Tregs and prevents tumor-induced immune tolerance, allowing TAS immunization to activate endogenous CD8+ T cells. As a result, this combinational strategy delays tumor growth. Importantly, the additional integration of exogenous naïve TAS CD8+ T cells by adoptive cell transfer (ACT) leads to the elimination of the established tumors without recurrence and promotes long-term survival of the treated mice. Mechanistically, sunitinib treatment primes the antitumor immune response by significantly decreasing Treg frequency, reducing TGF-β and IL-10 production by Tregs, and also protecting TAS CD8+ T cells from tumor-induced deletion in the setting of HCC. Taken together, sunitinib quantitatively and qualitatively modifies Tregs to overcome tumor-induced immune deficiency, suggesting the potential of sunitinib as a therapeutic immune activator for HCC control.
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spelling doaj.art-0516ffea6c534568ae9148e8f96557512022-12-21T19:37:30ZengTaylor & Francis GroupOncoImmunology2162-402X2018-01-017110.1080/2162402X.2017.13720791372079Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancerDai Liu0Guangfu Li1Diego M. Avella2Eric T. Kimchi3Jussuf T. Kaifi4Mark P. Rubinstein5E. Ramsay Camp6Don C. Rockey7Todd D. Schell8Kevin F. Staveley-O'Carroll9University of Missouri-ColumbiaUniversity of Missouri-ColumbiaUniversity of ChicagoUniversity of Missouri-ColumbiaUniversity of Missouri-ColumbiaUniversity of Missouri-ColumbiaUniversity of Missouri-ColumbiaMedical University of South CarolinaPennsylvania State University College of MedicineUniversity of Missouri-ColumbiaSuccessful development of immunotherapeutic strategies for hepatocellular cancer (HCC) has been impeded by limited understanding of tumor-induced profound tolerance and lack of a clinically faithful HCC model. Recently, we developed a novel model that recapitulates typical features of human HCC. Using this clinically relevant model, we demonstrate that tumor growth impairs host immunity and causes a profound exhaustion of tumor antigen-specific (TAS) CD8+ T cells. Increase in frequency and suppressive function of regulatory T cells (Tregs) is critically involved in this tumor-induced immune dysfunction. We further demonstrate that sunitinib suppresses Tregs and prevents tumor-induced immune tolerance, allowing TAS immunization to activate endogenous CD8+ T cells. As a result, this combinational strategy delays tumor growth. Importantly, the additional integration of exogenous naïve TAS CD8+ T cells by adoptive cell transfer (ACT) leads to the elimination of the established tumors without recurrence and promotes long-term survival of the treated mice. Mechanistically, sunitinib treatment primes the antitumor immune response by significantly decreasing Treg frequency, reducing TGF-β and IL-10 production by Tregs, and also protecting TAS CD8+ T cells from tumor-induced deletion in the setting of HCC. Taken together, sunitinib quantitatively and qualitatively modifies Tregs to overcome tumor-induced immune deficiency, suggesting the potential of sunitinib as a therapeutic immune activator for HCC control.http://dx.doi.org/10.1080/2162402X.2017.1372079hepatocellular cancer (hcc)sunitinibimmunotoleranceimmunotherapyregulatory t cell (treg)murine modelcd8+ t cellsifn-γtnf-α
spellingShingle Dai Liu
Guangfu Li
Diego M. Avella
Eric T. Kimchi
Jussuf T. Kaifi
Mark P. Rubinstein
E. Ramsay Camp
Don C. Rockey
Todd D. Schell
Kevin F. Staveley-O'Carroll
Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
OncoImmunology
hepatocellular cancer (hcc)
sunitinib
immunotolerance
immunotherapy
regulatory t cell (treg)
murine model
cd8+ t cells
ifn-γ
tnf-α
title Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
title_full Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
title_fullStr Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
title_full_unstemmed Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
title_short Sunitinib represses regulatory T cells to overcome immunotolerance in a murine model of hepatocellular cancer
title_sort sunitinib represses regulatory t cells to overcome immunotolerance in a murine model of hepatocellular cancer
topic hepatocellular cancer (hcc)
sunitinib
immunotolerance
immunotherapy
regulatory t cell (treg)
murine model
cd8+ t cells
ifn-γ
tnf-α
url http://dx.doi.org/10.1080/2162402X.2017.1372079
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