Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model

In many solid tumors including triple‐negative breast cancer (TNBC), upregulation of the interleukin‐4 receptor (IL‐4R) has been shown to promote cancer cell proliferation, apoptotic resistance, metastatic potential, and a Th2 response in the tumor microenvironment (TME). Since immunosuppressive cel...

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Main Authors: Sadiya Parveen, Sumit Siddharth, Laurene S. Cheung, Alok Kumar, Jessica Shen, John R. Murphy, Dipali Sharma, William R. Bishai
Format: Article
Language:English
Published: Wiley 2021-05-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.12938
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author Sadiya Parveen
Sumit Siddharth
Laurene S. Cheung
Alok Kumar
Jessica Shen
John R. Murphy
Dipali Sharma
William R. Bishai
author_facet Sadiya Parveen
Sumit Siddharth
Laurene S. Cheung
Alok Kumar
Jessica Shen
John R. Murphy
Dipali Sharma
William R. Bishai
author_sort Sadiya Parveen
collection DOAJ
description In many solid tumors including triple‐negative breast cancer (TNBC), upregulation of the interleukin‐4 receptor (IL‐4R) has been shown to promote cancer cell proliferation, apoptotic resistance, metastatic potential, and a Th2 response in the tumor microenvironment (TME). Since immunosuppressive cells in the TME and spleen including myeloid‐derived suppressor cells (MDSCs) and tumor‐associated macrophages (TAMs) also express the IL‐4R, we hypothesized that selective depletion of IL‐4R‐bearing cells in TNBC would result in the direct killing of tumor cells and the depletion of immunosuppressive cells and lead to an enhanced antitumor response. To selectively target IL‐4R+ cells, we employed DABIL‐4, a fusion protein toxin consisting of the catalytic and translocation domains of diphtheria toxin fused to murine IL‐4. As anticipated, DABIL‐4 has potent cytotoxic activity against TNBC cells both in vitro and in vivo. We demonstrate in the murine 4T1 TNBC model that DABIL‐4 significantly reduces tumor growth, splenomegaly, and lung metastases. Importantly, we also show that the administration of DABIL‐4 results in the selective depletion of MDSCs, TAMs, and regulatory T cells in treated mice, with a concomitant increase in IFN‐γ+ CD8 effector T cells in the TME. Since the 4T1 antitumor activity of DABIL‐4 was largely diminished in IL‐4R knockout mice, we postulate that DABIL‐4 functions primarily as an immunotherapeutic by the depletion of MDSCs, TAMs, and regulatory T cells. NanoString analysis of control and treated tumors confirmed and extended these observations by showing a marked decline of mRNA transcripts that are associated with tumorigenesis and metastasis. In conclusion, we demonstrate that DABIL‐4 targeting of both tumor and immunosuppressive host cells likely represents a novel and effective treatment strategy for 4T1 TNBC and warrants further study.
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spelling doaj.art-065aff525a494219bfd3fbcc76e116b82022-12-21T21:35:47ZengWileyMolecular Oncology1574-78911878-02612021-05-011551330134410.1002/1878-0261.12938Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer modelSadiya Parveen0Sumit Siddharth1Laurene S. Cheung2Alok Kumar3Jessica Shen4John R. Murphy5Dipali Sharma6William R. Bishai7Department of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USADepartment of Oncology Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Johns Hopkins University School of Medicine Baltimore MD USADepartment of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USADepartment of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USADepartment of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USADepartment of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USADepartment of Oncology Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Johns Hopkins University School of Medicine Baltimore MD USADepartment of Medicine Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore MD USAIn many solid tumors including triple‐negative breast cancer (TNBC), upregulation of the interleukin‐4 receptor (IL‐4R) has been shown to promote cancer cell proliferation, apoptotic resistance, metastatic potential, and a Th2 response in the tumor microenvironment (TME). Since immunosuppressive cells in the TME and spleen including myeloid‐derived suppressor cells (MDSCs) and tumor‐associated macrophages (TAMs) also express the IL‐4R, we hypothesized that selective depletion of IL‐4R‐bearing cells in TNBC would result in the direct killing of tumor cells and the depletion of immunosuppressive cells and lead to an enhanced antitumor response. To selectively target IL‐4R+ cells, we employed DABIL‐4, a fusion protein toxin consisting of the catalytic and translocation domains of diphtheria toxin fused to murine IL‐4. As anticipated, DABIL‐4 has potent cytotoxic activity against TNBC cells both in vitro and in vivo. We demonstrate in the murine 4T1 TNBC model that DABIL‐4 significantly reduces tumor growth, splenomegaly, and lung metastases. Importantly, we also show that the administration of DABIL‐4 results in the selective depletion of MDSCs, TAMs, and regulatory T cells in treated mice, with a concomitant increase in IFN‐γ+ CD8 effector T cells in the TME. Since the 4T1 antitumor activity of DABIL‐4 was largely diminished in IL‐4R knockout mice, we postulate that DABIL‐4 functions primarily as an immunotherapeutic by the depletion of MDSCs, TAMs, and regulatory T cells. NanoString analysis of control and treated tumors confirmed and extended these observations by showing a marked decline of mRNA transcripts that are associated with tumorigenesis and metastasis. In conclusion, we demonstrate that DABIL‐4 targeting of both tumor and immunosuppressive host cells likely represents a novel and effective treatment strategy for 4T1 TNBC and warrants further study.https://doi.org/10.1002/1878-0261.12938DABIL‐4diphtheria fusion toxinIL‐4Rmyeloid‐derived suppressor cellstriple‐negative breast cancertumor‐associated macrophages
spellingShingle Sadiya Parveen
Sumit Siddharth
Laurene S. Cheung
Alok Kumar
Jessica Shen
John R. Murphy
Dipali Sharma
William R. Bishai
Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
Molecular Oncology
DABIL‐4
diphtheria fusion toxin
IL‐4R
myeloid‐derived suppressor cells
triple‐negative breast cancer
tumor‐associated macrophages
title Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
title_full Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
title_fullStr Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
title_full_unstemmed Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
title_short Therapeutic targeting with DABIL‐4 depletes myeloid suppressor cells in 4T1 triple‐negative breast cancer model
title_sort therapeutic targeting with dabil 4 depletes myeloid suppressor cells in 4t1 triple negative breast cancer model
topic DABIL‐4
diphtheria fusion toxin
IL‐4R
myeloid‐derived suppressor cells
triple‐negative breast cancer
tumor‐associated macrophages
url https://doi.org/10.1002/1878-0261.12938
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