Spontaneous tumor regression following COVID-19 vaccination

Vaccination against COVID-19 is critical for immuno-compromised individuals, including patients with cancer. Systemic reactogenicity, a manifestation of the innate immune response to vaccines, occurs in up to 69% of patients following vaccination with RNA-based COVID-19 vaccines. Tumor regression ca...

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Main Authors: Hui Dai, Renata Ferrarotto, Myrna Godoy, Diana Bell, Shiaw-Yih Lin, Daniel J McGrail, Luana Guimaraes de Sousa, Kaiyi Li, Mario L Marques-Piubelli, Cipriano Gonzalez, Sammy Ferri-Borgogno, Jared Burks
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/10/3/e004371.full
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author Hui Dai
Renata Ferrarotto
Myrna Godoy
Diana Bell
Shiaw-Yih Lin
Daniel J McGrail
Luana Guimaraes de Sousa
Kaiyi Li
Mario L Marques-Piubelli
Cipriano Gonzalez
Sammy Ferri-Borgogno
Jared Burks
author_facet Hui Dai
Renata Ferrarotto
Myrna Godoy
Diana Bell
Shiaw-Yih Lin
Daniel J McGrail
Luana Guimaraes de Sousa
Kaiyi Li
Mario L Marques-Piubelli
Cipriano Gonzalez
Sammy Ferri-Borgogno
Jared Burks
author_sort Hui Dai
collection DOAJ
description Vaccination against COVID-19 is critical for immuno-compromised individuals, including patients with cancer. Systemic reactogenicity, a manifestation of the innate immune response to vaccines, occurs in up to 69% of patients following vaccination with RNA-based COVID-19 vaccines. Tumor regression can occur following an intense immune-inflammatory response and novel strategies to treat cancer rely on manipulating the host immune system. Here, we report spontaneous regression of metastatic salivary gland myoepithelial carcinoma in a patient who experienced grade 3 systemic reactogenicity, following vaccination with the mRNA-1273 COVID-19 vaccine. Histological and immunophenotypic inspection of the postvaccination lung biopsy specimens showed a massive inflammatory infiltrate with scant embedded tumor clusters (<5%). Highly multiplexed imaging mass cytometry showed that the postvaccination lung metastasis samples had remarkable immune cell infiltration, including CD4+ T cells, CD8+ T cells, natural killer cells, B cells, and dendritic cells, which contrasted with very low levels of these cells in the prevaccination primary tumor and lung metastasis samples. CT scans obtained 3, 6, and 9 months after the second vaccine dose demonstrated persistent tumor shrinkage (50%, 67%, and 73% reduction, respectively), suggesting that vaccination stimulated anticancer immunity. Insight: This case suggests that the mRNA-1273 COVID-19 vaccine stimulated anticancer immunity and tumor regression.
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spelling doaj.art-20a944e1411645f5a0c30f3c4c87870d2025-02-02T20:35:10ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262022-03-0110310.1136/jitc-2021-004371Spontaneous tumor regression following COVID-19 vaccinationHui Dai0Renata Ferrarotto1Myrna Godoy2Diana Bell3Shiaw-Yih Lin4Daniel J McGrail5Luana Guimaraes de Sousa6Kaiyi Li7Mario L Marques-Piubelli8Cipriano Gonzalez9Sammy Ferri-Borgogno10Jared Burks11Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA1The University of Texas MD Anderson Cancer Center, Houston, TX, USA4Department of Thoracic Imaging, The University of Texas MD Anderson Cancer Center, Houston, TX, USADepartment of Pathology, City of Hope National Medical Center, Duarte, California, USADepartment of Systems Biology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USACenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Texas, USAThe University of Texas MD Anderson Cancer Center Department of Thoracic Head and Neck Medical Oncology, Houston, Texas, USAThoracic and Head and Neck, The University of Texas MD Anderson Cancer Center, Houston, Texas, USATranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USAThoracic and Head and Neck, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA2The University of Texas MD Anderson Cancer Center, Houston, TX, USALeukemia, The University of Texas MD Anderson Cancer Center, Houston, Texas, USAVaccination against COVID-19 is critical for immuno-compromised individuals, including patients with cancer. Systemic reactogenicity, a manifestation of the innate immune response to vaccines, occurs in up to 69% of patients following vaccination with RNA-based COVID-19 vaccines. Tumor regression can occur following an intense immune-inflammatory response and novel strategies to treat cancer rely on manipulating the host immune system. Here, we report spontaneous regression of metastatic salivary gland myoepithelial carcinoma in a patient who experienced grade 3 systemic reactogenicity, following vaccination with the mRNA-1273 COVID-19 vaccine. Histological and immunophenotypic inspection of the postvaccination lung biopsy specimens showed a massive inflammatory infiltrate with scant embedded tumor clusters (<5%). Highly multiplexed imaging mass cytometry showed that the postvaccination lung metastasis samples had remarkable immune cell infiltration, including CD4+ T cells, CD8+ T cells, natural killer cells, B cells, and dendritic cells, which contrasted with very low levels of these cells in the prevaccination primary tumor and lung metastasis samples. CT scans obtained 3, 6, and 9 months after the second vaccine dose demonstrated persistent tumor shrinkage (50%, 67%, and 73% reduction, respectively), suggesting that vaccination stimulated anticancer immunity. Insight: This case suggests that the mRNA-1273 COVID-19 vaccine stimulated anticancer immunity and tumor regression.https://jitc.bmj.com/content/10/3/e004371.full
spellingShingle Hui Dai
Renata Ferrarotto
Myrna Godoy
Diana Bell
Shiaw-Yih Lin
Daniel J McGrail
Luana Guimaraes de Sousa
Kaiyi Li
Mario L Marques-Piubelli
Cipriano Gonzalez
Sammy Ferri-Borgogno
Jared Burks
Spontaneous tumor regression following COVID-19 vaccination
Journal for ImmunoTherapy of Cancer
title Spontaneous tumor regression following COVID-19 vaccination
title_full Spontaneous tumor regression following COVID-19 vaccination
title_fullStr Spontaneous tumor regression following COVID-19 vaccination
title_full_unstemmed Spontaneous tumor regression following COVID-19 vaccination
title_short Spontaneous tumor regression following COVID-19 vaccination
title_sort spontaneous tumor regression following covid 19 vaccination
url https://jitc.bmj.com/content/10/3/e004371.full
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