Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells

Background: Nasopharyngeal carcinoma (NPC) in endemic regions and younger patients is characterized by a prominent lymphomononuclear infiltration. Radiation is the principal therapeutic modality for patients with NPC. Recent data suggest that the efficacy of radiotherapy in various cancers can be au...

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Main Authors: Anna Makowska, Nora Lelabi, Christina Nothbaum, Lian Shen, Pierre Busson, Tram Thi Bao Tran, Michael Eble, Udo Kontny
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Cells
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Online Access:https://www.mdpi.com/2073-4409/10/9/2458
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author Anna Makowska
Nora Lelabi
Christina Nothbaum
Lian Shen
Pierre Busson
Tram Thi Bao Tran
Michael Eble
Udo Kontny
author_facet Anna Makowska
Nora Lelabi
Christina Nothbaum
Lian Shen
Pierre Busson
Tram Thi Bao Tran
Michael Eble
Udo Kontny
author_sort Anna Makowska
collection DOAJ
description Background: Nasopharyngeal carcinoma (NPC) in endemic regions and younger patients is characterized by a prominent lymphomononuclear infiltration. Radiation is the principal therapeutic modality for patients with NPC. Recent data suggest that the efficacy of radiotherapy in various cancers can be augmented when combined with immune checkpoint blockade. Here, we investigate the effect of radiotherapy on the killing of NPC cells by Natural Killer (NK) cells. Methods: NPC cell lines and a patient-derived xenograft were exposed to NK cells in the context of radiotherapy. Cytotoxicity was measured using the calcein-release assay. The contribution of the PD-L1/PD-1 checkpoint and signaling pathways to killing were analyzed using specific inhibitors. Results: Radiotherapy sensitized NPC cells to NK cell killing and upregulated expression of PD-1 ligand (PD-L1) in NPC cells and PD-1 receptor (PD-1) in NK cells. Blocking of the PD-L1/PD-1 checkpoint further increased the killing of NPC cells by NK cells in the context of radiotherapy. Conclusion: Radiation boosts the killing of NPC cells by NK cells. Killing can be further augmented by blockade of the PD-L1/PD-1 checkpoint. The combination of radiotherapy with PD-L1/PD-1 checkpoint blockade could therefore increase the efficacy of radiotherapy in NPC tumors.
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spelling doaj.art-463900eed4c74c8f91ccfd9dabd3cb222023-11-22T12:26:32ZengMDPI AGCells2073-44092021-09-01109245810.3390/cells10092458Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma CellsAnna Makowska0Nora Lelabi1Christina Nothbaum2Lian Shen3Pierre Busson4Tram Thi Bao Tran5Michael Eble6Udo Kontny7Division of Pediatric Hematology, Oncology and Stem Cell Transplantation, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyCNRS UMR 8126, Gustave Roussy, Université Paris Sud, Université Paris-Saclay, 94805 Villejuif, FranceCNRS UMR 8126, Gustave Roussy, Université Paris Sud, Université Paris-Saclay, 94805 Villejuif, FranceDepartment of Radiation Oncology, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyDivision of Pediatric Hematology, Oncology and Stem Cell Transplantation, Medical Faculty, Rhenish-Westphalian Technical University, 52074 Aachen, GermanyBackground: Nasopharyngeal carcinoma (NPC) in endemic regions and younger patients is characterized by a prominent lymphomononuclear infiltration. Radiation is the principal therapeutic modality for patients with NPC. Recent data suggest that the efficacy of radiotherapy in various cancers can be augmented when combined with immune checkpoint blockade. Here, we investigate the effect of radiotherapy on the killing of NPC cells by Natural Killer (NK) cells. Methods: NPC cell lines and a patient-derived xenograft were exposed to NK cells in the context of radiotherapy. Cytotoxicity was measured using the calcein-release assay. The contribution of the PD-L1/PD-1 checkpoint and signaling pathways to killing were analyzed using specific inhibitors. Results: Radiotherapy sensitized NPC cells to NK cell killing and upregulated expression of PD-1 ligand (PD-L1) in NPC cells and PD-1 receptor (PD-1) in NK cells. Blocking of the PD-L1/PD-1 checkpoint further increased the killing of NPC cells by NK cells in the context of radiotherapy. Conclusion: Radiation boosts the killing of NPC cells by NK cells. Killing can be further augmented by blockade of the PD-L1/PD-1 checkpoint. The combination of radiotherapy with PD-L1/PD-1 checkpoint blockade could therefore increase the efficacy of radiotherapy in NPC tumors.https://www.mdpi.com/2073-4409/10/9/2458nasopharyngeal carcinomanatural killer cellsprogrammed cell death ligand 1radiotherapynuclear factor kappa Binterferon-beta
spellingShingle Anna Makowska
Nora Lelabi
Christina Nothbaum
Lian Shen
Pierre Busson
Tram Thi Bao Tran
Michael Eble
Udo Kontny
Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
Cells
nasopharyngeal carcinoma
natural killer cells
programmed cell death ligand 1
radiotherapy
nuclear factor kappa B
interferon-beta
title Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
title_full Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
title_fullStr Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
title_full_unstemmed Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
title_short Radiotherapy Combined with PD-1 Inhibition Increases NK Cell Cytotoxicity towards Nasopharyngeal Carcinoma Cells
title_sort radiotherapy combined with pd 1 inhibition increases nk cell cytotoxicity towards nasopharyngeal carcinoma cells
topic nasopharyngeal carcinoma
natural killer cells
programmed cell death ligand 1
radiotherapy
nuclear factor kappa B
interferon-beta
url https://www.mdpi.com/2073-4409/10/9/2458
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AT christinanothbaum radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells
AT lianshen radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells
AT pierrebusson radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells
AT tramthibaotran radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells
AT michaeleble radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells
AT udokontny radiotherapycombinedwithpd1inhibitionincreasesnkcellcytotoxicitytowardsnasopharyngealcarcinomacells