Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors

Summary: Immunotherapies are used as adjuvant therapies for cancers. However, knowledge of how traditional cancer treatments affect immunotherapies is limited. Using mouse models, we demonstrate that tumor-draining lymph nodes (TdLNs) are critical for tumor antigen-specific T cell response. However,...

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Main Authors: Xianda Zhao, Beminet Kassaye, Dechen Wangmo, Emil Lou, Subbaya Subramanian
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:iScience
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589004220302418
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author Xianda Zhao
Beminet Kassaye
Dechen Wangmo
Emil Lou
Subbaya Subramanian
author_facet Xianda Zhao
Beminet Kassaye
Dechen Wangmo
Emil Lou
Subbaya Subramanian
author_sort Xianda Zhao
collection DOAJ
description Summary: Immunotherapies are used as adjuvant therapies for cancers. However, knowledge of how traditional cancer treatments affect immunotherapies is limited. Using mouse models, we demonstrate that tumor-draining lymph nodes (TdLNs) are critical for tumor antigen-specific T cell response. However, removing TdLNs concurrently with established primary tumors did not affect the immune checkpoint blockade (ICB) response on localized secondary tumor due to immunotolerance in TdLNs and distribution of antigen-specific T cells in peripheral lymphatic organs. Notably, treatment response improved with sequential administration of 5-fluorouracil (5-FU) and ICB compared with concurrent administration of ICB with 5-FU. Immune profiling revealed that using 5-FU as induction treatment increased tumor visibility to immune cells, decreased immunosuppressive cells in the tumor microenvironment, and limited chemotherapy-induced T cell depletion. We show that the effect of traditional cytotoxic treatment, not TdLNs, influences immunotherapy response in localized secondary tumors. We postulate essential considerations for successful immunotherapy strategies in clinical conditions.
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spelling doaj.art-718b5eb3692d43bd92bf376a9c6789742022-12-21T22:45:03ZengElsevieriScience2589-00422020-05-01235Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary TumorsXianda Zhao0Beminet Kassaye1Dechen Wangmo2Emil Lou3Subbaya Subramanian4Department of Surgery, University of Minnesota Medical School, 11-212 Moos Tower, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, USADepartment of Surgery, University of Minnesota Medical School, 11-212 Moos Tower, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, USADepartment of Surgery, University of Minnesota Medical School, 11-212 Moos Tower, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, USADepartment of Medicine, University of Minnesota Medical School, Minneapolis, MN 55455, USADepartment of Surgery, University of Minnesota Medical School, 11-212 Moos Tower, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, USA; Masonic Cancer Center, University of Minnesota, Minneapolis, MN 55455, USA; Corresponding authorSummary: Immunotherapies are used as adjuvant therapies for cancers. However, knowledge of how traditional cancer treatments affect immunotherapies is limited. Using mouse models, we demonstrate that tumor-draining lymph nodes (TdLNs) are critical for tumor antigen-specific T cell response. However, removing TdLNs concurrently with established primary tumors did not affect the immune checkpoint blockade (ICB) response on localized secondary tumor due to immunotolerance in TdLNs and distribution of antigen-specific T cells in peripheral lymphatic organs. Notably, treatment response improved with sequential administration of 5-fluorouracil (5-FU) and ICB compared with concurrent administration of ICB with 5-FU. Immune profiling revealed that using 5-FU as induction treatment increased tumor visibility to immune cells, decreased immunosuppressive cells in the tumor microenvironment, and limited chemotherapy-induced T cell depletion. We show that the effect of traditional cytotoxic treatment, not TdLNs, influences immunotherapy response in localized secondary tumors. We postulate essential considerations for successful immunotherapy strategies in clinical conditions.http://www.sciencedirect.com/science/article/pii/S2589004220302418TherapyBiological SciencesImmune ResponseCancer
spellingShingle Xianda Zhao
Beminet Kassaye
Dechen Wangmo
Emil Lou
Subbaya Subramanian
Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
iScience
Therapy
Biological Sciences
Immune Response
Cancer
title Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
title_full Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
title_fullStr Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
title_full_unstemmed Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
title_short Chemotherapy but Not the Tumor Draining Lymph Nodes Determine the Immunotherapy Response in Secondary Tumors
title_sort chemotherapy but not the tumor draining lymph nodes determine the immunotherapy response in secondary tumors
topic Therapy
Biological Sciences
Immune Response
Cancer
url http://www.sciencedirect.com/science/article/pii/S2589004220302418
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AT dechenwangmo chemotherapybutnotthetumordraininglymphnodesdeterminetheimmunotherapyresponseinsecondarytumors
AT emillou chemotherapybutnotthetumordraininglymphnodesdeterminetheimmunotherapyresponseinsecondarytumors
AT subbayasubramanian chemotherapybutnotthetumordraininglymphnodesdeterminetheimmunotherapyresponseinsecondarytumors