Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model

PurposeMalignant head and neck squamous cell carcinoma (HNSCC) is characterized by a poor prognosis and resistance to conventional radiotherapy. Infiltrating myeloid-derived suppressive cells (MDSCs) is prominent in HNSCC and is linked to immune suppression and tumor aggressiveness. This study aimed...

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Main Authors: Chun-Hsiang Chang, Chi-Jui Chen, Ching-Fang Yu, Hui-Yu Tsai, Fang-Hsin Chen, Chi-Shiun Chiang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1263873/full
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author Chun-Hsiang Chang
Chi-Jui Chen
Ching-Fang Yu
Ching-Fang Yu
Hui-Yu Tsai
Fang-Hsin Chen
Chi-Shiun Chiang
Chi-Shiun Chiang
author_facet Chun-Hsiang Chang
Chi-Jui Chen
Ching-Fang Yu
Ching-Fang Yu
Hui-Yu Tsai
Fang-Hsin Chen
Chi-Shiun Chiang
Chi-Shiun Chiang
author_sort Chun-Hsiang Chang
collection DOAJ
description PurposeMalignant head and neck squamous cell carcinoma (HNSCC) is characterized by a poor prognosis and resistance to conventional radiotherapy. Infiltrating myeloid-derived suppressive cells (MDSCs) is prominent in HNSCC and is linked to immune suppression and tumor aggressiveness. This study aimed to investigate the impact of boron neutron capture therapy (BNCT) on the MDSCs in the tumor microenvironment and peripheral blood and to explore the potential for MDSCs depletion combined with BNCT to reactivate antitumor immunity.Methods and materialsCarcinogen, 4-NQO, -induced oral tumors were irradiated with a total physical dose of 2 Gy BNCT in Tsing Hua Open Reactor (THOR). Flow cytometry and immunohistochemistry accessed the dynamics of peripheral MDSCs and infiltrated MDSCs within the tumor microenvironment. Mice were injected with an inhibitor of CSF-1 receptor (CSF-1R), PLX3397, to determine whether modulating M-MDSCs could affect mice survival after BNCT.ResultsPeripheral CD11b+Ly6ChighLy6G- monocytic-MDSCs (M-MDSCs), but not CD11b+Ly6CloLy6Ghigh polymorphonuclear-MDSCs (PMN-MDSCs), increased as tumor progression. After BNCT treatment, there were temporarily decreased and persistent increases of M-MDSCs thereafter, either in peripheral blood or in tumors. The administration of PLX-3397 hindered BNCT-caused M-MDSCs infiltration, prolonged mice survival, and activated tumor immunity by decreasing tumor-associated macrophages (TAMs) and increasing CD8+ T cells.ConclusionM-MDSCs were recruited into 4-NQO-induced tumors after BNCT, and their number was also increased in peripheral blood. Assessment of M-MDSCs levels in peripheral blood could be an index to determine the optimal intervention window. Their temporal alteration suggests an association with tumor recurrence after BNCT, making M-MDSCs a potential intervention target. Our preliminary results showed that PLX-3397 had strong M-MDSCs, TAMs, and TIL (tumor-infiltrating lymphocyte) modulating effects that could synergize tumor control when combined with BNCT.
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spelling doaj.art-a3828a4d2e944b0a9f2d6b1d48331b542023-10-10T13:18:56ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-10-011310.3389/fonc.2023.12638731263873Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma modelChun-Hsiang Chang0Chi-Jui Chen1Ching-Fang Yu2Ching-Fang Yu3Hui-Yu Tsai4Fang-Hsin Chen5Chi-Shiun Chiang6Chi-Shiun Chiang7Department of Biomedical Engineering and Environment Sciences, National Tsing Hua University, Hsinchu, TaiwanDepartment of Biomedical Engineering and Environment Sciences, National Tsing Hua University, Hsinchu, TaiwanInstitute for Radiological Research, Chang Gung University, Taoyuan, TaiwanDepartment of Radiation Oncology, Chang Gung Memorial Hospital Linkou Branch, Taoyuan, TaiwanInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, TaiwanInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, TaiwanDepartment of Biomedical Engineering and Environment Sciences, National Tsing Hua University, Hsinchu, TaiwanInstitute of Nuclear Engineering and Science, National Tsing Hua University, Hsinchu, TaiwanPurposeMalignant head and neck squamous cell carcinoma (HNSCC) is characterized by a poor prognosis and resistance to conventional radiotherapy. Infiltrating myeloid-derived suppressive cells (MDSCs) is prominent in HNSCC and is linked to immune suppression and tumor aggressiveness. This study aimed to investigate the impact of boron neutron capture therapy (BNCT) on the MDSCs in the tumor microenvironment and peripheral blood and to explore the potential for MDSCs depletion combined with BNCT to reactivate antitumor immunity.Methods and materialsCarcinogen, 4-NQO, -induced oral tumors were irradiated with a total physical dose of 2 Gy BNCT in Tsing Hua Open Reactor (THOR). Flow cytometry and immunohistochemistry accessed the dynamics of peripheral MDSCs and infiltrated MDSCs within the tumor microenvironment. Mice were injected with an inhibitor of CSF-1 receptor (CSF-1R), PLX3397, to determine whether modulating M-MDSCs could affect mice survival after BNCT.ResultsPeripheral CD11b+Ly6ChighLy6G- monocytic-MDSCs (M-MDSCs), but not CD11b+Ly6CloLy6Ghigh polymorphonuclear-MDSCs (PMN-MDSCs), increased as tumor progression. After BNCT treatment, there were temporarily decreased and persistent increases of M-MDSCs thereafter, either in peripheral blood or in tumors. The administration of PLX-3397 hindered BNCT-caused M-MDSCs infiltration, prolonged mice survival, and activated tumor immunity by decreasing tumor-associated macrophages (TAMs) and increasing CD8+ T cells.ConclusionM-MDSCs were recruited into 4-NQO-induced tumors after BNCT, and their number was also increased in peripheral blood. Assessment of M-MDSCs levels in peripheral blood could be an index to determine the optimal intervention window. Their temporal alteration suggests an association with tumor recurrence after BNCT, making M-MDSCs a potential intervention target. Our preliminary results showed that PLX-3397 had strong M-MDSCs, TAMs, and TIL (tumor-infiltrating lymphocyte) modulating effects that could synergize tumor control when combined with BNCT.https://www.frontiersin.org/articles/10.3389/fonc.2023.1263873/fullBNCTMDSCs4-NQOCSF-1R inhibitorHNSCC
spellingShingle Chun-Hsiang Chang
Chi-Jui Chen
Ching-Fang Yu
Ching-Fang Yu
Hui-Yu Tsai
Fang-Hsin Chen
Chi-Shiun Chiang
Chi-Shiun Chiang
Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
Frontiers in Oncology
BNCT
MDSCs
4-NQO
CSF-1R inhibitor
HNSCC
title Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
title_full Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
title_fullStr Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
title_full_unstemmed Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
title_short Targeting M-MDSCs enhances the therapeutic effect of BNCT in the 4-NQO-induced murine head and neck squamous cell carcinoma model
title_sort targeting m mdscs enhances the therapeutic effect of bnct in the 4 nqo induced murine head and neck squamous cell carcinoma model
topic BNCT
MDSCs
4-NQO
CSF-1R inhibitor
HNSCC
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1263873/full
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