1. Impacts of combining anti-PD-L1 immunotherapy and radiotherapy on the tumour immune microenvironment in a murine prostate cancer model
- Author
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David A. Scheiblin, Alastair D. Lamb, Stephen J. Lockett, Uzi Gileadi, Ruth J. Muschel, Vincenzo Cerundolo, Su M. Phyu, Freddie C. Hamdy, Emma J. Murphy, Richard J. Bryant, Keaton Jones, Yiannis Philippou, Hanna T. Sjoberg, Said Alyacoubi, David A. Wink, Eileen Parkes, Ian G. Mills, Alex Gordon-Weeks, and W. Gillies McKenna
- Subjects
Cancer microenvironment ,Male ,Cancer Research ,medicine.medical_treatment ,Article ,B7-H1 Antigen ,03 medical and health sciences ,Prostate cancer ,Mice ,0302 clinical medicine ,Immune system ,Immunity ,Cell Line, Tumor ,medicine ,Tumor Microenvironment ,Animals ,Humans ,Immune Checkpoint Inhibitors ,030304 developmental biology ,0303 health sciences ,Tumor microenvironment ,business.industry ,Histocompatibility Antigens Class I ,Prostatic Neoplasms ,Dendritic cell ,Immunotherapy ,medicine.disease ,Combined Modality Therapy ,Radiation therapy ,Mice, Inbred C57BL ,Disease Models, Animal ,Oncology ,030220 oncology & carcinogenesis ,Cancer research ,Radiation Dose Hypofractionation ,business ,CD8 ,Neoplasm Transplantation - Abstract
Background Radiotherapy enhances innate and adaptive anti-tumour immunity. It is unclear whether this effect may be harnessed by combining immunotherapy with radiotherapy fractions used to treat prostate cancer. We investigated tumour immune microenvironment responses of pre-clinical prostate cancer models to radiotherapy. Having defined this landscape, we tested whether radiotherapy-induced tumour growth delay could be enhanced with anti-PD-L1. Methods Hypofractionated radiotherapy was delivered to TRAMP-C1 and MyC-CaP flank allografts. Tumour growth delay, tumour immune microenvironment flow-cytometry, and immune gene expression were analysed. TRAMP-C1 allografts were then treated with 3 × 5 Gy ± anti-PD-L1. Results 3 × 5 Gy caused tumour growth delay in TRAMP-C1 and MyC-CaP. Tumour immune microenvironment changes in TRAMP-C1 at 7 days post-radiotherapy included increased tumour-associated macrophages and dendritic cells and upregulation of PD-1/PD-L1, CD8+ T-cell, dendritic cell, and regulatory T-cell genes. At tumour regrowth post-3 × 5 Gy the tumour immune microenvironment flow-cytometry was similar to control tumours, however CD8+, natural killer and dendritic cell gene transcripts were reduced. PD-L1 inhibition plus 3 × 5 Gy in TRAMP-C1 did not enhance tumour growth delay versus monotherapy. Conclusion 3 × 5 Gy hypofractionated radiotherapy can result in tumour growth delay and immune cell changes in allograft prostate cancer models. Adjuncts beyond immunomodulation may be necessary to improve the radiotherapy-induced anti-tumour response.
- Published
- 2020