1. Sunitinib Exerts In Vitro Immunomodulatory Activity on Sarcomas via Dendritic Cells and Synergizes With PD-1 Blockade
- Author
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Darina Ocadlikova, Mariangela Lecciso, Javier Martin Broto, Katia Scotlandi, Michele Cavo, Antonio Curti, Emanuela Palmerini, Associazione Onlus Il pensatore: Matteo Amitrano, Associazione Italiana Contro le Leucemie - Linfomi e Mieloma, Foundation Corrado, [Ocadlikova,D, Lecciso,M, Cavo,M, Curti,A] IRCCS Azienda Ospedaliero-Universitaria di Bologna, Istituto di Ematologia 'Seràgnoli', Bologna, Italy. [Ocadlikova,D, Cavo,M] Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale, Università di Bologna, Bologna, Italy. [Broto,JM] Virgen del Rocio University Hospital, Institute of Biomedicine Research (IBIS), Seville, Spain. [Scotlandi,K] Laboratory of Experimental Oncology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy. [Palmerini,E] Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Osteoncology, Bone and Soft Tissue Sarcomas and Innovative Therapies, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy., This study was supported by the Associazione Onlus ‘il Pensatore: Matteo Amitrano’, by Bologna AIL (Associazione Italiana contro le Leucemie), Section of Bologna, FATRO, Foundation Corrado and Bruno Maria Zaini-Bologna, Ocadlikova D., Lecciso M., Broto J.M., Scotlandi K., Cavo M., Curti A., and Palmerini E.
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0301 basic medicine ,Sarcoma sinovial ,Anatomy::Cells::Cells, Cultured::Cell Line::Cell Line, Tumor [Medical Subject Headings] ,Chemicals and Drugs::Chemical Actions and Uses::Pharmacologic Actions::Molecular Mechanisms of Pharmacological Action::Enzyme Inhibitors::Protein Kinase Inhibitors [Medical Subject Headings] ,Anatomy::Cells::Blood Cells::Leukocytes::Leukocytes, Mononuclear::Lymphocytes::T-Lymphocytes::T-Lymphocyte Subsets::T-Lymphocytes, Regulatory [Medical Subject Headings] ,Células dendríticas ,Programmed Cell Death 1 Receptor ,Apoptosis ,178103907) [nivolumab (PubChem SID] ,Lymphocyte Activation ,T-Lymphocytes, Regulatory ,T regulatory cells (Tregs) ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,0302 clinical medicine ,T-Lymphocyte Subsets ,Inmunomodulación ,Sunitinib ,Dendritic cell (DC) ,Immunology and Allergy ,Medicine ,Nivolumab (PubChem SID: 178103907) ,Anatomy::Cells::Blood Cells::Leukocytes::Leukocytes, Mononuclear::Lymphocytes::Lymphocyte Subsets::T-Lymphocyte Subsets [Medical Subject Headings] ,Immune Checkpoint Inhibitors ,Original Research ,Osteosarcoma ,Synovial sarcoma ,Phenomena and Processes::Immune System Phenomena::Immune System Processes::Lymphocyte Activation [Medical Subject Headings] ,medicine.anatomical_structure ,Nivolumab ,030220 oncology & carcinogenesis ,Sarcoma ,Human ,medicine.drug ,lcsh:Immunologic diseases. Allergy ,Linfocitos T reguladores ,Immune Checkpoint Inhibitor ,T cell ,T regulatory cells ,Immunology ,Chemicals and Drugs::Biological Factors::Antigens::Antigens, Surface::Antigens, Differentiation::Antigens, Differentiation, T-Lymphocyte::Programmed Cell Death 1 Receptor [Medical Subject Headings] ,Protein Kinase Inhibitor ,T-Lymphocyte Subset ,Dendritic Cell ,Tyrosine kinase inhibitor (TKI) ,Immunophenotyping ,Immunomodulation ,5329102) [sunitinib (PubChem CID] ,Interferon-gamma ,03 medical and health sciences ,Immune system ,Phenomena and Processes::Immune System Phenomena::Immune System Processes::Immunomodulation [Medical Subject Headings] ,Cell Line, Tumor ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Immunologic Techniques::Immunologic Tests::Immunophenotyping [Medical Subject Headings] ,Humans ,Phenomena and Processes::Cell Physiological Phenomena::Cell Physiological Processes::Cell Growth Processes::Cell Proliferation [Medical Subject Headings] ,Protein Kinase Inhibitors ,Cell Proliferation ,Anatomy::Cells::Antigen-Presenting Cells::Dendritic Cells [Medical Subject Headings] ,business.industry ,CD47 ,Apoptosi ,Biomarker ,Dendritic Cells ,Sunitinib (PubChem CID: 5329102) ,medicine.disease ,Phenomena and Processes::Cell Physiological Phenomena::Cell Physiological Processes::Cell Death::Apoptosis [Medical Subject Headings] ,respiratory tract diseases ,030104 developmental biology ,Cell culture ,Cancer research ,lcsh:RC581-607 ,business ,Biomarkers - Abstract
[Background] High-grade sarcomas are a heterogeneous group of aggressive tumors arising in bone and soft tissues. After relapse, treatment options are limited. The multi-targeted receptor tyrosine kinase inhibitors (TKIs) sunitinib and inhibitor of PD-1 (anti-PD-1) nivolumab have shown antitumor activity in selected subtypes. In this study, we examine the role of TKIs and PD-1 based therapy in in vitro cocultures of sarcoma., [Methods] The human osteosarcoma (SaOS-2) and synovial sarcoma (SYO-1) cell lines were treated with sunitinib. After cell death and proliferation assessment, expression of PD-L1 was analyzed by flow cytometry. Sunitinib-treated sarcoma cells were cocultured with dendritic cells (DCs), and the phenotype of mature DCs was determined by flow cytometry. Mature DCs were cultured with autologous T cells. PD-1 expression on T cells, their proliferation, T regulatory cell (Tregs) induction and IFN-γ production, before and after nivolumab exposure, were analyzed., [Results] Along with its anti-proliferative and direct pro-apoptotic effect on sarcoma cell lines, sunitinib prompted PD-L1 upregulation on sarcoma cells. Interestingly, sunitinib-treated sarcoma cells drive DCs to full maturation and increase their capacity to induce sarcoma-reactive T cells to produce IFN-γ. Conversely, no effect on T cell proliferation and T cell subpopulation composition was observed. Moreover, both bone and synovial sarcoma cell lines induced Tregs through DCs but sunitinib treatment completely abrogated Treg induction. Finally, sarcoma cell lines induced PD-1 upregulation on both effector T cells and Tregs when loaded into DCs, providing a rationale for using PD-1 blockade. Indeed, PD-1 blockade by nivolumab synergized with sunitinib in inducing IFN-γ-producing effector T cells., [Conclusions] Taken together, our in vitro data indicate that the treatment of sarcoma cells with sunitinib can exert significant changes on immune cell subsets toward immune activation, leading to DC-based cross-priming of IFN-γ-producing effector T cells and reduced Treg induction. PD-1 blockade with nivolumab has a synergistic effect with sunitinib, supporting the use of TKI and anti-PD-1 approach in sarcomas, and perhaps in other cancers. DC-targeted drugs, including toll-like receptor 3 inhibitors and CD47 inhibitors, are under development and our preclinical model might help to better design their clinical application., This study was supported by the Associazione Onlus ‘il Pensatore: Matteo Amitrano’, by Bologna AIL (Associazione Italiana contro le Leucemie), Section of Bologna; FATRO, Foundation Corrado and Bruno Maria Zaini-Bologna.
- Published
- 2021