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Chemoradiation triggers antitumor Th1 and tissue resident memory-polarized immune responses to improve immune checkpoint inhibitors therapy.
Lauret Marie Joseph, Elodie; Kirilovsky, Amos; Lecoester, Benoît; El Sissy, Carine; Boullerot, Laura; Rangan, Laurie; Marguier, Amélie; Tochet, Florent; Dosset, Magalie; Boustani, Jihane; Ravel, Patrice; Boidot, Romain; Spehner, Laurie; Haicheur-Adjouri, Nacilla; Marliot, Florence; Pallandre, Jean-René; Bonnefoy, Francis; Scripcariu, Viorel; Van den Eynde, Marc; Cornillot, Emmanuel; Mirjolet, Céline; Pages, Franck; Adotevi, Olivier.
Afiliación
  • Lauret Marie Joseph E; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Kirilovsky A; Immunology and Cancer Department, Laboratory of Integrative Cancer Immunology, Cordeliers Research Center, INSERM UMRS1138, Paris, France.
  • Lecoester B; Faculté de Santé, Université de Paris, Paris, France.
  • El Sissy C; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Boullerot L; Immunology and Cancer Department, Laboratory of Integrative Cancer Immunology, Cordeliers Research Center, INSERM UMRS1138, Paris, France.
  • Rangan L; Faculté de Santé, Université de Paris, Paris, France.
  • Marguier A; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Tochet F; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Dosset M; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Boustani J; Department of Radiation Oncology, CHU Besançon, Besançon, France.
  • Ravel P; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Boidot R; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Spehner L; Department of Radiation Oncology, CHU Besançon, Besançon, France.
  • Haicheur-Adjouri N; Equipe Bioinformatique et Biologie des Systèmes du Cancer, Institut de Recherche en Cancérologie de Montpellier-INSERM U1194, Montpellier, France.
  • Marliot F; Department of Biology and Pathology of Tumors, Georges-François Leclerc Cancer Center, Dijon, France.
  • Pallandre JR; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Bonnefoy F; Immunology and Cancer Department, Laboratory of Integrative Cancer Immunology, Cordeliers Research Center, INSERM UMRS1138, Paris, France.
  • Scripcariu V; Faculté de Santé, Université de Paris, Paris, France.
  • Van den Eynde M; Immunology and Cancer Department, Laboratory of Integrative Cancer Immunology, Cordeliers Research Center, INSERM UMRS1138, Paris, France.
  • Cornillot E; Faculté de Santé, Université de Paris, Paris, France.
  • Mirjolet C; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Pages F; INSERM, UMR1098, RIGHT, Université de Bourgogne Franche-Comté, Besançon, France.
  • Adotevi O; Department of Surgical Oncology, Regional Institute of Oncology Iasi, Iasi, Romania.
J Immunother Cancer ; 9(7)2021 07.
Article en En | MEDLINE | ID: mdl-34230108
BACKGROUND: Multiple synergistic combination approaches with cancer drugs are developed to overcome primary resistance to immunotherapy; however, the mechanistic rationale to combine chemoradiotherapy (CRT) with immune checkpoint inhibitors remains elusive. METHODS: This study described the immunological landscape of tumor microenvironment (TME) exposed to CRT. Tumor samples from patients with rectal cancer (n=43) treated with neoadjuvant CRT or radiotherapy were analyzed by nanostring and immunohistochemistry. Studies in mice were performed using three syngeneic tumors (TC1, CT26 and MC38). Tumor-bearing mice were treated either with platinum-based CRT, radiotherapy or chemotherapy. Anti-CTLA-4 and/or anti-Programmed Cell Death Receptor-1 (PD-1) therapy was used in combination with CRT. The therapy-exposed TME was screened by RNA sequencing and flow cytometry and tumor-infiltrating T lymphocyte functionality was evaluated by interferon (IFN)-γ ELIspot and intracellular cytokine staining. RESULTS: Front-to-front comparison analysis revealed the synergistic effect of CRT to establish a highly inflamed and Th1-polarized immune signature in the TME of patients and mice. In both settings, CRT-exposed TMEs were highly enriched in newly-infiltrated tumor-specific CD8+ T cells as well as tissue resident memory CD103+CD8+ T cells. In mice, CD8 T cells were involved in the antitumor response mediated by CRT and were primed by CRT-activated CD103+ dendritic cells. In the three tumor models, we showed that concurrent combination of CRT with a dual CTLA-4 and PD-1 blockade was required to achieve an optimal antitumor effect and to establish a broad and long-lasting protective antitumor T cell immunity. CONCLUSIONS: Our results highlight the ability of CRT to stimulate strong antitumor T-cell-mediated immunity and tissue resident memory T activation in TME, to foster immune checkpoint inhibitors action. These findings have implications in clinic for the design clinical trials combining chemoradiation with immunotherapy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Células TH1 / Quimioradioterapia / Inhibidores de Puntos de Control Inmunológico / Inmunidad / Inmunoterapia Tipo de estudio: Prognostic_studies Límite: Animals / Female / Humans Idioma: En Revista: J Immunother Cancer Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Células TH1 / Quimioradioterapia / Inhibidores de Puntos de Control Inmunológico / Inmunidad / Inmunoterapia Tipo de estudio: Prognostic_studies Límite: Animals / Female / Humans Idioma: En Revista: J Immunother Cancer Año: 2021 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Reino Unido