β-Adrenergic Signaling in Mice Housed at Standard Temperatures Suppresses an Effector Phenotype in CD8+ T Cells and Undermines Checkpoint Inhibitor Therapy

Autor: Cameron R. MacDonald, Scott I. Abrams, Thejaswini Giridharan, Bonnie L. Hylander, Mark J. Bucsek, Jason W.-L. Eng, Haichao Liu, Guanxi Qiao, Kathleen M. Kokolus, Michelle N. Messmer, Kristopher Attwood, Brian Niedzwecki, Lauren Evans, Elizabeth A. Repasky
Rok vydání: 2017
Předmět:
Zdroj: Cancer Research. 77:5639-5651
ISSN: 1538-7445
0008-5472
DOI: 10.1158/0008-5472.can-17-0546
Popis: The immune context of tumors has significant prognostic value and is predictive of responsiveness to several forms of therapy, including immunotherapy. We report here that CD8+ T-cell frequency and functional orientation within the tumor microenvironment is regulated by β2-adrenergic receptor (β-AR) signaling in host immune cells. We used three strategies—physiologic (manipulation of ambient thermal environment), pharmacologic (β-blockers), and genetic (β2-AR knockout mice) to reduce adrenergic stress signaling in two widely studied preclinical mouse tumor models. Reducing β-AR signaling facilitated conversion of tumors to an immunologically active tumor microenvironment with increased intratumoral frequency of CD8+ T cells with an effector phenotype and decreased expression of programmed death receptor-1 (PD-1), in addition to an elevated effector CD8+ T-cell to CD4+ regulatory T-cell ratio (IFNγ+CD8+:Treg). Moreover, this conversion significantly increased the efficacy of anti-PD-1 checkpoint blockade. These data highlight the potential of adrenergic stress and norepinephrine-driven β-AR signaling to regulate the immune status of the tumor microenvironment and support the strategic use of clinically available β-blockers in patients to improve responses to immunotherapy. Cancer Res; 77(20); 5639–51. ©2017 AACR.
Databáze: OpenAIRE