Non-thermal histotripsy tumor ablation promotes abscopal immune responses that enhance cancer immunotherapy

Autor: Hannah Garavaglia, Hai Huang, Allan Tsung, Anutosh Ganguly, Clifford S. Cho, Shibin Qu, M.S. Toma, Megan Beems, Ashley L Pepple, Ryan Hubbard, Amy E Felsted, Zhen Xu, Alicia A Kevelin, Tejaswi Worlikar, Joe Dib
Jazyk: angličtina
Rok vydání: 2020
Předmět:
tumors
Ablation Techniques
Cancer Research
Lung Neoplasms
Lymphocyte
medicine.medical_treatment
Immunology
Melanoma
Experimental

Mice
03 medical and health sciences
Histotripsy
Antineoplastic Agents
Immunological

Liver Neoplasms
Experimental

0302 clinical medicine
Immune system
Cancer immunotherapy
Antigen
medicine
Animals
Immunology and Allergy
CTLA-4 Antigen
RC254-282
030304 developmental biology
Clinical/Translational Cancer Immunotherapy
Pharmacology
0303 health sciences
business.industry
Melanoma
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Immunotherapy
medicine.disease
Combined Modality Therapy
3. Good health
Mice
Inbred C57BL

Radiation therapy
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
Cancer research
High-Intensity Focused Ultrasound Ablation
Molecular Medicine
business
Zdroj: Journal for ImmunoTherapy of Cancer, Vol 8, Iss 1 (2020)
Journal for Immunotherapy of Cancer
ISSN: 2051-1426
Popis: BackgroundDeveloping the ability to use tumor-directed therapies to trigger potentially therapeutic immune responses against cancer antigens remains a high priority for cancer immunotherapy. We hypothesized that histotripsy, a novel non-invasive, non-thermal ablation modality that uses ultrasound-generated acoustic cavitation to disrupt tissues, could engender adaptive immune responses to tumor antigens.MethodsImmunocompetent C57BL/6 mice inoculated with flank melanoma or hepatocellular carcinoma tumors were treated with histotripsy, thermal ablation, radiation therapy, or cytotoxic T lymphocyte-associated protein-4 (CTLA-4) blockade checkpoint inhibition. Lymphocyte responses were measured using flow cytometric and immunohistochemical analyses. The impact of histotripsy on abscopal immune responses was assessed in mice bearing bilateral tumors, or unilateral tumors with pulmonary tumors established via tail vein injection.ResultsHistotripsy ablation of subcutaneous murine melanoma tumors stimulated potent local intratumoral infiltration of innate and adaptive immune cell populations. The magnitude of this immunostimulation was stronger than that seen with tumor irradiation or thermal ablation. Histotripsy also promoted abscopal immune responses at untreated tumor sites and inhibited growth of pulmonary metastases. Histotripsy was capable of releasing tumor antigens with retained immunogenicity, and this immunostimulatory effect was associated with calreticulin translocation to the cellular membrane and local and systemic release of high mobility group box protein 1. Histotripsy ablation potentiated the efficacy of checkpoint inhibition immunotherapy in murine models of melanoma and hepatocellular carcinoma.ConclusionsThese preclinical observations suggest that non-invasive histotripsy ablation can be used to stimulate tumor-specific immune responses capable of magnifying the impact of checkpoint inhibition immunotherapy.
Databáze: OpenAIRE