Abstract

BackgroundIncreased infiltration of CD8+T cells into tumors has a positive impact on survival. Our previous study showed that doxorubicin (Dox) plus interleukin-12 (IL-12) boosted the accumulation of CD8+T cells in tumors and had a greater antitumor effect than did either agent alone. The purpose of this study was to determine the impact of NKG2D expression on CD8+T cell infiltration and antitumor efficacy.MethodsTumor-bearing mice were administered Dox, IL-12 plasmid DNA, or both via intraperitoneal injection or intramuscular electroporation. The induction of NKG2D on CD8+T cells and other lymphocytes was analyzed via flow cytometry, and NKG2D-positive CD8+T cell–specific localization in tumors was determined by using immunofluorescence staining in various types of immune cell–depleted mice.ResultsThe combination of Dox plus IL-12 specifically increased expression of NKG2D in CD8+T cells but not in other types of immune cells, including NK cells, which naturally express NKG2D. This induced NKG2D expression in CD8+T cells was associated with increased accumulation of CD8+T cells in murine tumors. Administration of NKG2D-blocking antibody or CD8+T cell–depletion antibody abrogated the NKG2D+CD8+T cell detection in tumors, whereas administration of NK cell–depletion antibody had no effect. Increased NKG2D expression in CD8+T cells was associated with increased antitumor efficacy in vivo.ConclusionWe conclude that Dox plus IL-12 induces NKG2D in CD8+T cells in vivo and boosts NKG2D+CD8+T-dependent antitumor immune surveillance. This discovery reveals a novel mechanism for how chemoimmunotherapy synergistically promotes T cell–mediated antitumor immune surveillance.

Highlights

  • Increased infiltration of CD8+T cells into tumors has a positive impact on survival

  • NKG2D was induced on CD8+T cells by Dox plus IL-12 but not on other types of immune cells

  • This study revealed that NKG2D induction on CD8+T cells serves as an important mechanism for Doxaugmented IL-12–mediated tumor growth inhibition because the increased NKG2D expression on CD8+T cells plays a role in tumor-specific localization (Figures 3 and 5)

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Summary

Introduction

Increased infiltration of CD8+T cells into tumors has a positive impact on survival. Our previous study showed that doxorubicin (Dox) plus interleukin-12 (IL-12) boosted the accumulation of CD8+T cells in tumors and had a greater antitumor effect than did either agent alone. Chemotherapy-induced immune response may serve as a predictor of therapeutic outcome in cancer patients [10] Supporting this view are several reports showing that some chemotherapeutic compounds exhibit a more promising antitumor effect in patients who have higher levels of tumor-infiltrating lymphocytes after treatment than in patients who have lower levels of these cells [11]. We found that the combination of doxorubicin (Dox) and interleukin-12 (IL-12) had much greater antitumor efficacy than did either agent alone in 4T1 tumor–bearing mice [12] This increased antitumor efficacy was associated with a substantial increase in CD8+T cell infiltration at tumor sites, but the mechanism for this CD8+T cell accumulation at the tumor site is largely unknown

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