Characterization of acute and subacute immune response to boiling histotripsy ablation of pancreatic adenocarcinoma

Abstract

Boiling histotripsy (BH) is a cavitation-based pulsed focused ultrasound method of mechanical tissue disintegration. When applied to tumor ablation, BH was shown in a number of preclinical studies to stimulate antitumor immune responses, with the extent and dynamics depending on the tumor microenvironment. In this work, we assessed the response of pancreatic ductal adenocarcinoma (PDAC)—an immunologically “cold” tumor—to BH ablation. C57BL/6J mice (n = 6 per group) were bilaterally subcutaneously grafted with KPC-derived mT4 cell line in the hind limbs. When one of the two tumors reached 8 mm, 80% of its volume was ablated with BH (1.5 MHz, 3 ms pulses, 1% duty cycle, 450 W power, 15 pulses/point). The tumors, inguinal lymph nodes and spleens were harvested at 1-, 3-, and 6-day time points and processed for immune phenotyping through flow cytometry, histology, and immunohistochemistry. At earlier time points, the response within the tumor was dominated by neutrophils, and by day 6—by inflammatory monocytes both in treated and contralateral sides versus sham. Transient increases in B cells, neutrophils, NK, NKT cells, and monocytes were observed in the ipsilateral lymph nodes and in spleens on day 3, and mostly subsided by day 6. These data will inform further studies in optimization of combination therapies for PDAC. [Work supported by Focused Ultrasound Foundation.]