NSAIDs-induced oxidative stress sensitizes tumor cells to T cell cytotoxicity through the TRAIL-DR5 axis

Abstract

Abstract Adoptive T cell therapy (ACT) has shown promising therapeutic outcomes in patients with hematological malignancies. However, the success of ACT is limited to a small fraction of treated patients. Hence, developing new strategies to enhance the potency of ACT are urgently needed for better therapeutic outcomes. Our previous study demonstrated that inducing oxidative stress in tumor cells is critically involved in tumor rejection by ACT. In the current study, we report that indomethacin, a prototypical non-steroidal anti-inflammatory drug (NSAID), can intensify ROS in tumor cells and sensitize them to ACT. Mechanistically, our data indicate that indomethacin treatment leads to enhanced expression of death receptor 5 (DR5) in tumor cells, rendering them more susceptible to TNF-related apoptosis-inducing ligand (TRAIL)-induced cell death. We found that tumor-specific T cells upregulated TRAIL expression upon adoptive transfer. Using genetic-based approaches, we showed that DR5-deficient tumor cells were unresponsive to the beneficial effect of indomethacin, while overexpressing TRAIL in donor T cells led to further improvement in mouse survival. Collectively, our study demonstrates that the pro-oxidative feature of selected NSAIDs can be exploited to augment the efficacy of T cell therapy. Our findings provide a strong rationale for targeting tumor redox to achieve more effective tumor destruction through the combination of pro-oxidants and ACT.