e14619 Background: The microtubule (MT) is a polymer formed by self-assembly of αβ-tubulin heterodimers. MT inhibitors either stabilize or destabilize microtubule assembly and halt cell proliferation during the mitotic phase of the cell cycle. However, due to non-specificity, high resistance, and adverse reactions observed with MT-targeting drugs, various approaches to novel combination chemotherapies are being used in the clinic. The specific goal of this study is to investigate the ability of an immunotherapeutic agent to alter the activity of MT-targeting chemotherapeutics when used in a combination treatment approach. Methods: The combination treatment effect of the immunotherapeutic agent with microtubule inhibitors was investigated using two methods: 1) Tubulin polymerization studies using purified tubulin and microtubule inhibitors, paclitaxel (a microtubule stabilizing agent) and dolastatin 10 (a microtubule destabilizing agent), studied alone or in combination with the immunotherapeutic agent. (2) Co-culture system expressing the stably expressing Nuclear Factor of Activated T cells (NFAT)- Renilla luciferase (NFAT- Rluc) reporter gene to study anti-tumor immune response of MT inhibitors alone or in combination with the immunotherapeutic agent. Results: Spectrophotometric-based tubulin polymerization studies demonstrated that the immunotherapeutic agent (0.01 - 0.1 mg/mL) altered tubulin polymerization when studied in combination with either paclitaxel (10 µM) or dolastatin 10 (0.5 mM). Luminescence-based reporter gene expression studies in a co-culture system, consisting of CD3− antigen presenting Chinese hamster ovary and CD3+ effector Jurkat T cells, demonstrated the combination treatment effectively induced NFAT- Rluc activity when compared to the controls, the immunotherapeutic agent alone or to the MT-inhibitor alone. Statistical analysis was done using one-way analysis of variance (ANOVA). A significant difference ( p < 0.05) in mean IC50 values (expressed as ng/mL ± SEM, N=4) was observed between the immunotherapeutic plus dolastatin 10 versus the immunotherapeutic agent alone, and a 6.5-fold decrease (85% reduction) in the IC50 value was observed for induction of NFAT- Rluc activity in the presence of immunotherapeutic plus dolastatin 10 versus the immunotherapeutic alone. There was a notable decrease (1.9-fold or 46% reduction) in the IC50 value observed for induction of NFAT- Rluc activity in the presence of the immunotherapeutic plus paclitaxel versus the immunotherapeutic alone. Conclusions: These results suggest a boost in T-cell stimulation by the immunotherapeutic agent in the presence of MT inhibitors. The implications of enhanced T-cell activation on antitumor immunity and modulation of tubulin polymerization by a combination treatment of the immunotherapeutic agent and microtubule inhibitors are currently under investigation.
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