Skip to main content
Top
Published in: Cancer Immunology, Immunotherapy 7/2019

01-07-2019 | Vaccination | Original Article

Impact of combination immunochemotherapies on progression of 4NQO-induced murine oral squamous cell carcinoma

Authors: Sonja Ludwig, Chang-Sook Hong, Beatrice M. Razzo, Kellsye P. L. Fabian, Manoj Chelvanambi, Stephan Lang, Walter J. Storkus, Theresa L. Whiteside

Published in: Cancer Immunology, Immunotherapy | Issue 7/2019

Login to get access

Abstract

Advanced oral squamous cell carcinomas (OSCC) have limited therapeutic options. Although immune therapies are emerging as a potentially effective alternative or adjunct to chemotherapies, the therapeutic efficacy of combination immune chemotherapies has yet to be determined. Using a 4-nitroquinolone-N-oxide (4NQO) orthotopic model of OSCC in immunocompetent mice, we evaluated the therapeutic efficacy of single- and combined-agent treatment with a poly-epitope tumor peptide vaccine, cisplatin and/or an A2AR inhibitor, ZM241385. The monotherapies or their combinations resulted in a partial inhibition of tumor growth and, in some cases, a significant but transient upregulation of systemic anti-tumor CD8+ T cell responses. These responses eroded in the face of expanding immunoregulatory cell populations at later stages of tumor progression. Our findings support the need for the further development of combinatorial therapeutic approaches that could more effectively silence dominant immune inhibitory pathways operating in OSCC and provide novel, more beneficial treatment options for this tumor.
Appendix
Available only for authorised users
Literature
2.
go back to reference Leemans CR, Braakhuis BJ, Brakenhoff RH (2011) The molecular biology of head and neck cancer. Nat Rev Cancer 11(1):9–22CrossRefPubMed Leemans CR, Braakhuis BJ, Brakenhoff RH (2011) The molecular biology of head and neck cancer. Nat Rev Cancer 11(1):9–22CrossRefPubMed
3.
go back to reference Ferlay J et al (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):E359–E386CrossRefPubMed Ferlay J et al (2015) Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 136(5):E359–E386CrossRefPubMed
4.
go back to reference Whiteside TL (2018) Head and neck carcinoma immunotherapy: facts and hopes. Clin Cancer Res 24(1):6–13CrossRefPubMed Whiteside TL (2018) Head and neck carcinoma immunotherapy: facts and hopes. Clin Cancer Res 24(1):6–13CrossRefPubMed
5.
go back to reference Melero I et al (2018) Introducing a new series: immunotherapy facts and hopes. Clin Cancer Res 24(8):1773–1774CrossRefPubMed Melero I et al (2018) Introducing a new series: immunotherapy facts and hopes. Clin Cancer Res 24(8):1773–1774CrossRefPubMed
6.
go back to reference Economopoulou P et al (2016) The promise of immunotherapy in head and neck squamous cell carcinoma. Ann Oncol 27(9):1675–1685CrossRefPubMed Economopoulou P et al (2016) The promise of immunotherapy in head and neck squamous cell carcinoma. Ann Oncol 27(9):1675–1685CrossRefPubMed
7.
go back to reference Cekic C et al (2014) Myeloid expression of adenosine A2A receptor suppresses T and NK cell responses in the solid tumor microenvironment. Cancer Res 74(24):7250–7259CrossRefPubMedPubMedCentral Cekic C et al (2014) Myeloid expression of adenosine A2A receptor suppresses T and NK cell responses in the solid tumor microenvironment. Cancer Res 74(24):7250–7259CrossRefPubMedPubMedCentral
9.
go back to reference Mandapathil M et al (2010) Adenosine and prostaglandin E2 cooperate in the suppression of immune responses mediated by adaptive regulatory T cells. J Biol Chem 285(36):27571–27580CrossRefPubMedPubMedCentral Mandapathil M et al (2010) Adenosine and prostaglandin E2 cooperate in the suppression of immune responses mediated by adaptive regulatory T cells. J Biol Chem 285(36):27571–27580CrossRefPubMedPubMedCentral
10.
go back to reference Di Virgilio F, Adinolfi E (2017) Extracellular purines, purinergic receptors and tumor growth. Oncogene 36(3):293–303CrossRefPubMed Di Virgilio F, Adinolfi E (2017) Extracellular purines, purinergic receptors and tumor growth. Oncogene 36(3):293–303CrossRefPubMed
11.
go back to reference Mediavilla-Varela M et al (2017) A novel antagonist of the immune checkpoint protein adenosine A2a receptor restores tumor-infiltrating lymphocyte activity in the context of the tumor microenvironment. Neoplasia 19(7):530–536CrossRefPubMedPubMedCentral Mediavilla-Varela M et al (2017) A novel antagonist of the immune checkpoint protein adenosine A2a receptor restores tumor-infiltrating lymphocyte activity in the context of the tumor microenvironment. Neoplasia 19(7):530–536CrossRefPubMedPubMedCentral
12.
go back to reference Goetzl EJ, An S, Zeng L (1995) Specific suppression by prostaglandin E2 of activation-induced apoptosis of human CD4+CD8+ T lymphoblasts. J Immunol 154(3):1041–1047PubMed Goetzl EJ, An S, Zeng L (1995) Specific suppression by prostaglandin E2 of activation-induced apoptosis of human CD4+CD8+ T lymphoblasts. J Immunol 154(3):1041–1047PubMed
15.
go back to reference Hutchinson L (2015) Immunotherapy: evading immune escape: synergy of COX and immune-checkpoint inhibitors. Nat Rev Clin Oncol 12(11):622PubMed Hutchinson L (2015) Immunotherapy: evading immune escape: synergy of COX and immune-checkpoint inhibitors. Nat Rev Clin Oncol 12(11):622PubMed
16.
go back to reference Beavis PA et al (2015) Adenosine receptor 2A blockade increases the efficacy of anti-PD-1 through enhanced antitumor T-cell responses. Cancer Immunol Res 3(5):506–517CrossRefPubMed Beavis PA et al (2015) Adenosine receptor 2A blockade increases the efficacy of anti-PD-1 through enhanced antitumor T-cell responses. Cancer Immunol Res 3(5):506–517CrossRefPubMed
18.
20.
go back to reference Liu Z et al (2017) Intratumoral delivery of tumor antigen-loaded DC and tumor-primed CD4(+) T cells combined with agonist alpha-GITR mAb promotes durable CD8(+) T-cell-dependent antitumor immunity. Oncoimmunology 6(6):e1315487CrossRefPubMedPubMedCentral Liu Z et al (2017) Intratumoral delivery of tumor antigen-loaded DC and tumor-primed CD4(+) T cells combined with agonist alpha-GITR mAb promotes durable CD8(+) T-cell-dependent antitumor immunity. Oncoimmunology 6(6):e1315487CrossRefPubMedPubMedCentral
21.
go back to reference Arab S et al (2017) Increased efficacy of a dendritic cell-based therapeutic cancer vaccine with adenosine receptor antagonist and CD73 inhibitor. Tumour Biol 39(3):1010428317695021CrossRefPubMed Arab S et al (2017) Increased efficacy of a dendritic cell-based therapeutic cancer vaccine with adenosine receptor antagonist and CD73 inhibitor. Tumour Biol 39(3):1010428317695021CrossRefPubMed
22.
go back to reference Leone RD, Lo YC, Powell JD (2015) A2aR antagonists: next generation checkpoint blockade for cancer immunotherapy. Comput Struct Biotechnol J 13:265–272CrossRefPubMedPubMedCentral Leone RD, Lo YC, Powell JD (2015) A2aR antagonists: next generation checkpoint blockade for cancer immunotherapy. Comput Struct Biotechnol J 13:265–272CrossRefPubMedPubMedCentral
23.
go back to reference Hawkins BL et al (1994) 4NQO carcinogenesis: a mouse model of oral cavity squamous cell carcinoma. Head Neck 16(5):424–432CrossRefPubMed Hawkins BL et al (1994) 4NQO carcinogenesis: a mouse model of oral cavity squamous cell carcinoma. Head Neck 16(5):424–432CrossRefPubMed
25.
go back to reference Yang Z et al (2013) Comparable molecular alterations in 4-nitroquinoline 1-oxide-induced oral and esophageal cancer in mice and in human esophageal cancer, associated with poor prognosis of patients. Vivo 27(4):473–484 Yang Z et al (2013) Comparable molecular alterations in 4-nitroquinoline 1-oxide-induced oral and esophageal cancer in mice and in human esophageal cancer, associated with poor prognosis of patients. Vivo 27(4):473–484
26.
go back to reference Tomayko MM, Reynolds CP (1989) Determination of subcutaneous tumor size in athymic (nude) mice. Cancer Chemother Pharmacol 24(3):148–154CrossRefPubMed Tomayko MM, Reynolds CP (1989) Determination of subcutaneous tumor size in athymic (nude) mice. Cancer Chemother Pharmacol 24(3):148–154CrossRefPubMed
27.
go back to reference Qu Y et al (2010) Intralesional delivery of dendritic cells engineered to express T-bet promotes protective type 1 immunity and the normalization of the tumor microenvironment. J Immunol 185(5):2895–2902CrossRefPubMed Qu Y et al (2010) Intralesional delivery of dendritic cells engineered to express T-bet promotes protective type 1 immunity and the normalization of the tumor microenvironment. J Immunol 185(5):2895–2902CrossRefPubMed
29.
go back to reference Son YI et al (2002) A novel bulk-culture method for generating mature dendritic cells from mouse bone marrow cells. J Immunol Methods 262(1–2):145–157CrossRefPubMed Son YI et al (2002) A novel bulk-culture method for generating mature dendritic cells from mouse bone marrow cells. J Immunol Methods 262(1–2):145–157CrossRefPubMed
30.
go back to reference Zhao X et al (2012) Vaccines targeting tumor blood vessel antigens promote CD8(+) T cell-dependent tumor eradication or dormancy in HLA-A2 transgenic mice. J Immunol 188(4):1782–1788CrossRefPubMed Zhao X et al (2012) Vaccines targeting tumor blood vessel antigens promote CD8(+) T cell-dependent tumor eradication or dormancy in HLA-A2 transgenic mice. J Immunol 188(4):1782–1788CrossRefPubMed
31.
go back to reference Liu Q et al (2018) BRAF peptide vaccine facilitates therapy of murine BRAF-mutant melanoma. Cancer Immunol Immunother 67(2):299–310CrossRefPubMed Liu Q et al (2018) BRAF peptide vaccine facilitates therapy of murine BRAF-mutant melanoma. Cancer Immunol Immunother 67(2):299–310CrossRefPubMed
32.
go back to reference Hatano M et al (2004) Vaccination with EphA2-derived T cell-epitopes promotes immunity against both EphA2-expressing and EphA2-negative tumors. J Transl Med 2(1):40CrossRefPubMedPubMedCentral Hatano M et al (2004) Vaccination with EphA2-derived T cell-epitopes promotes immunity against both EphA2-expressing and EphA2-negative tumors. J Transl Med 2(1):40CrossRefPubMedPubMedCentral
33.
go back to reference Umano Y et al (2001) Generation of cytotoxic T cell responses to an HLA-A24 restricted epitope peptide derived from wild-type p53. Br J Cancer 84(8):1052–1057CrossRefPubMedPubMedCentral Umano Y et al (2001) Generation of cytotoxic T cell responses to an HLA-A24 restricted epitope peptide derived from wild-type p53. Br J Cancer 84(8):1052–1057CrossRefPubMedPubMedCentral
34.
go back to reference Lacabanne V et al (1996) A wild-type p53 cytotoxic T cell epitope is presented by mouse hepatocarcinoma cells. Eur J Immunol 26(11):2635–2639CrossRefPubMed Lacabanne V et al (1996) A wild-type p53 cytotoxic T cell epitope is presented by mouse hepatocarcinoma cells. Eur J Immunol 26(11):2635–2639CrossRefPubMed
35.
go back to reference Hofmann UB et al (2009) Identification and characterization of survivin-derived H-2Kb-restricted CTL epitopes. Eur J Immunol 39(5):1419–1424CrossRefPubMed Hofmann UB et al (2009) Identification and characterization of survivin-derived H-2Kb-restricted CTL epitopes. Eur J Immunol 39(5):1419–1424CrossRefPubMed
36.
go back to reference Dong Y et al (2006) Identification of H-2Db-specific CD8 + T-cell epitopes from mouse VEGFR2 that can inhibit angiogenesis and tumor growth. J Immunother 29(1):32–40CrossRefPubMed Dong Y et al (2006) Identification of H-2Db-specific CD8 + T-cell epitopes from mouse VEGFR2 that can inhibit angiogenesis and tumor growth. J Immunother 29(1):32–40CrossRefPubMed
37.
go back to reference Waickman AT et al (2012) Enhancement of tumor immunotherapy by deletion of the A2A adenosine receptor. Cancer Immunol Immunother 61(6):917–926CrossRefPubMed Waickman AT et al (2012) Enhancement of tumor immunotherapy by deletion of the A2A adenosine receptor. Cancer Immunol Immunother 61(6):917–926CrossRefPubMed
38.
go back to reference Fabian KP et al (2017) Therapeutic efficacy of combined vaccination against tumor pericyte-associated antigens DLK1 and DLK2 in mice. Oncoimmunology 6(3):e1290035CrossRefPubMedPubMedCentral Fabian KP et al (2017) Therapeutic efficacy of combined vaccination against tumor pericyte-associated antigens DLK1 and DLK2 in mice. Oncoimmunology 6(3):e1290035CrossRefPubMedPubMedCentral
39.
go back to reference Theodoraki MN et al (2018) Clinical significance of PD-L1(+) exosomes in plasma of head and neck cancer patients. Clin Cancer Res 24(4):896–905CrossRefPubMed Theodoraki MN et al (2018) Clinical significance of PD-L1(+) exosomes in plasma of head and neck cancer patients. Clin Cancer Res 24(4):896–905CrossRefPubMed
40.
go back to reference Chen WC et al (2017) Inflammation-induced myeloid-derived suppressor cells associated with squamous cell carcinoma of the head and neck. Head Neck 39(2):347–355CrossRefPubMed Chen WC et al (2017) Inflammation-induced myeloid-derived suppressor cells associated with squamous cell carcinoma of the head and neck. Head Neck 39(2):347–355CrossRefPubMed
41.
go back to reference Chu M et al (2012) Myeloid-derived suppressor cells contribute to oral cancer progression in 4NQO-treated mice. Oral Dis 18(1):67–73CrossRefPubMed Chu M et al (2012) Myeloid-derived suppressor cells contribute to oral cancer progression in 4NQO-treated mice. Oral Dis 18(1):67–73CrossRefPubMed
42.
go back to reference Fuse H et al (2016) Enhanced expression of PD-L1 in oral squamous cell carcinoma-derived CD11b(+)Gr-1(+) cells and its contribution to immunosuppressive activity. Oral Oncol 59:20–29CrossRefPubMed Fuse H et al (2016) Enhanced expression of PD-L1 in oral squamous cell carcinoma-derived CD11b(+)Gr-1(+) cells and its contribution to immunosuppressive activity. Oral Oncol 59:20–29CrossRefPubMed
43.
go back to reference Schaefer C et al (2005) Characteristics of CD4 + CD25 + regulatory T cells in the peripheral circulation of patients with head and neck cancer. Br J Cancer 92(5):913–920CrossRefPubMedPubMedCentral Schaefer C et al (2005) Characteristics of CD4 + CD25 + regulatory T cells in the peripheral circulation of patients with head and neck cancer. Br J Cancer 92(5):913–920CrossRefPubMedPubMedCentral
44.
go back to reference Mandapathil M et al (2009) Increased ectonucleotidase expression and activity in regulatory T cells of patients with head and neck cancer. Clin Cancer Res 15(20):6348–6357CrossRefPubMedPubMedCentral Mandapathil M et al (2009) Increased ectonucleotidase expression and activity in regulatory T cells of patients with head and neck cancer. Clin Cancer Res 15(20):6348–6357CrossRefPubMedPubMedCentral
45.
go back to reference Jie HB et al (2013) Intratumoral regulatory T cells upregulate immunosuppressive molecules in head and neck cancer patients. Br J Cancer 109(10):2629–2635CrossRefPubMedPubMedCentral Jie HB et al (2013) Intratumoral regulatory T cells upregulate immunosuppressive molecules in head and neck cancer patients. Br J Cancer 109(10):2629–2635CrossRefPubMedPubMedCentral
46.
go back to reference Theodoraki MN, Hoffmann TK, Whiteside TL (2018) Separation of plasma-derived exosomes into CD3((+)) and CD3((−)) fractions allows for association of immune cell and tumour cell markers with disease activity in HNSCC patients. Clin Exp Immunol 192(3):271–283CrossRefPubMed Theodoraki MN, Hoffmann TK, Whiteside TL (2018) Separation of plasma-derived exosomes into CD3((+)) and CD3((−)) fractions allows for association of immune cell and tumour cell markers with disease activity in HNSCC patients. Clin Exp Immunol 192(3):271–283CrossRefPubMed
47.
go back to reference Liu JF et al (2018) Inhibition of JAK2/STAT3 reduces tumor-induced angiogenesis and myeloid-derived suppressor cells in head and neck cancer. Mol Carcinog 57(3):429–439CrossRefPubMed Liu JF et al (2018) Inhibition of JAK2/STAT3 reduces tumor-induced angiogenesis and myeloid-derived suppressor cells in head and neck cancer. Mol Carcinog 57(3):429–439CrossRefPubMed
49.
go back to reference Schuler PJ et al (2014) Human CD4 + CD39 + regulatory T cells produce adenosine upon co-expression of surface CD73 or contact with CD73 + exosomes or CD73 + cells. Clin Exp Immunol 177(2):531–543CrossRefPubMedPubMedCentral Schuler PJ et al (2014) Human CD4 + CD39 + regulatory T cells produce adenosine upon co-expression of surface CD73 or contact with CD73 + exosomes or CD73 + cells. Clin Exp Immunol 177(2):531–543CrossRefPubMedPubMedCentral
Metadata
Title
Impact of combination immunochemotherapies on progression of 4NQO-induced murine oral squamous cell carcinoma
Authors
Sonja Ludwig
Chang-Sook Hong
Beatrice M. Razzo
Kellsye P. L. Fabian
Manoj Chelvanambi
Stephan Lang
Walter J. Storkus
Theresa L. Whiteside
Publication date
01-07-2019
Publisher
Springer Berlin Heidelberg
Published in
Cancer Immunology, Immunotherapy / Issue 7/2019
Print ISSN: 0340-7004
Electronic ISSN: 1432-0851
DOI
https://doi.org/10.1007/s00262-019-02348-2

Other articles of this Issue 7/2019

Cancer Immunology, Immunotherapy 7/2019 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine