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Potentiation of Anticancer Antibody Efficacy by Antineoplastic Drugs: Detection of Antibody-drug Synergism Using the Combination Index Equation
Published on: January 19, 2019
Small-molecule Bcl-2 inhibitors sensitise tumour cells to immune-mediated destruction
J D Lickliter1, J Cox, J McCarron
1Clive Berghofer Cancer Research Centre, Queensland Institute of Medical Research, Herston, Queensland 4029, Australia. Jason_Lickliter@health.qld.gov.au
Abstract:
The cytotoxic effects of anticancer immune cells are mediated by perforin/granzyme-B, Fas ligand and tumour necrosis factor-related apoptosis-inducing ligand (TRAIL), and therefore depend on intact apoptotic responses in target tumour cells. As killing by all three of these mechanisms is blocked by the frequently overexpressed antiapoptotic oncoprotein Bcl-2, we hypothesised that coexposure to a Bcl-2 inhibitor might enhance anticancer immune responses. We evaluated this in U937 lymphoma cells, and A02 melanoma cells, which both show strong Bcl-2 expression. Valpha24(+) Vbeta11(+) natural killer T (NKT) cells expanded from peripheral blood of normal donors (n=3) were coincubated with PKH26-labelled U937 cells, and cytotoxicity was determined by flow cytometry after annexin-V-FITC and 7-AAD staining. In all cases, addition of the HA14-1 small-molecule Bcl-2 inhibitor to the cocultures significantly increased apoptosis in the target U937 cells. Using a similar assay, killing of A02 cells by the cytotoxic T-lymphocyte clone 1H3 was shown to be amplified by coexposure to the potent small-molecule Bcl-2 inhibitor ABT-737. Experiments with immune effectors preincubated with concanamycin-A suggested that sensitisation to perforin/granzyme-B may underlie enhanced target-cell killing observed in the presence of Bcl-2 inhibitors. We conclude that immune destruction of malignant cells can be amplified by molecular interventions that overcome Bcl-2-mediated resistance to apoptosis.
Insights
Bcl-2 inhibitors enhance anticancer immune responses by overcoming tumor cell resistance to apoptosis. This approach sensitizes cancer cells to immune-mediated killing, improving therapeutic potential.
Area of Science:
- Immunology
- Molecular Biology
- Oncology
Background:
- Anticancer immune cell cytotoxicity relies on target cell apoptosis.
- The antiapoptotic protein Bcl-2 frequently blocks immune-mediated cancer cell death.
- Overcoming Bcl-2-mediated resistance is crucial for enhancing immune responses against cancer.
Purpose of the Study:
- To investigate if Bcl-2 inhibitors can enhance anticancer immune responses.
- To evaluate the efficacy of Bcl-2 inhibitors in overcoming apoptosis resistance in cancer cells.
- To explore the mechanisms by which Bcl-2 inhibition potentiates immune-mediated tumor cell killing.
Main Methods:
- Coincubation of natural killer T (NKT) cells with U937 lymphoma cells and cytotoxic T-lymphocyte clone 1H3 with A02 melanoma cells.
- Assessment of target cell apoptosis using flow cytometry with annexin-V-FITC and 7-AAD staining.
- Evaluation of cytotoxicity in the presence and absence of Bcl-2 inhibitors (HA14-1 and ABT-737).
Main Results:
- Bcl-2 inhibitor HA14-1 significantly increased apoptosis in U937 cells upon co-culture with NKT cells.
- Bcl-2 inhibitor ABT-737 amplified the killing of A02 melanoma cells by cytotoxic T-lymphocytes.
- Results suggest that sensitization to perforin/granzyme-B mediated killing contributes to enhanced tumor cell death.
Conclusions:
- Molecular interventions targeting Bcl-2 can overcome apoptosis resistance in cancer cells.
- Bcl-2 inhibitors enhance the immune destruction of malignant cells.
- This strategy holds promise for augmenting anticancer immune responses.
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