DNA alkylating therapy induces tumor regression through an HMGB1-mediated activation of innate immunity
Jennifer L Guerriero1, Dara Ditsworth, Joseph M Catanzaro
1Graduate Program in Molecular and Cellular Biology, Stony Brook University, Stony Brook, NY 11974, USA.
Abstract:
Dysregulation of apoptosis is associated with the development of human cancer and resistance to anticancer therapy. We have previously shown in tumor xenografts that DNA alkylating agents induce sporadic cell necrosis and regression of apoptosis-deficient tumors. Sporadic tumor cell necrosis is associated with extracellular release of cellular content such as the high mobility group box 1 (HMGB1) protein and subsequent recruitment of innate immune cells into the tumor tissue. It remained unclear whether HMGB1 and the activation of innate immunity played a role in tumor response to chemotherapy. In this study, we show that whereas DNA alkylating therapy leads to a complete tumor regression in an athymic mouse tumor xenograft model, it fails to do so in tumors deficient in HMGB1. The HMGB1-deficient tumors have an impaired ability to recruit innate immune cells including macrophages, neutrophils, and NK cells into the treated tumor tissue. Cytokine array analysis reveals that whereas DNA alkylating treatment leads to suppression of protumor cytokines such as IL-4, IL-10, and IL-13, loss of HMGB1 leads to elevated levels of these cytokines upon treatment. Suppression of innate immunity and HMGB1 using depleting Abs leads to a failure in tumor regression. Taken together, these results indicate that HMGB1 plays an essential role in activation of innate immunity and tumor clearance in response to DNA alkylating agents.
Insights
High mobility group box 1 (HMGB1) protein is essential for DNA alkylating agents to trigger tumor regression. HMGB1 facilitates innate immune cell recruitment, crucial for chemotherapy
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Dysregulation of apoptosis contributes to cancer development and chemotherapy resistance.
- DNA alkylating agents can induce tumor cell necrosis and regression, releasing high mobility group box 1 (HMGB1).
- The role of HMGB1 and innate immunity in chemotherapy response remained unclear.
Purpose of the Study:
- To investigate the role of HMGB1 and innate immunity in tumor response to DNA alkylating chemotherapy.
- To determine if HMGB1 is essential for chemotherapy-induced tumor regression.
Main Methods:
- Utilized an athymic mouse tumor xenograft model.
- Compared tumor regression in response to DNA alkylating therapy in HMGB1-proficient versus HMGB1-deficient tumors.
- Assessed innate immune cell infiltration (macrophages, neutrophils, NK cells) via histology.
- Analyzed cytokine profiles using cytokine arrays.
- Investigated the effect of depleting antibodies against innate immunity and HMGB1 on tumor regression.
Main Results:
- DNA alkylating therapy caused complete tumor regression in HMGB1-proficient tumors but failed in HMGB1-deficient tumors.
- HMGB1-deficient tumors showed impaired recruitment of innate immune cells after treatment.
- DNA alkylating treatment suppressed pro-tumor cytokines (IL-4, IL-10, IL-13) in an HMGB1-dependent manner.
- Loss of HMGB1 led to elevated pro-tumor cytokines upon treatment.
- Suppression of innate immunity and HMGB1 abrogated chemotherapy-induced tumor regression.
Conclusions:
- HMGB1 is essential for DNA alkylating agents to induce tumor regression.
- HMGB1 mediates the recruitment of innate immune cells, which is critical for chemotherapy efficacy.
- HMGB1 plays a key role in modulating the tumor microenvironment and immune response during chemotherapy.
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