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A 5-aza-2'-deoxycytidine/valproate combination induces cytotoxic T-cell response against mesothelioma
S Leclercq1, F Gueugnon, B Boutin
1INSERM, U892, Institut de Recherche Thérapeutique, Université de Nantes, Nantes, France.
Abstract:
Malignant pleural mesothelioma (MPM) is an aggressive tumour with a limited response to conventional therapy. The aim of this study was to evaluate the anticancer effect of a DNA methyltransferase inhibitor, 5-aza-2'-deoxycytidine (5-azaCdR), and two histone deacetylase inhibitors, valproic acid (VPA) and suberoylanilide hydroxamic acid (SAHA). Human mesothelioma cells were treated with each epigenetic drug, either alone or in combinations. The cytotoxic effects on treated cells and the expression of specific tumour antigens were evaluated. The recognition of treated cells by a specific CD8+ T-cell clone was also measured. Additionally, the effect of combined treatments was tested in a murine model of mesothelioma. We showed that VPA and SAHA synergised with 5-azaCdR to kill MPM cells and induce tumour antigen expression in the remaining living tumour cells. As a consequence, tumour cells expressing these antigens were recognised and lysed by specific CD8+ cytotoxic T-cells. In vivo, treatment with 5-azaCdR/VPA inhibited tumour growth, and promoted lymphocyte infiltration and an immune response against tumour cells. Appropriate epigenetic drug combinations, in addition to inducing mesothelioma cell death, also affect the immunogenic status of these cells. This property could be exploited in clinical investigations to develop MPM treatments combining chemotherapeutic and immunotherapeutic approaches.
Insights
Epigenetic drugs like 5-azaCdR, VPA, and SAHA show promise against malignant pleural mesothelioma (MPM). Combinations kill cancer cells and enhance immune recognition, offering new therapeutic strategies.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Malignant pleural mesothelioma (MPM) is an aggressive cancer with poor treatment outcomes.
- Conventional therapies for MPM have limited efficacy.
- Epigenetic modifications play a role in MPM development and progression.
Purpose of the Study:
- To evaluate the anticancer effects of epigenetic drugs (5-aza-2'-deoxycytidine, valproic acid, suberoylanilide hydroxamic acid) on MPM.
- To assess the impact of these drugs on tumour antigen expression and immune cell recognition.
- To investigate the efficacy of combined epigenetic drug treatments in a preclinical MPM model.
Main Methods:
- Human MPM cells were treated with epigenetic drugs alone and in combination.
- Cytotoxicity, tumour antigen expression, and CD8+ T-cell recognition were measured.
- Combined treatments were evaluated in a murine model of MPM.
Main Results:
- Valproic acid (VPA) and suberoylanilide hydroxamic acid (SAHA) synergized with 5-aza-2'-deoxycytidine (5-azaCdR) to induce MPM cell death.
- Epigenetic drug combinations increased tumour antigen expression, enhancing recognition by cytotoxic T-cells.
- In vivo, 5-azaCdR/VPA treatment inhibited tumour growth and promoted an anti-tumour immune response.
Conclusions:
- Epigenetic drug combinations can effectively kill MPM cells and enhance their immunogenicity.
- These findings support the development of combined chemotherapeutic and immunotherapeutic strategies for MPM.
- Targeting epigenetic mechanisms offers a promising avenue for novel MPM treatments.
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