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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
Potential for enhanced therapeutic activity of biological cancer therapies with doxycycline combination
1Department of Surgery and Immunology, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Abstract:
Despite significant strides made in the clinical translation of adoptive immune cell therapies, it is apparent that many tumors incorporate strategies to avoid recognition by receptors expressed on the immune cells, such as NKG2D. Strategies that stabilize the expression of ligands for these receptors may enhance the therapeutic potential of these and related therapies. Doxycycline inhibits matrix metalloproteinases (MMPs) that act to cleave the extracellular domain of MICA/B, ligands for the NKG2D receptor. Doxycycline treatment blocked shedding of MICA/B from a panel of human tumor cells, but also acted to increase their expression and cell surface translocation, possibly through its action on ATM. This meant that many tumor cells displayed increased MICA/B expression and enhanced susceptibility to CIK cells. Interestingly, doxycycline also selectively enhanced the replication of oncolytic vaccinia in many tumor cell lines, leading to increased sensitivity to these therapies. Combination (CIK-oncolytic vaccinia) therapies used in conjunction with doxycycline led to increased anti-tumor effects. The unexpected and pleiotropic beneficial anti-tumor effects of doxycycline on both immune cell and oncolytic viral therapies make it an excellent candidate for rapid clinical testing.
Insights
Doxycycline enhances anti-tumor immunity by increasing tumor cell susceptibility to immune cells and oncolytic viruses. This drug shows promise for improving adoptive immune cell and viral therapies against cancer.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Tumors evade immune detection by downregulating NKG2D ligands (MICA/B).
- Matrix metalloproteinases (MMPs) cleave MICA/B, reducing immune cell recognition.
- Adoptive immune cell therapies face challenges due to tumor evasion strategies.
Purpose of the Study:
- To investigate doxycycline's effect on MICA/B expression and tumor cell susceptibility.
- To evaluate doxycycline's impact on oncolytic vaccinia replication and efficacy.
- To assess the combined efficacy of doxycycline with CIK-oncolytic vaccinia therapy.
Main Methods:
- Treatment of human tumor cells with doxycycline.
- Analysis of MICA/B shedding and cell surface expression.
- Assessment of tumor cell sensitivity to CIK cells.
- Evaluation of oncolytic vaccinia replication in tumor cell lines.
- Testing combination therapies in vitro.
Main Results:
- Doxycycline blocked MICA/B shedding and increased its cell surface expression.
- Tumor cells showed enhanced susceptibility to CIK cells after doxycycline treatment.
- Doxycycline selectively enhanced oncolytic vaccinia replication and tumor cell sensitivity.
- Combination therapy with doxycycline, CIK, and oncolytic vaccinia demonstrated increased anti-tumor effects.
Conclusions:
- Doxycycline exhibits pleiotropic anti-tumor effects by enhancing both immune cell and oncolytic viral therapies.
- Doxycycline's ability to stabilize NKG2D ligands and boost viral replication makes it a promising candidate for clinical trials.
- This study highlights doxycycline as a potential adjuvant therapy to overcome tumor immune evasion.
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