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Published on: September 12, 2019
Small-molecule inhibitor sorafenib regulates immunoreactions by inducing survival and differentiation of bone marrow
Xiangxuan Zhao1, Mengde Cao2, Zaiming Lu3
1Department of Radiology, China Medical University Shengjing Hospital, Shenyang, China Department of Pathology, University of Florida College of Medicine, Gainesville, FL, USA Institute of Cancer Stem Cell, Dalian Medical University Cancer Center, Dalian, China zhaoxiangxuan@163.com xiangxuanzhao@163.com.
Abstract:
Sorafenib has been used for the treatment of liver cancer. However, its clinical impact on human immunity system remains poorly known. Our previous study has shown that sorafenib modulates immunosuppressive cell populations in murine liver cancer models. Here, we continue to report that low doses of sorafenib promotes the survival of murine bone marrow cells (BMCs) in a dose-dependent manner by up-regulating the anti-apoptotic protein survivin. Sorafenib induces differentiation of BMCs into suppressive dendritic cells that inhibit autologous T-cell proliferation and stimulate CD4(+) T cells to express increased IL-1β, IL-2, IL-4, IL-10, IFN-γ and TNF-α, and reduced levels of IL-6 and CD25, which indicates that sorafenib-induced dendritic cells represent a distinct cellular subset with unique properties. Taken together, our findings suggest that in addition to its anticancer effects, sorafenib has an immunoregulatory property that is apparent at low doses.
Insights
Low doses of sorafenib, a liver cancer drug, promote bone marrow cell survival and create immune-suppressing dendritic cells. This reveals sorafenib
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Sorafenib is a known treatment for liver cancer.
- Its effects on the human immune system are not well understood.
- Previous research indicated sorafenib modulates immunosuppressive cells in mouse models.
Purpose of the Study:
- To investigate the immunomodulatory effects of sorafenib at low doses.
- To determine sorafenib's impact on bone marrow cells and dendritic cell differentiation.
Main Methods:
- Treatment of murine bone marrow cells (BMCs) with varying doses of sorafenib.
- Analysis of BMC survival, apoptosis (survivin expression), and differentiation.
- Characterization of sorafenib-induced dendritic cells and their effect on T-cell responses (cytokine production, proliferation).
Main Results:
- Low-dose sorafenib promoted BMC survival in a dose-dependent manner via survivin.
- Sorafenib induced BMC differentiation into suppressive dendritic cells.
- These dendritic cells inhibited T-cell proliferation and altered cytokine profiles (increased IL-1β, IL-2, IL-4, IL-10, IFN-γ, TNF-α; decreased IL-6, CD25).
Conclusions:
- Sorafenib exhibits immunoregulatory properties at low doses, beyond its anticancer effects.
- Sorafenib-induced dendritic cells represent a unique subset with distinct suppressive functions.
- These findings highlight the complex interplay between sorafenib and the immune system.
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