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Updated: Oct 14, 2025

In Vivo Immunogenicity Screening of Tumor-Derived Extracellular Vesicles by Flow Cytometry of Splenic T Cells
Published on: September 23, 2021
Immunogenic Cell Death and Immunomodulatory Effects of Cabozantinib
Fabio Scirocchi1, Chiara Napoletano1, Angelica Pace1
1Laboratory of Tumor Immunology and Cell Therapy, Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy.
Abstract:
Cabozantinib (XL-184) is a multitarget tyrosine kinase inhibitor (TKI) targeting receptor tyrosine kinases (RTKs) involved in oncogenesis and angiogenesis. It is currently the standard therapy for medullary thyroid cancer (MTC), metastatic renal cell carcinoma (mRCC), and hepatocellular carcinoma (HCC). Combination of Cabozantinib with immunotherapy is now a standard treatment in metastatic renal cancer, and its efficacy is being tested in ongoing clinical trial in prostate cancer patients. Here, we report that Cabozantinib may exert an immunostimulatory role by inducing immunogenic stress of prostate cancer cells and directly modulating dendritic cells (DCs). Cabozantinib treatment arrested the cell cycle and triggered immunogenic cell death (ICD) in prostate cancer cells in vitro. Cabozantinib had a direct effect on DCs by the down-modulation of β-catenin and change in migratory and costimulatory phenotype of the DCs. These results may suggest possible immunomodulatory effects induced by Cabozantinib that could be exploited to optimize patient-tailored immunotherapeutic treatments.
Insights
Cabozantinib, a cancer drug, may boost the immune system by triggering cancer cell death and influencing immune cells. This suggests potential for enhanced cancer immunotherapy treatments.
Area of Science:
- Oncology
- Immunology
- Pharmacology
Background:
- Cabozantinib is a multi-target tyrosine kinase inhibitor (TKI) used for medullary thyroid cancer, metastatic renal cell carcinoma, and hepatocellular carcinoma.
- Combination therapy with cabozantinib and immunotherapy is standard for metastatic renal cancer and under investigation for prostate cancer.
Purpose of the Study:
- To investigate the potential immunostimulatory role of cabozantinib.
- To explore cabozantinib's effects on prostate cancer cells and dendritic cells (DCs).
Main Methods:
- In vitro treatment of prostate cancer cells with cabozantinib.
- Analysis of cell cycle arrest and induction of immunogenic cell death (ICD).
- Direct assessment of cabozantinib's effects on dendritic cells, including β-catenin modulation and phenotypic changes.
Main Results:
- Cabozantinib treatment induced cell cycle arrest and immunogenic cell death in prostate cancer cells.
- Cabozantinib directly modulated dendritic cells, down-regulating β-catenin and altering their migratory and costimulatory phenotype.
- These findings suggest cabozantinib possesses immunomodulatory properties.
Conclusions:
- Cabozantinib may exert an immunostimulatory effect by inducing immunogenic stress in cancer cells and modulating dendritic cells.
- These immunomodulatory effects could be leveraged to optimize personalized immunotherapeutic strategies for cancer patients.
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