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.

Frontiers in Oncology
|November 8, 2021
PubMed

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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