Decrease of Tumor-infiltrating Regulatory T Cells Using Pentoxifylline: An Ex Vivo Analysis in Triple-negative Breast

Mohammad Hossein Kazemi1, Mahdieh Shokrollahi Barough2, Alireza Ghanavatinejad3

  • 1Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran AND Department of ATMP, Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran. Kazemi.m03@iums.ac.ir.

Insights

Pentoxifylline (PTXF) effectively reduces regulatory T cells (Tregs) in tumor-infiltrating lymphocytes (TILs) from triple-negative breast cancer (TNBC) models without impacting cell viability. This suggests PTXF can enhance TIL therapy by modulating immune responses.

Area of Science:

  • Immunology
  • Oncology
  • Pharmacology

Background:

  • Triple-negative breast cancer (TNBC) is aggressive and characterized by high tumor-infiltrating lymphocytes (TILs).
  • TIL therapy shows promise for TNBC, but regulatory T cells (Tregs) within TILs can suppress anti-tumor immunity.
  • Pentoxifylline (PTXF), a xanthine derivative, may modulate immune cell populations, including Tregs.

Purpose of the Study:

  • To investigate the ex vivo effects of pentoxifylline (PTXF) on the proportion of regulatory T cells (Tregs) within tumor-infiltrating lymphocytes (TILs) from a mouse model of triple-negative breast cancer (TNBC).
  • To assess the impact of PTXF on TIL viability and cytokine production in the context of IL-2-mediated expansion.

Main Methods:

  • TNBC was induced in BALB/c mice using 4T1 cells.
  • TILs were isolated and cultured with or without 4T1 cells, IL-2, and varying concentrations of PTXF for 24-72 hours.
  • Cell viability (MTT assay), Treg proportion (flow cytometry), and cytokine levels (ELISA) were analyzed.

Main Results:

  • Pentoxifylline (PTXF) demonstrated no significant toxicity to TILs at tested concentrations.
  • PTXF significantly decreased the proportion of Tregs in a dose-dependent manner.
  • PTXF altered cytokine profiles, increasing interferon-gamma and decreasing tumor growth factor-beta.

Conclusions:

  • Ex vivo treatment with pentoxifylline can reduce Treg populations during IL-2-mediated TIL expansion for TNBC.
  • PTXF treatment shifts the cytokine balance in TILs towards an anti-tumor immune response.
  • Pentoxifylline represents a potential adjuvant therapy to enhance TIL-based immunotherapy for TNBC.

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