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Isolation and Expansion of Cytotoxic Cytokine-induced Killer T Cells for Cancer Treatment
Published on: January 24, 2020
Cytokine-Induced Killer Cells in Combination with Heat Shock Protein 90 Inhibitors Functioning via the Fas/FasL Axis
Fangfang Ge1, Yulu Wang1, Amit Sharma1,2
1Department of Integrated Oncology, Center for Integrated Oncology (CIO), University Hospital of Bonn, 53127 Bonn, Germany.
Abstract:
Constant efforts are being made to develop methods for improving cancer immunotherapy, including cytokine-induced killer (CIK) cell therapy. Numerous heat shock protein (HSP) 90 inhibitors have been assessed for antitumor efficacy in preclinical and clinical trials, highlighting their individual prospects for targeted cancer therapy. Therefore, we tested the compatibility of CIK cells with HSP90 inhibitors using Burkitt's lymphoma (BL) cells. Our analysis revealed that CIK cytotoxicity in BL cells was augmented in combination with independent HSP90 inhibitors 17-DMAG (17-dimethylaminoethylamino-17-demethoxygeldanamycin) and ganetespib. Interestingly, CIK cell cytotoxicity did not diminish after blocking with NKG2D (natural killer group 2, member D), which is a prerequisite for their activation. Subsequent analyses revealed that the increased expression of Fas on the surface of BL cells, which induces caspase 3/7-dependent apoptosis, may account for this effect. Thus, we provide evidence that CIK cells, either alone or in combination with HSP90 inhibitors, target BL cells via the Fas-FasL axis rather than the NKG2D pathway. In the context of clinical relevance, we also found that high expression of HSP90 family genes (HSP90AA1, HSP90AB1, and HSP90B1) was significantly associated with the reduced overall survival of BL patients. In addition to HSP90, genes belonging to the Hsp40, Hsp70, and Hsp110 families have also been found to be clinically significant for BL survival. Taken together, the combinatorial therapy of CIK cells with HSP90 inhibitors has the potential to provide clinical benefits to patients with BL.
Insights
Combining cytokine-induced killer (CIK) cells with heat shock protein (HSP) 90 inhibitors enhances CIK cell therapy for Burkitt
Area of Science:
- Immunology
- Oncology
- Molecular Biology
Background:
- Cancer immunotherapy, including cytokine-induced killer (CIK) cell therapy, is an area of active research.
- Heat shock protein (HSP) 90 inhibitors have shown promise in preclinical and clinical cancer studies.
- Burkitt's lymphoma (BL) is an aggressive non-Hodgkin lymphoma with specific therapeutic challenges.
Purpose of the Study:
- To evaluate the compatibility and efficacy of combining CIK cells with HSP90 inhibitors against Burkitt's lymphoma (BL) cells.
- To elucidate the mechanisms underlying the combined therapeutic effect.
- To assess the clinical relevance of HSP90 family gene expression in BL patient survival.
Main Methods:
- Cytotoxicity assays were performed using CIK cells and BL cells in combination with HSP90 inhibitors (17-DMAG and ganetespib).
- Flow cytometry was used to analyze the expression of cell surface markers, including NKG2D and Fas.
- Caspase activity assays were conducted to assess apoptosis induction.
- Analysis of HSP90 family gene expression in relation to overall survival data from BL patients.
Main Results:
- CIK cell-mediated cytotoxicity against BL cells was significantly augmented by HSP90 inhibitors 17-DMAG and ganetespib.
- CIK cell activity was not diminished by blocking NKG2D, suggesting an alternative activation pathway.
- Increased expression of Fas on BL cells was observed, leading to caspase 3/7-dependent apoptosis.
- High expression of HSP90 family genes (HSP90AA1, HSP90AB1, HSP90B1, Hsp40, Hsp70, Hsp110) correlated with reduced overall survival in BL patients.
Conclusions:
- CIK cells, alone or with HSP90 inhibitors, target BL cells primarily through the Fas-FasL pathway, not NKG2D.
- Combined CIK cell and HSP90 inhibitor therapy demonstrates potential for treating BL.
- HSP90 family gene expression serves as a prognostic marker for BL patient survival.
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