Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary

Background and aims: The presence of tertiary lymphoid structures (TLSs) may confer survival benefit to patients with pancreatic ductal adenocarcinoma (PDAC), in an otherwise immunologically inert malignancy. Yet, the precise role in PDAC has not been elucidated. Here, we aim to investigate the stru...

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Autores principales: Francesca R. Delvecchio, Rachel E.A. Fincham, Sarah Spear, Andrew Clear, Marina Roy-Luzarraga, Frances R. Balkwill, John G. Gribben, Michele Bombardieri, Kairbaan Hodivala-Dilke, Melania Capasso, Hemant M. Kocher
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Publicado: Elsevier 2021
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spelling oai:doaj.org-article:b635dee8c698441ab3175efcb13b1c082021-11-12T04:38:35ZPancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary2352-345X10.1016/j.jcmgh.2021.06.023https://doaj.org/article/b635dee8c698441ab3175efcb13b1c082021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352345X21001387https://doaj.org/toc/2352-345XBackground and aims: The presence of tertiary lymphoid structures (TLSs) may confer survival benefit to patients with pancreatic ductal adenocarcinoma (PDAC), in an otherwise immunologically inert malignancy. Yet, the precise role in PDAC has not been elucidated. Here, we aim to investigate the structure and role of TLSs in human and murine pancreatic cancer. Methods: Multicolor immunofluorescence and immunohistochemistry were used to fully characterize TLSs in human and murine (transgenic [KPC (KrasG12D, p53R172H, Pdx-1-Cre)] and orthotopic) pancreatic cancer. An orthotopic murine model was developed to study the development of TLSs and the effect of the combined chemotherapy and immunotherapy on tumor growth. Results: Mature, functional TLSs are not ubiquitous in human PDAC and KPC murine cancers and are absent in the orthotopic murine model. TLS formation can be induced in the orthotopic model of PDAC after intratumoral injection of lymphoid chemokines (CXCL13/CCL21). Coadministration of systemic chemotherapy (gemcitabine) and intratumoral lymphoid chemokines into orthotopic tumors altered immune cell infiltration ,facilitating TLS induction and potentiating antitumor activity of chemotherapy. This resulted in significant tumor reduction, an effect not achieved by either treatment alone. Antitumor activity seen after TLS induction is associated with B cell-mediated dendritic cell activation. Conclusions: This study provides supportive evidence that TLS induction may potentiate the antitumor activity of chemotherapy in a murine model of PDAC. A detailed understanding of TLS kinetics and their induction, owing to multiple host and tumor factors, may help design personalized therapies harnessing the potential of immune-oncology.Francesca R. DelvecchioRachel E.A. FinchamSarah SpearAndrew ClearMarina Roy-LuzarragaFrances R. BalkwillJohn G. GribbenMichele BombardieriKairbaan Hodivala-DilkeMelania CapassoHemant M. KocherElsevierarticleB CellsT CellsDendritic CellsOrthotopicTransgenic MiceDiseases of the digestive system. GastroenterologyRC799-869ENCellular and Molecular Gastroenterology and Hepatology, Vol 12, Iss 5, Pp 1543-1565 (2021)
institution DOAJ
collection DOAJ
language EN
topic B Cells
T Cells
Dendritic Cells
Orthotopic
Transgenic Mice
Diseases of the digestive system. Gastroenterology
RC799-869
spellingShingle B Cells
T Cells
Dendritic Cells
Orthotopic
Transgenic Mice
Diseases of the digestive system. Gastroenterology
RC799-869
Francesca R. Delvecchio
Rachel E.A. Fincham
Sarah Spear
Andrew Clear
Marina Roy-Luzarraga
Frances R. Balkwill
John G. Gribben
Michele Bombardieri
Kairbaan Hodivala-Dilke
Melania Capasso
Hemant M. Kocher
Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
description Background and aims: The presence of tertiary lymphoid structures (TLSs) may confer survival benefit to patients with pancreatic ductal adenocarcinoma (PDAC), in an otherwise immunologically inert malignancy. Yet, the precise role in PDAC has not been elucidated. Here, we aim to investigate the structure and role of TLSs in human and murine pancreatic cancer. Methods: Multicolor immunofluorescence and immunohistochemistry were used to fully characterize TLSs in human and murine (transgenic [KPC (KrasG12D, p53R172H, Pdx-1-Cre)] and orthotopic) pancreatic cancer. An orthotopic murine model was developed to study the development of TLSs and the effect of the combined chemotherapy and immunotherapy on tumor growth. Results: Mature, functional TLSs are not ubiquitous in human PDAC and KPC murine cancers and are absent in the orthotopic murine model. TLS formation can be induced in the orthotopic model of PDAC after intratumoral injection of lymphoid chemokines (CXCL13/CCL21). Coadministration of systemic chemotherapy (gemcitabine) and intratumoral lymphoid chemokines into orthotopic tumors altered immune cell infiltration ,facilitating TLS induction and potentiating antitumor activity of chemotherapy. This resulted in significant tumor reduction, an effect not achieved by either treatment alone. Antitumor activity seen after TLS induction is associated with B cell-mediated dendritic cell activation. Conclusions: This study provides supportive evidence that TLS induction may potentiate the antitumor activity of chemotherapy in a murine model of PDAC. A detailed understanding of TLS kinetics and their induction, owing to multiple host and tumor factors, may help design personalized therapies harnessing the potential of immune-oncology.
format article
author Francesca R. Delvecchio
Rachel E.A. Fincham
Sarah Spear
Andrew Clear
Marina Roy-Luzarraga
Frances R. Balkwill
John G. Gribben
Michele Bombardieri
Kairbaan Hodivala-Dilke
Melania Capasso
Hemant M. Kocher
author_facet Francesca R. Delvecchio
Rachel E.A. Fincham
Sarah Spear
Andrew Clear
Marina Roy-Luzarraga
Frances R. Balkwill
John G. Gribben
Michele Bombardieri
Kairbaan Hodivala-Dilke
Melania Capasso
Hemant M. Kocher
author_sort Francesca R. Delvecchio
title Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
title_short Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
title_full Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
title_fullStr Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
title_full_unstemmed Pancreatic Cancer Chemotherapy Is Potentiated by Induction of Tertiary Lymphoid Structures in MiceSummary
title_sort pancreatic cancer chemotherapy is potentiated by induction of tertiary lymphoid structures in micesummary
publisher Elsevier
publishDate 2021
url https://doaj.org/article/b635dee8c698441ab3175efcb13b1c08
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