Critical Roles of Chemoresistant Effector and Regulatory T Cells in Antitumor Immunity after Lymphodepleting Chemotherapy

J Immunol. 2015 Jul 15;195(2):726-35. doi: 10.4049/jimmunol.1401468. Epub 2015 Jun 3.

Abstract

Antitumor immunity is augmented by cytotoxic lymphodepletion therapies. Adoptively transferred naive and effector T cells proliferate extensively and show enhanced antitumor effects in lymphopenic recipients. Although the impact of lymphodepletion on transferred donor T cells has been well evaluated, its influence on recipient T cells is largely unknown. The current study demonstrates that both regulatory T cells (Tregs) and effector CD8(+) T cells from lymphopenic recipients play critical roles in the development of antitumor immunity after lymphodepletion. Cyclophosphamide (CPA) treatment depleted lymphocytes more efficiently than other cytotoxic agents; however, the percentage of CD4(+)CD25(+) Foxp3(+) Tregs was significantly increased in CPA-treated lymphopenic mice. Depletion of these chemoresistant Tregs following CPA treatment and transfer of naive CD4(+) T cells augmented the antitumor immunity and significantly suppressed tumor progression. Further analyses revealed that recipient CD8(+) T cells were responsible for this augmentation. Using Rag2(-/-) mice or depletion of recipient CD8(+) T cells after CPA treatment abrogated the augmentation of antitumor effects in CPA-treated reconstituted mice. The transfer of donor CD4(+) T cells enhanced the proliferation of CD8(+) T cells and the priming of tumor-specific CD8(+) T cells originating from the lymphopenic recipients. These results highlight the importance of the recipient cells surviving cytotoxic regimens in cancer immunotherapies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • Cisplatin / pharmacology
  • Cyclophosphamide / pharmacology
  • Cytotoxins / pharmacology*
  • Deoxycytidine / analogs & derivatives
  • Deoxycytidine / pharmacology
  • Drug Resistance / immunology
  • Etoposide / pharmacology
  • Female
  • Fibrosarcoma / chemically induced
  • Fibrosarcoma / immunology
  • Fibrosarcoma / pathology
  • Fibrosarcoma / therapy*
  • Gemcitabine
  • Lymph Nodes / immunology
  • Lymph Nodes / pathology
  • Lymphocyte Depletion*
  • Lymphopenia / chemically induced
  • Lymphopenia / immunology
  • Lymphopenia / pathology
  • Lymphopenia / therapy*
  • Methylcholanthrene
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Paclitaxel / pharmacology
  • T-Lymphocytes, Cytotoxic / drug effects
  • T-Lymphocytes, Cytotoxic / immunology*
  • T-Lymphocytes, Cytotoxic / pathology
  • T-Lymphocytes, Regulatory / drug effects
  • T-Lymphocytes, Regulatory / immunology*
  • T-Lymphocytes, Regulatory / pathology
  • Tumor Cells, Cultured
  • Vidarabine / analogs & derivatives
  • Vidarabine / pharmacology
  • Whole-Body Irradiation

Substances

  • Cytotoxins
  • Deoxycytidine
  • Methylcholanthrene
  • Etoposide
  • Cyclophosphamide
  • Vidarabine
  • fludarabine
  • Paclitaxel
  • Cisplatin
  • Gemcitabine