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Radiotherapy
Assembled by Norman Reppingen
(keine@sinnlose.info)
Immunity in Cancer
Outline
•The role of immunity in radiotherapy
•A model in a nutshell
•Enabling success
2
3
•Immunity in radiotherapy
10.1158/0008-5472.CAN-08-0427Kroemer & Zitvogel et al., 2008
Outline
•Immunity in radiotherapy
•Dependence on CD8+ cells / DC
•Vaccination / Radiation
5
Radiotherapy Promotes Tumor-Specific Effector
CD8+ T Cells via Dendritic Cell Activation
10.4049/jimmunol.1200563Maries van den Broek et al., 2012
One day before RT (10 Gy), DC or CD8+ cells were depleted.
6
B16gp
Enhanced antitumor effect of dendritic cell based immunotherapy
after intratumoral injection of radionuclide Ho-166 against B16 melanoma
10.1016/j.imlet.2006.03.007
Min-Geol Lee et al., 2006
Rechallenge resistance:
Ho-166 = ß - Emitter; t1/2 = 26.76 h7
• Cell intrinsic
• Immune mediated
A model in a nutshell
A model in a nutshell
10.1016/j.molmed.2013.05.007
• Cell intrinsic
10
A model in a nutshell
11
12
13
14
15
16
17
18
19
• Immune mediated
A model in a nutshell
Murine mammary carcinoma HE stained, 96 h after 5 Gy of γ irradiation.
Stephen L. Shiao & Lisa M. Coussens, 2010
21
22
23
24
25
26
Radiotherapy Promotes Tumor-Specific Effector
CD8+ T Cells via Dendritic Cell Activation
10.4049/jimmunol.1200563Maries van den Broek et al., 2012
One day before RT (10 Gy), DC or CD8+ cells were depleted.
27
B16gp
28
10.1016/j.molmed.2013.05.007
29
Enabling success
•Breaking Immune Suppression
•TGF-ß & STAT3
•Experiment proposal
30
10.1016/j.molmed.2013.05.007
31
10.1016/j.molmed.2013.05.007Marco Durante, Norman Reppingen et al., 2013
Inflammatory pathways reassorted
Two examples:
•DC therapy & TGF - siRNA at the tumor
•DC therapy with sunitinib
32
Gene silencing of TGF-ß1 enhances antitumor immunity induced with
a dendritic cell vaccine by reducing tumor-associated regulatory T cells
10.1007/s00262-011-1188-yConroy, Mills et al., 2012
DC loaded with hs/irr B16F10 cells and
stimulated with CpG (TLR9 Agon.) (3x)
siRNA applied to tumor (9x).
Tumors removed on day 21
& stained for CD4, CD8 and
analyzed by FACS.
10.1016/j.ccr.2005.10.012
Sunitinib facilitates the activation and recruitment of therapeutic
anti-tumor immunity in concert with specific vaccination
10.1002/ijc.25863
Sunitinib = STAT3 inhibitor in clinical routine.
MO5 = B16 expressing OVA
Bose & Storkus et al., 2010
35
Hypothesis: Antagonizing immune suppressive pathways
can turn Radiotherapy into a versatile cancer immune
therapy, furnishing quick, cheap and sustainable cure.
10.1016/j.molmed.2013.05.007Marco Durante, Norman Reppingen et al., 2013
Literature
Lionel Apetoh et al.: Molecular interactions between dying tumor cells and the innate immune system determine the efficacy of
conventional anticancer therapies. Cancer Res, 68(11):4026–30, 6 2008, 10.1158/0008-5472.CAN-08-0427.
A. Gupta et al.: Radiotherapy promotes tumor-specific effector cd8+ t cells via dendritic cell activation. The Journal of
Immunology, 189(2), 558–566, 2012, 10.4049/jimmunol.1200563
Lisa M. Coussens et al.: The tumor-immune microenvironment and response to radiation therapy. J Mammary Gland Biol
Neoplasia, 15(4):411–21, 2010, 10.1007/s10911-010-9194-9.
Lee et al.: Enhanced antitumor effect of dendritic cell based immunotherapy after intratumoral injection of radionuclide Ho-166
against B16 melanoma. Immunology Letters 106 (2006) 19–26, 10.1016/j.imlet.2006.03.007
Mills et al.: Gene silencing of TGF-ß1 enhances antitumor immunity induced with a dendritic cell vaccine by reducing tumor-
associated regulatory T cells, Cancer Immunol Immunother (2012) 61:425–431; 10.1007/s00262-011-1188-y
Anamika Bose et al.: Sunitinib facilitates the activation and recruitment of therapeutic anti-tumor immunity in concert with
specific vaccination. Int. J. Cancer: 129, 2158–2170 10.1002/ijc.25863
James W. Hodge et al: Consequence of dose scheduling of sunitinib on host immune response elements and vaccine
combination therapy, Int. J. Cancer: 130, 1948–1959 (2012), 10.1002/ijc.26219
Marco Durante et al: Immunologically augmented cancer treatment using modern radiotherapy, Trends in Molecular Medicine,
10.1016/j.molmed.2013.05.007
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Immunology in radiotherapy

  • 1. Radiotherapy Assembled by Norman Reppingen (keine@sinnlose.info) Immunity in Cancer
  • 2. Outline •The role of immunity in radiotherapy •A model in a nutshell •Enabling success 2
  • 5. Outline •Immunity in radiotherapy •Dependence on CD8+ cells / DC •Vaccination / Radiation 5
  • 6. Radiotherapy Promotes Tumor-Specific Effector CD8+ T Cells via Dendritic Cell Activation 10.4049/jimmunol.1200563Maries van den Broek et al., 2012 One day before RT (10 Gy), DC or CD8+ cells were depleted. 6 B16gp
  • 7. Enhanced antitumor effect of dendritic cell based immunotherapy after intratumoral injection of radionuclide Ho-166 against B16 melanoma 10.1016/j.imlet.2006.03.007 Min-Geol Lee et al., 2006 Rechallenge resistance: Ho-166 = ß - Emitter; t1/2 = 26.76 h7
  • 8. • Cell intrinsic • Immune mediated A model in a nutshell
  • 9. A model in a nutshell 10.1016/j.molmed.2013.05.007
  • 10. • Cell intrinsic 10 A model in a nutshell
  • 11. 11
  • 12. 12
  • 13. 13
  • 14. 14
  • 15. 15
  • 16. 16
  • 17. 17
  • 18. 18
  • 19. 19
  • 20. • Immune mediated A model in a nutshell Murine mammary carcinoma HE stained, 96 h after 5 Gy of γ irradiation. Stephen L. Shiao & Lisa M. Coussens, 2010
  • 21. 21
  • 22. 22
  • 23. 23
  • 24. 24
  • 25. 25
  • 26. 26
  • 27. Radiotherapy Promotes Tumor-Specific Effector CD8+ T Cells via Dendritic Cell Activation 10.4049/jimmunol.1200563Maries van den Broek et al., 2012 One day before RT (10 Gy), DC or CD8+ cells were depleted. 27 B16gp
  • 29. 29 Enabling success •Breaking Immune Suppression •TGF-ß & STAT3 •Experiment proposal
  • 31. 31 10.1016/j.molmed.2013.05.007Marco Durante, Norman Reppingen et al., 2013 Inflammatory pathways reassorted
  • 32. Two examples: •DC therapy & TGF - siRNA at the tumor •DC therapy with sunitinib 32
  • 33. Gene silencing of TGF-ß1 enhances antitumor immunity induced with a dendritic cell vaccine by reducing tumor-associated regulatory T cells 10.1007/s00262-011-1188-yConroy, Mills et al., 2012 DC loaded with hs/irr B16F10 cells and stimulated with CpG (TLR9 Agon.) (3x) siRNA applied to tumor (9x). Tumors removed on day 21 & stained for CD4, CD8 and analyzed by FACS. 10.1016/j.ccr.2005.10.012
  • 34. Sunitinib facilitates the activation and recruitment of therapeutic anti-tumor immunity in concert with specific vaccination 10.1002/ijc.25863 Sunitinib = STAT3 inhibitor in clinical routine. MO5 = B16 expressing OVA Bose & Storkus et al., 2010
  • 35. 35 Hypothesis: Antagonizing immune suppressive pathways can turn Radiotherapy into a versatile cancer immune therapy, furnishing quick, cheap and sustainable cure. 10.1016/j.molmed.2013.05.007Marco Durante, Norman Reppingen et al., 2013
  • 36. Literature Lionel Apetoh et al.: Molecular interactions between dying tumor cells and the innate immune system determine the efficacy of conventional anticancer therapies. Cancer Res, 68(11):4026–30, 6 2008, 10.1158/0008-5472.CAN-08-0427. A. Gupta et al.: Radiotherapy promotes tumor-specific effector cd8+ t cells via dendritic cell activation. The Journal of Immunology, 189(2), 558–566, 2012, 10.4049/jimmunol.1200563 Lisa M. Coussens et al.: The tumor-immune microenvironment and response to radiation therapy. J Mammary Gland Biol Neoplasia, 15(4):411–21, 2010, 10.1007/s10911-010-9194-9. Lee et al.: Enhanced antitumor effect of dendritic cell based immunotherapy after intratumoral injection of radionuclide Ho-166 against B16 melanoma. Immunology Letters 106 (2006) 19–26, 10.1016/j.imlet.2006.03.007 Mills et al.: Gene silencing of TGF-ß1 enhances antitumor immunity induced with a dendritic cell vaccine by reducing tumor- associated regulatory T cells, Cancer Immunol Immunother (2012) 61:425–431; 10.1007/s00262-011-1188-y Anamika Bose et al.: Sunitinib facilitates the activation and recruitment of therapeutic anti-tumor immunity in concert with specific vaccination. Int. J. Cancer: 129, 2158–2170 10.1002/ijc.25863 James W. Hodge et al: Consequence of dose scheduling of sunitinib on host immune response elements and vaccine combination therapy, Int. J. Cancer: 130, 1948–1959 (2012), 10.1002/ijc.26219 Marco Durante et al: Immunologically augmented cancer treatment using modern radiotherapy, Trends in Molecular Medicine, 10.1016/j.molmed.2013.05.007 Further Reading & more figures: