Hypofractionated Whole Breast Irradiation in Women Less Than 50 Years Old Treated on Prospective Protocols: A Report on Long-Term Cosmesis [Meeting Abstract]
Shaikh, F; Chew, J; Perez, CA; Tam, M; Cooper, BT; Maisonet, OG; Peat, E; Huppert, NE; Formenti, SC; Gerber, NK
ISI:000411559106098
ISSN: 1879-355x
CID: 2767682
High Tangents in the Prone Position: A Pilot Report on Its Feasibility [Meeting Abstract]
Shaikh, F; Tam, M; Perez, CA; Huppert, NE; Hitchen, C; McCarthy, A; Maisonet, OG; Formenti, SC; Gerber, NK
ISI:000411559105288
ISSN: 1879-355x
CID: 2767702
DNA exonuclease Trex1 regulates radiotherapy-induced tumour immunogenicity
Vanpouille-Box, Claire; Alard, Amandine; Aryankalayil, Molykutty J; Sarfraz, Yasmeen; Diamond, Julie M; Schneider, Robert J; Inghirami, Giorgio; Coleman, C Norman; Formenti, Silvia C; Demaria, Sandra
Radiotherapy is under investigation for its ability to enhance responses to immunotherapy. However, the mechanisms by which radiation induces anti-tumour T cells remain unclear. We show that the DNA exonuclease Trex1 is induced by radiation doses above 12-18 Gy in different cancer cells, and attenuates their immunogenicity by degrading DNA that accumulates in the cytosol upon radiation. Cytosolic DNA stimulates secretion of interferon-beta by cancer cells following activation of the DNA sensor cGAS and its downstream effector STING. Repeated irradiation at doses that do not induce Trex1 amplifies interferon-beta production, resulting in recruitment and activation of Batf3-dependent dendritic cells. This effect is essential for priming of CD8+ T cells that mediate systemic tumour rejection (abscopal effect) in the context of immune checkpoint blockade. Thus, Trex1 is an upstream regulator of radiation-driven anti-tumour immunity. Trex1 induction may guide the selection of radiation dose and fractionation in patients treated with immunotherapy.
PMCID:5472757
PMID: 28598415
ISSN: 2041-1723
CID: 2590622
PTEN at the interface of immune tolerance and tumor suppression
Brandmaier, Andrew; Hou, Sheng-Qi; Demaria, Sandra; Formenti, Silvia C; Shen, Wen H
BACKGROUND:mutations are highly penetrant in causing various types of spontaneous tumors that often exhibit resistance to anticancer therapies including immunotherapy. Recent studies demonstrate that PTEN also regulates immune functionality. OBJECTIVE:To understand the multifaceted functions of PTEN as both a tumor suppressor and an immune regulator. METHODS:This review will summarize the emerging knowledge of PTEN function in cancer immunoediting. In addition, the mechanisms underlying functional integration of various PTEN pathways in regulating cancer evolution and tumor immunity will be highlighted. RESULTS:Recent preclinical and clinical studies revealed the essential role of PTEN in maintaining immune homeostasis, which significantly expands the repertoire of PTEN functions. Mechanistically, aberrant PTEN signaling alters the interplay between the immune system and tumors, leading to immunosuppression and tumor escape. CONCLUSION/CONCLUSIONS:Rational design of personalized anti-cancer treatment requires mechanistic understanding of diverse PTEN signaling pathways in modulation of the crosstalk between tumor and immune cells.
PMCID:5841164
PMID: 29527223
ISSN: 1674-7984
CID: 3060562
Adenosine generation limits radiation-induced tumor immunogenicity by abrogating recruitment and activation of CD103 DCs [Meeting Abstract]
Wennerberg, E; Cronstein, B; Formenti, S C; Demaria, S
Radiation therapy (RT) induces release of ATP in the tumor micro environment (TME) triggering recruitment and activation of dendritic cells (DCs), including CD103 DCs, identi+ed as the key DC subsetresponsible for cross-presentation of tumor antigens to CD8 T cells. However, CD39 and CD73-expressing cells in the TME hydrolyze ATP into adenosine that potently inhibits DCs and CD8 T cells. Here, we tested the hypothesis that adenosine generation limits the ability of RT totrigger anti-tumor immunity. Wild type (WT) or BATF3 mice (CD103 DC-de+cient) were inoculated s.c. with TSA tumor cells (day 0) and assigned to treatment with: (1) control Ab; (2) anti-CD73 Ab (100 mug) (3) RT (20 Gy); (4) RT + anti-CD73 Ab. Antibodies were administered i.p. on day 11, 14, 17 and 20. RT was given locally as single 20 Gy dose on day 12. On day 18, tumors were analyzed by -ow cytometry for DC and T cell in+ltration. Mice were monitored for tumor progression. DCs generated in vitro by culture of bone marrow from WT mice with Flt3L (>90% CD103 ) were labeled with CFSE and intravenously injected in BATF3 recipient mice. Tumors were harvested after 48h and analyzed by -ow cytometry for in+ltration of CFSE+ DCs. In tumors of RT- but not sham-treated mice, anti-CD73 mAb increased in+ltration of CD103 DCs and enhanced CD8 T cell/Treg ratio. Importantly, CD73 blockade had no anti-tumor e
EMBASE:617353266
ISSN: 1550-6606
CID: 2645572
Activating autophagy to potentiate immunogenic chemotherapy and radiation therapy
Galluzzi, Lorenzo; Bravo-San Pedro, José Manuel; Demaria, Sandra; Formenti, Silvia Chiara; Kroemer, Guido
Autophagy is fundamental to the maintenance of intracellular homeostasis in virtually all human cells. Accordingly, defective autophagy predisposes healthy cells to undergoing malignant transformation. By contrast, malignant cells are able to harness autophagy to thrive, despite adverse microenvironmental conditions, and to resist therapeutic challenges. Thus, inhibition of autophagy has been proposed as a strategy to kill cancer cells or sensitize them to therapy; however, autophagy is also critical for optimal immune function, and mediates cell-extrinsic homeostatic effects owing to its central role in danger signalling by neoplastic cells responding to immunogenic chemotherapy and/or radiation therapy. In this Perspective, we discuss accumulating preclinical and clinical evidence in support of the all-too-often dismissed possibility that activating autophagy might be a relevant clinical objective that enables an increase in the effectiveness of immunogenic chemotherapy and/or radiation therapy.
PMID: 27845767
ISSN: 1759-4782
CID: 3093722
Adenosine generation limits the ability of radiation therapy to elicit anti-tumor immunity by hindering recruitment and activation of CD103(+) DCs [Meeting Abstract]
Wennerberg, Erik; Mediero, Aranzazu; Cronstein, Bruce; Formenti, Silvia; Demaria, Sandra
ISI:000410968300005
ISSN: 1479-5876
CID: 2719042
Trial watch: Immune checkpoint blockers for cancer therapy
Vanpouille-Box, Claire; Lhuillier, Claire; Bezu, Lucillia; Aranda, Fernando; Yamazaki, Takahiro; Kepp, Oliver; Fucikova, Jitka; Spisek, Radek; Demaria, Sandra; Formenti, Silvia C; Zitvogel, Laurence; Kroemer, Guido; Galluzzi, Lorenzo
Immune checkpoint blockers (ICBs) are literally revolutionizing the clinical management of an ever more diversified panel of oncological indications. Although considerable attention persists around the inhibition of cytotoxic T lymphocyte-associated protein 4 (CTLA4) and programmed cell death 1 (PDCD1, best known as PD-1) signaling, several other co-inhibitory T-cell receptors are being evaluated as potential targets for the development of novel ICBs. Moreover, substantial efforts are being devoted to the identification of biomarkers that reliably predict the likelihood of each patient to obtain clinical benefits from ICBs in the absence of severe toxicity. Tailoring the delivery of specific ICBs or combinations thereof to selected patient populations in the context of precision medicine programs constitutes indeed a major objective of the future of ICB-based immunotherapy. Here, we discuss recent preclinical and clinical advances on the development of ICBs for oncological indications.
PMCID:5674958
PMID: 29147629
ISSN: 2162-4011
CID: 3065502
TREX1 dictates the immune fate of irradiated cancer cells
Vanpouille-Box, Claire; Formenti, Silvia C; Demaria, Sandra
The optimal radiation dose and fractionation to induce anti-tumor immunity remain elusive. We recently found that the exonuclease TREX1 abrogates the immunogenicity of irradiated cancer cells by degrading interferon-stimulatory cytosolic dsDNA. TREX1 upregulation by radiation dose per fraction beyond a threshold of 10-12Â Gy results in poor synergy with immune checkpoint blockers.
PMCID:5599078
PMID: 28932642
ISSN: 2162-4011
CID: 3068702