Sequential activation of NKT cells and NK cells provides effective innate immunotherapy of cancer
Sequential activation of NKT cells and NK cells provides effective innate immunotherapy of cancer
The CD1d reactive glycolipid, α-galactosylceramide (α-GalCer), potently activates T cell receptor-α type I invariant NKT cells that secondarily stimulate the proliferation and activation of other leukocytes, including NK cells. Here we report a rational approach to improving the antitumor activity of α-GalCer by using delayed interleukin (IL)-21 treatment to mature the α-GalCer–expanded pool of NK cells into highly cytotoxic effector cells. In a series of experimental and spontaneous metastases models in mice, we demonstrate far superior antitumor activity of the α-GalCer/IL-21 combination above either agent alone. Superior antitumor activity was critically dependent upon the increased perforin-mediated cytolytic activity of NK cells. Transfer of α-GalCer–pulsed dendritic cells (DCs) followed by systemic IL-21 caused an even more significant reduction in established (day 8) metastatic burden and prolonged survival. In addition, this combination prevented chemical carcinogenesis more effectively. Combinations of IL-21 with other NK cell–activating cytokines, such as IL-2 and IL-12, were much less effective in the same experimental metastases models, and these cytokines did not substitute effectively for IL-21 in combination with α-GalCer. Overall, the data suggest that NK cell antitumor function can be enhanced greatly by strategies that are designed to expand and differentiate NK cells via DC activation of NKT cells.
- University of Queensland Australia
- University of Melbourne Australia
- Juntendo University Japan
- Peter MacCallum Cancer Centre Australia
- Walter and Eliza Hall Institute of Medical Research Australia
Pore Forming Cytotoxic Proteins, Immunology, Blotting, Western, 610, Galactosylceramides, Lymphocyte Activation, Article, Interleukin-21, Interferon-gamma, Mice, Cell Line, Tumor, Neoplasms, Immunology and Allergy, Animals, Neoplasm Metastasis, Mice, Knockout, 2403 Immunology, Membrane Glycoproteins, Perforin, Interleukins, Dendritic Cells, Cytotoxicity Tests, Immunologic, Killer Cells, Natural, 2723 Immunology and Allergy, Immunotherapy
Pore Forming Cytotoxic Proteins, Immunology, Blotting, Western, 610, Galactosylceramides, Lymphocyte Activation, Article, Interleukin-21, Interferon-gamma, Mice, Cell Line, Tumor, Neoplasms, Immunology and Allergy, Animals, Neoplasm Metastasis, Mice, Knockout, 2403 Immunology, Membrane Glycoproteins, Perforin, Interleukins, Dendritic Cells, Cytotoxicity Tests, Immunologic, Killer Cells, Natural, 2723 Immunology and Allergy, Immunotherapy
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