Immunosuppressive plasma cells impede T-cell-dependent immunogenic chemotherapy

Nature. 2015 May 7;521(7550):94-8. doi: 10.1038/nature14395. Epub 2015 Apr 29.

Abstract

Cancer-associated genetic alterations induce expression of tumour antigens that can activate CD8(+) cytotoxic T cells (CTLs), but the microenvironment of established tumours promotes immune tolerance through poorly understood mechanisms. Recently developed therapeutics that overcome tolerogenic mechanisms activate tumour-directed CTLs and are effective in some human cancers. Immune mechanisms also affect treatment outcome, and certain chemotherapeutic drugs stimulate cancer-specific immune responses by inducing immunogenic cell death and other effector mechanisms. Our previous studies revealed that B cells recruited by the chemokine CXCL13 into prostate cancer tumours promote the progression of castrate-resistant prostate cancer by producing lymphotoxin, which activates an IκB kinase α (IKKα)-BMI1 module in prostate cancer stem cells. Because castrate-resistant prostate cancer is refractory to most therapies, we examined B cell involvement in the acquisition of chemotherapy resistance. Here we focus on oxaliplatin, an immunogenic chemotherapeutic agent that is effective in aggressive prostate cancer. We show that mouse B cells modulate the response to low-dose oxaliplatin, which promotes tumour-directed CTL activation by inducing immunogenic cell death. Three different mouse prostate cancer models were refractory to oxaliplatin unless genetically or pharmacologically depleted of B cells. The crucial immunosuppressive B cells are plasmocytes that express IgA, interleukin (IL)-10 and programmed death ligand 1 (PD-L1), the appearance of which depends on TGFβ receptor signalling. Elimination of these cells, which also infiltrate human-therapy-resistant prostate cancer, allows CTL-dependent eradication of oxaliplatin-treated tumours.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adoptive Transfer
  • Animals
  • Antibodies, Neoplasm / immunology
  • Antineoplastic Agents / immunology
  • Antineoplastic Agents / pharmacology
  • B7-H1 Antigen / metabolism
  • Cells, Cultured
  • Chemokine CXCL13 / metabolism
  • Humans
  • I-kappa B Kinase / metabolism
  • Immunoglobulin A / immunology
  • Interleukin-10 / immunology
  • Lymphocyte Activation / drug effects
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Neoplastic Stem Cells / pathology
  • Organoplatinum Compounds / administration & dosage
  • Organoplatinum Compounds / immunology
  • Organoplatinum Compounds / pharmacology*
  • Organoplatinum Compounds / therapeutic use
  • Oxaliplatin
  • Plasma Cells / cytology
  • Plasma Cells / drug effects*
  • Plasma Cells / immunology*
  • Prostatic Neoplasms / drug therapy*
  • Prostatic Neoplasms / immunology*
  • Prostatic Neoplasms / pathology
  • Receptors, Transforming Growth Factor beta / metabolism
  • Signal Transduction
  • T-Lymphocytes, Cytotoxic / cytology
  • T-Lymphocytes, Cytotoxic / drug effects*
  • T-Lymphocytes, Cytotoxic / immunology*
  • Transforming Growth Factor beta / immunology

Substances

  • Antibodies, Neoplasm
  • Antineoplastic Agents
  • B7-H1 Antigen
  • CXCL13 protein, human
  • Cd274 protein, mouse
  • Chemokine CXCL13
  • Immunoglobulin A
  • Organoplatinum Compounds
  • Receptors, Transforming Growth Factor beta
  • Transforming Growth Factor beta
  • Oxaliplatin
  • Interleukin-10
  • I-kappa B Kinase