Fractionated Radiotherapy with 3 x 8 Gy Induces Systemic Anti-Tumour Responses and Abscopal Tumour Inhibition without Modulating the Humoral Anti-Tumour Response

Accumulating evidence indicates that fractionated radiotherapy (RT) can result in distant non-irradiated (abscopal) tumour regression. Although preclinical studies indicate the importance of T cells in this infrequent phenomenon, these studies do not preclude that other immune mechanisms exhibit an...

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Published in:PloS one Vol. 11; no. 7; p. e0159515
Main Authors: Habets, Thomas H P M, Oth, Tammy, Houben, Ans W, Huijskens, Mirelle J A J, Senden-Gijsbers, Birgit L M G, Schnijderberg, Melanie C A, Brans, Boudewijn, Dubois, Ludwig J, Lambin, Philippe, De Saint-Hubert, Marijke, Germeraad, Wilfred T V, Tilanus, Marcel G J, Mottaghy, Felix M, Bos, Gerard M J, Vanderlocht, Joris
Format: Journal Article
Language:English
Published: United States Public Library of Science 18-07-2016
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Summary:Accumulating evidence indicates that fractionated radiotherapy (RT) can result in distant non-irradiated (abscopal) tumour regression. Although preclinical studies indicate the importance of T cells in this infrequent phenomenon, these studies do not preclude that other immune mechanisms exhibit an addition role in the abscopal effect. We therefore addressed the question whether in addition to T cell mediated responses also humoral anti-tumour responses are modulated after fractionated RT and whether systemic dendritic cell (DC) stimulation can enhance tumour-specific antibody production. We selected the 67NR mammary carcinoma model since this tumour showed spontaneous antibody production in all tumour-bearing mice. Fractionated RT to the primary tumour was associated with a survival benefit and a delayed growth of a non-irradiated (contralateral) secondary tumour. Notably, fractionated RT did not affect anti-tumour antibody titers and the composition of the immunoglobulin (Ig) isotypes. Likewise, we demonstrated that treatment of tumour-bearing Balb/C mice with DC stimulating growth factor Flt3-L did neither modulate the magnitude nor the composition of the humoral immune response. Finally, we evaluated the immune infiltrate and Ig isotype content of the tumour tissue using flow cytometry and found no differences between treatment groups that were indicative for local antibody production. In conclusion, we demonstrate that the 67NR mammary carcinoma in Balb/C mice is associated with a pre-existing antibody response. And, we show that in tumour-bearing Balb/C mice with abscopal tumour regression such pre-existing antibody responses are not altered upon fractionated RT and/or DC stimulation with Flt3-L. Our research indicates that evaluating the humoral immune response in the setting of abscopal tumour regression is not invariably associated with therapeutic effects.
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Competing Interests: GB and WG founded CiMaas BV. There are no patents, products in development or marketed products to declare. This does not alter the authors' adherence to all the PLOS ONE policies on sharing data and materials.
Conceived and designed the experiments: TH JV AH BB WG GB. Performed the experiments: TH TO MH BS AH MS LD. Analyzed the data: TH TO MH BS AH MS MDS JV. Contributed reagents/materials/analysis tools: TH TO MH AH BB LD MT PL MDS FM WG JV GB. Wrote the paper: TH TO MH LD MT PL FM WG JV GB.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0159515