Leukocyte complexity predicts breast cancer survival and functionally regulates response to chemotherapy

Immune-regulated pathways influence multiple aspects of cancer development. In this article we demonstrate that both macrophage abundance and T-cell abundance in breast cancer represent prognostic indicators for recurrence-free and overall survival. We provide evidence that response to chemotherapy...

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Published in:Cancer discovery Vol. 1; no. 1; p. 54
Main Authors: DeNardo, David G, Brennan, Donal J, Rexhepaj, Elton, Ruffell, Brian, Shiao, Stephen L, Madden, Stephen F, Gallagher, William M, Wadhwani, Nikhil, Keil, Scott D, Junaid, Sharfaa A, Rugo, Hope S, Hwang, E Shelley, Jirström, Karin, West, Brian L, Coussens, Lisa M
Format: Journal Article
Language:English
Published: United States 01-06-2011
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Abstract Immune-regulated pathways influence multiple aspects of cancer development. In this article we demonstrate that both macrophage abundance and T-cell abundance in breast cancer represent prognostic indicators for recurrence-free and overall survival. We provide evidence that response to chemotherapy is in part regulated by these leukocytes; cytotoxic therapies induce mammary epithelial cells to produce monocyte/macrophage recruitment factors, including colony stimulating factor 1 (CSF1) and interleukin-34, which together enhance CSF1 receptor (CSF1R)-dependent macrophage infiltration. Blockade of macrophage recruitment with CSF1R-signaling antagonists, in combination with paclitaxel, improved survival of mammary tumor-bearing mice by slowing primary tumor development and reducing pulmonary metastasis. These improved aspects of mammary carcinogenesis were accompanied by decreased vessel density and appearance of antitumor immune programs fostering tumor suppression in a CD8+ T-cell-dependent manner. These data provide a rationale for targeting macrophage recruitment/response pathways, notably CSF1R, in combination with cytotoxic therapy, and identification of a breast cancer population likely to benefit from this novel therapeutic approach. These findings reveal that response to chemotherapy is in part regulated by the tumor immune microenvironment and that common cytotoxic drugs induce neoplastic cells to produce monocyte/macrophage recruitment factors, which in turn enhance macrophage infiltration into mammary adenocarcinomas. Blockade of pathways mediating macrophage recruitment, in combination with chemotherapy, significantly decreases primary tumor progression, reduces metastasis, and improves survival by CD8+ T-cell-dependent mechanisms, thus indicating that the immune microenvironment of tumors can be reprogrammed to instead foster antitumor immunity and improve response to cytotoxic therapy.
AbstractList Immune-regulated pathways influence multiple aspects of cancer development. In this article we demonstrate that both macrophage abundance and T-cell abundance in breast cancer represent prognostic indicators for recurrence-free and overall survival. We provide evidence that response to chemotherapy is in part regulated by these leukocytes; cytotoxic therapies induce mammary epithelial cells to produce monocyte/macrophage recruitment factors, including colony stimulating factor 1 (CSF1) and interleukin-34, which together enhance CSF1 receptor (CSF1R)-dependent macrophage infiltration. Blockade of macrophage recruitment with CSF1R-signaling antagonists, in combination with paclitaxel, improved survival of mammary tumor-bearing mice by slowing primary tumor development and reducing pulmonary metastasis. These improved aspects of mammary carcinogenesis were accompanied by decreased vessel density and appearance of antitumor immune programs fostering tumor suppression in a CD8+ T-cell-dependent manner. These data provide a rationale for targeting macrophage recruitment/response pathways, notably CSF1R, in combination with cytotoxic therapy, and identification of a breast cancer population likely to benefit from this novel therapeutic approach. These findings reveal that response to chemotherapy is in part regulated by the tumor immune microenvironment and that common cytotoxic drugs induce neoplastic cells to produce monocyte/macrophage recruitment factors, which in turn enhance macrophage infiltration into mammary adenocarcinomas. Blockade of pathways mediating macrophage recruitment, in combination with chemotherapy, significantly decreases primary tumor progression, reduces metastasis, and improves survival by CD8+ T-cell-dependent mechanisms, thus indicating that the immune microenvironment of tumors can be reprogrammed to instead foster antitumor immunity and improve response to cytotoxic therapy.
Author Keil, Scott D
Hwang, E Shelley
Rugo, Hope S
DeNardo, David G
Jirström, Karin
Coussens, Lisa M
West, Brian L
Rexhepaj, Elton
Gallagher, William M
Madden, Stephen F
Junaid, Sharfaa A
Brennan, Donal J
Ruffell, Brian
Shiao, Stephen L
Wadhwani, Nikhil
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  organization: Department of Pathology, University of California, San Francisco, USA
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  surname: Brennan
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  surname: Coussens
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/22039576$$D View this record in MEDLINE/PubMed
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Snippet Immune-regulated pathways influence multiple aspects of cancer development. In this article we demonstrate that both macrophage abundance and T-cell abundance...
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StartPage 54
SubjectTerms Aged
Animals
Breast Neoplasms - drug therapy
Breast Neoplasms - immunology
Breast Neoplasms - metabolism
CD8-Positive T-Lymphocytes - drug effects
CD8-Positive T-Lymphocytes - immunology
CD8-Positive T-Lymphocytes - metabolism
Cohort Studies
Disease-Free Survival
Epithelial Cells - drug effects
Epithelial Cells - immunology
Epithelial Cells - metabolism
Female
Follow-Up Studies
Humans
Leukocytes - drug effects
Leukocytes - immunology
Leukocytes - metabolism
Lung Neoplasms - drug therapy
Lung Neoplasms - immunology
Lung Neoplasms - metabolism
Lung Neoplasms - secondary
Macrophage Colony-Stimulating Factor - immunology
Macrophage Colony-Stimulating Factor - metabolism
Macrophages - drug effects
Macrophages - immunology
Macrophages - metabolism
Mammary Neoplasms, Experimental - drug therapy
Mammary Neoplasms, Experimental - immunology
Mammary Neoplasms, Experimental - metabolism
Mice
Neoplasm Metastasis
Paclitaxel - pharmacology
Prognosis
Receptor, Macrophage Colony-Stimulating Factor - immunology
Receptor, Macrophage Colony-Stimulating Factor - metabolism
Signal Transduction - drug effects
Signal Transduction - immunology
Survival Rate
Tumor Microenvironment - immunology
Title Leukocyte complexity predicts breast cancer survival and functionally regulates response to chemotherapy
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