[HTML][HTML] Cetuximab-mediated tumor regression depends on innate and adaptive immune responses

X Yang, X Zhang, ED Mortenson, O Radkevich-Brown… - Molecular Therapy, 2013 - cell.com
X Yang, X Zhang, ED Mortenson, O Radkevich-Brown, Y Wang, YX Fu
Molecular Therapy, 2013cell.com
Epidermal growth factor receptor (EGFR) over-signaling leads to more aggressive tumor
growth. The antitumor effect of Cetuximab, an anti-EGFR antibody, depends on oncogenic-
signal blockade leading to tumor cell apoptosis and antibody dependent cell-mediated
cytotoxicity (ADCC). However, whether adaptive immunity plays a role in Cetuximab-
mediated tumor inhibition is unclear, as current xenograft models lack adaptive immunity
and human-EGFR–dependent mouse tumor cell lines are unavailable. Using a newly …
Epidermal growth factor receptor (EGFR) over-signaling leads to more aggressive tumor growth. The antitumor effect of Cetuximab, an anti-EGFR antibody, depends on oncogenic-signal blockade leading to tumor cell apoptosis and antibody dependent cell-mediated cytotoxicity (ADCC). However, whether adaptive immunity plays a role in Cetuximab-mediated tumor inhibition is unclear, as current xenograft models lack adaptive immunity and human-EGFR–dependent mouse tumor cell lines are unavailable. Using a newly developed xenograft model with reconstituted immune cells, we demonstrate that the Cetuximab effect becomes more pronounced and reduces the EGFR+ human tumor burden when adaptive immunity is present. To further study this in a mouse tumor model, we created a novel EGFR+ mouse tumor cell line and demonstrated that Cetuximab-induced tumor regression depends on both innate and adaptive immunity components, including CD8+ T cells, MyD88, and FcγR. To test whether strong innate signals inside tumor tissues amplifies the Cetuximab-mediated therapeutic effect, Cetuximab was conjugated to CpG. This conjugate is more potent than Cetuximab alone for complete tumor regression and resistance to tumor rechallenge. Furthermore, Cetuximab-CpG conjugates can activate tumor-reactive T cells for tumor regression by increasing dendritic cell (DC) cross-presentation. Therefore, this study establishes new models to evaluate immune responses induced by antibody-based treatment, defines molecular mechanisms, and provides new tumor-regression strategies.
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