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Blood, 15 June 2008, Vol. 111, No. 12, pp. 5610-5620.
Prepublished online as a Blood First Edition Paper on February 29, 2008; DOI 10.1182/blood-2007-02-075945.
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Submitted February 21, 2007
Accepted January 10, 2008
Sorafenib but not sunitinib affects function of dendritic cells and induction of primary immune responses
Madeleine M. Hipp, Norbert Hilf, Steffen Walter, Daniela Werth, Katharina M. Brauer, Markus P. Radsak, Toni Weinschenk, Harpreet Singh-Jasuja, and Peter Brossart*
Department of Hematology, Oncology and Immunology, University of Tubingen, Tubingen, Germany
Research and Development, Immatics Biotechnologies GmbH, Tubingen, Germany
Department of Hematology and Oncology, University of Mainz, Mainz, Germany
Department of Hematology and Oncology, University of Bonn, Bonn, Germany
* Corresponding author; email: peter.brossart{at}ukb.uni-bonn.de.
The tyrosine kinase inhibitors sorafenib and sunitinib are approved for the treatment of patients with malignant diseases. To analyze the possible use of these compounds in combination with immunotherapeutic approaches we analyzed the effects of both inhibitors on the immunostimulatory capacity of human DCs and the induction of primary immune responses in vivo. Sorafenib but not sunitinib inhibits function of DCs, characterized by reduced secretion of cytokines and expression of CD1a, MHC and costimulatory molecules in response to TLR ligands, as well as by their impaired ability to migrate and stimulate T-cell responses. These inhibitory effects are mediated via inhibition of PI3 and MAP kinases and NF B signaling. In contrast, sorafenib had no influence on the phenotype and proliferation of T cells.
To analyze the effects of both TKIs on CTL induction in vivo, C57BL/6 mice were pretreated with sorafenib or sunitinib and immunized with OVA257-264 peptide. Sorafenib application, but not sunitinib, significantly reduced the induction of antigen specific T cells. Interestingly, numbers of regulatory T cells were reduced in PBMCs from mice treated with sunitinib. In summary, our results indicate that sunitinib, but not sorafenib is suitable for combination with immunotherapeutic approaches for treatment of cancer patients.

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